Analyzing Mortality Trends of Coronary Heart Disease in Surin Hospital in 2014 and 2016 by Using IMPACT model
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Abstract
Objective: To determine Coronary Heart Disease (CHD) mortality trends in Surin Hospital in 2014 and 2016. Methods: The study applied the IMPACT model to patient data in Surin Hospital and empirical evidences. Data analysis was performed in 2 groups i.e., CHD patients under medication treatment and those at risk of CHD with age between 25-84 years old. The study retrieved data of 3,192 patients during September 1, 2014 and December 31, 2014 and 3,321 patients during September 1, 2016 and December 31, 2016. Outcomes in the study measures were the reduction of mortality rate, and death prevention or delay. Results: Mortality rate of CHD in 2016 decreased from 2,330 per 100,000 persons in 2014 to 1,947 per 100,000 persons. Medication treatments in those with CHD prevented and delayed 18,394 death per 100,000 persons accounting for 69.92% of expected death. Mortality rate of in-patients and out-patients with congestive heart failure reduced by 26.70% and 25.64%, respectively. However, patients at risk of CHD death showed an increased death by 18,415 death per 100,000 persons accounting for 69.99% of expected death. Three major risk factors of increased mortality were smoking, physical inactivity and high cholesterol accounting for 40.28, 18.36 and 10.54% of expected death, respectively. Conclusion: CHD mortality rate decreased within 3 years. Medication treatments could prevent or postpone death. However, modification of risky behaviors especially smoking was support to further prevent and delay death from CHD.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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