Urban and Rural Differences of Acute Cardiovascular Disease Events: A Study from the Population-Based Real-Time Surveillance System in Zhejiang, China in 2012

Zhejiang province, China, has implemented a population based, real-time surveillance system that tracks acute cardiovascular diseases (CVDs) events since 2001. This study aimed to describe the system and report CVD incidence, mortality and case-fatality between urban and rural areas in Zhejiang in 2...

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Bibliographic Details
Published in:PloS one 2016-11, Vol.11 (11), p.e0165647-e0165647
Main Authors: Gong, Weiwei, Wei, Xiaolin, Liang, Yujia, Zou, Guanyang, Hu, Ruying, Deng, Simin, Zhang, Zhitong, Pan, Jing, Choi, Bernard C K, Yu, Min
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Age Factors
Aged
Biology and Life Sciences
Blood pressure
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - epidemiology
China - epidemiology
Coronary artery disease
Coronary Artery Disease - diagnosis
Coronary Artery Disease - epidemiology
Coronary heart disease
Disease control
Disease prevention
Earth Sciences
Epidemics
Epidemiology
Fatalities
Female
Global health
Health care facilities
Health facilities
Heart attacks
Heart diseases
Hospitals
Humans
Hypertension
Incidence
Information management
Low income groups
Male
Medical research
Medicine and Health Sciences
Middle Aged
Mortality
Neurology
People and Places
Population
Population studies
Population-based studies
Primary care
Principal components analysis
Public health
R&D
Random sampling
Real time
Registries
Research & development
Rural areas
Rural Population
Sampling methods
Sex Factors
Stroke
Stroke - diagnosis
Stroke - epidemiology
Surveillance
Systematic review
Urban areas
Urban Population
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Summary:Zhejiang province, China, has implemented a population based, real-time surveillance system that tracks acute cardiovascular diseases (CVDs) events since 2001. This study aimed to describe the system and report CVD incidence, mortality and case-fatality between urban and rural areas in Zhejiang in 2012. The surveillance system employs a stratified random sampling method covering all permanent residents of 30 counties/districts in Zhejiang. Acute CVD events such as coronary heart disease (CHD) and stroke were defined, registered and reviewed based on the adapted MONICA (Monitoring Trends and Determinants in Cardiovascular Disease) definitions. Data were collected from health facilities, vital registries, supplementary surveys, and additional investigations, and were checked for data quality before input in the system. We calculated the rates and compared them by gender, age and region. In 2012, the incidence, mortality and case-fatality of total acute CVD events were 367.0 (CHD 59.1, stroke 307.9), 127.1 (CHD 43.3, stroke 83.8) per 100,000 and 34.6% (CHD 73.2%, stroke 27.2%), respectively. Compared with rural areas, urban areas reported higher incidence and mortality but lower case-fatality rates for CHD (P
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0165647