Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study
ObjectiveTo study potential changes in attendance at emergency departments (ED) in Reykjavík immediately following the swift economic meltdown in Iceland in October 2008.MethodsUsing electronic medical records of the National University Hospital in Reykjavík, a population-based register study was co...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2012-09, Vol.29 (9), p.694-698 |
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| creator | Guðjónsdóttir, Guðlaug Rakel Kristjánsson, Már Ólafsson, Örn Arnar, Davíð O Getz, Linn Sigurðsson, Jóhann Ágúst Guðmundsson, Sigurður Valdimarsdóttir, Unnur |
| description | ObjectiveTo study potential changes in attendance at emergency departments (ED) in Reykjavík immediately following the swift economic meltdown in Iceland in October 2008.MethodsUsing electronic medical records of the National University Hospital in Reykjavík, a population-based register study was conducted contrasting weekly attendance rates at Reykjavík ED (cardiac and general ED) during 10-week periods in 2006, 2007 and 2008. The weekly number of all ED visits (major track), with discharge diagnoses, per total population at risk were used to estimate RR and 95% CI of ED attendance in weeks 41–46 (after the 2008 economic collapse) with the weekly average number of visits during weeks 37–40 (before the collapse) as reference.ResultsCompared with the preceding weeks (37–40), the economic collapse in week 41 2008 was associated with a distinct increase in the total number of visits to the cardiac ED (RR 1.26; 95% CI 1.07 to 1.49), particularly among women (RR 1.41; 95% CI 1.17 to 1.69) and marginally among men (RR 1.15; 95% CI 0.96 to 1.37). A similar increase was not observed in week 41 at the general ED in 2008 or in either ED in 2007 or 2006. In week 41 2008, visits with ischaemic heart disease as discharge diagnoses (ICD-10: I20–25) were increased among women (RR 1.79; 95% CI 1.01 to 3.17) but not among men (RR 1.07; 95% CI 0.71 to 1.62).ConclusionThe dramatic economic collapse in Iceland in October 2008 was associated with an immediate short-term increase in female attendance at the cardiac ED. |
| doi_str_mv | 10.1136/emermed-2011-200518 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1034513452</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4018093991</sourcerecordid><originalsourceid>FETCH-LOGICAL-b410t-69a3b3341e427a5ce16ca14c48810de20ec62fcf95bf459a40ecf6badec88f353</originalsourceid><addsrcrecordid>eNqNkc1u1DAUhSMEoqXwBEjIEhs2KXb8E4cdHf5GKoNUAQs2luPcDB7ieLCdwjwBr43TTLtgxcL21b3fPT7SKYqnBJ8TQsVLcBAcdGWFCckX5kTeK04Jq6sSV4Tev6sxPykexbjDmPCGyYfFSUUaJkgtTos_a5c1rE6A4hS2gOyIenB6AHRto00RJY_Sd0BGh4wZNP-6hdEcUAd7HZKDMaHeD4P_ZcftDQrGj95Zg0xu6328EV0bGPTYvUJ6RL6NEK51sn7UA4pp6g6Piwe9HiI8Ob5nxZd3bz-vPpSXn96vV68vy5YRnErRaNpSygiwqtbcABFGE2aYlAR3UGEwoupN3_C2Z7zRLDd60eoOjJQ95fSseLHo7oP_OUFMytmYrWVv4KeoCKaMk3yqjD7_B935KWTHmaolxo2UfBakC2WCjzFAr_bBOh0OWUrNOaljTmrOSS055a1nR-2pnWe3O7fBZKBcABsT_L6b6_BDiZrWXG2-rpS42ny7uvj4Rm0yf77wrdv9l4O_WmGwLg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780098855</pqid></control><display><type>article</type><title>Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Guðjónsdóttir, Guðlaug Rakel ; Kristjánsson, Már ; Ólafsson, Örn ; Arnar, Davíð O ; Getz, Linn ; Sigurðsson, Jóhann Ágúst ; Guðmundsson, Sigurður ; Valdimarsdóttir, Unnur</creator><creatorcontrib>Guðjónsdóttir, Guðlaug Rakel ; Kristjánsson, Már ; Ólafsson, Örn ; Arnar, Davíð O ; Getz, Linn ; Sigurðsson, Jóhann Ágúst ; Guðmundsson, Sigurður ; Valdimarsdóttir, Unnur</creatorcontrib><description>ObjectiveTo study potential changes in attendance at emergency departments (ED) in Reykjavík immediately following the swift economic meltdown in Iceland in October 2008.MethodsUsing electronic medical records of the National University Hospital in Reykjavík, a population-based register study was conducted contrasting weekly attendance rates at Reykjavík ED (cardiac and general ED) during 10-week periods in 2006, 2007 and 2008. The weekly number of all ED visits (major track), with discharge diagnoses, per total population at risk were used to estimate RR and 95% CI of ED attendance in weeks 41–46 (after the 2008 economic collapse) with the weekly average number of visits during weeks 37–40 (before the collapse) as reference.ResultsCompared with the preceding weeks (37–40), the economic collapse in week 41 2008 was associated with a distinct increase in the total number of visits to the cardiac ED (RR 1.26; 95% CI 1.07 to 1.49), particularly among women (RR 1.41; 95% CI 1.17 to 1.69) and marginally among men (RR 1.15; 95% CI 0.96 to 1.37). A similar increase was not observed in week 41 at the general ED in 2008 or in either ED in 2007 or 2006. In week 41 2008, visits with ischaemic heart disease as discharge diagnoses (ICD-10: I20–25) were increased among women (RR 1.79; 95% CI 1.01 to 3.17) but not among men (RR 1.07; 95% CI 0.71 to 1.62).ConclusionThe dramatic economic collapse in Iceland in October 2008 was associated with an immediate short-term increase in female attendance at the cardiac ED.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emermed-2011-200518</identifier><identifier>PMID: 21946176</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><subject>Acute coronary syndrome ; Adolescent ; Adult ; Aged ; cardiac care ; Cardiology Service, Hospital - utilization ; Cardiovascular disease ; Cohort Studies ; diagnosis ; Economic Recession ; Electronic health records ; Emergency medical care ; emergency service ; Emergency Service, Hospital - utilization ; Female ; Gender ; guidelines ; heart disease ; hospital ; Hospitals ; Humans ; Iceland ; major incidents ; Male ; Medical records ; Middle Aged ; Mortality ; Population ; population surveillance ; Pregnancy ; Pregnancy Complications, Cardiovascular - epidemiology ; Prosperity ; psychological ; Sex Factors ; stress ; Womens health ; Young Adult</subject><ispartof>Emergency medicine journal : EMJ, 2012-09, Vol.29 (9), p.694-698</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b410t-69a3b3341e427a5ce16ca14c48810de20ec62fcf95bf459a40ecf6badec88f353</citedby><cites>FETCH-LOGICAL-b410t-69a3b3341e427a5ce16ca14c48810de20ec62fcf95bf459a40ecf6badec88f353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/29/9/694.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/29/9/694.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3194,23569,27922,27923,77370,77401</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21946176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guðjónsdóttir, Guðlaug Rakel</creatorcontrib><creatorcontrib>Kristjánsson, Már</creatorcontrib><creatorcontrib>Ólafsson, Örn</creatorcontrib><creatorcontrib>Arnar, Davíð O</creatorcontrib><creatorcontrib>Getz, Linn</creatorcontrib><creatorcontrib>Sigurðsson, Jóhann Ágúst</creatorcontrib><creatorcontrib>Guðmundsson, Sigurður</creatorcontrib><creatorcontrib>Valdimarsdóttir, Unnur</creatorcontrib><title>Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study</title><title>Emergency medicine journal : EMJ</title><addtitle>Emerg Med J</addtitle><description>ObjectiveTo study potential changes in attendance at emergency departments (ED) in Reykjavík immediately following the swift economic meltdown in Iceland in October 2008.MethodsUsing electronic medical records of the National University Hospital in Reykjavík, a population-based register study was conducted contrasting weekly attendance rates at Reykjavík ED (cardiac and general ED) during 10-week periods in 2006, 2007 and 2008. The weekly number of all ED visits (major track), with discharge diagnoses, per total population at risk were used to estimate RR and 95% CI of ED attendance in weeks 41–46 (after the 2008 economic collapse) with the weekly average number of visits during weeks 37–40 (before the collapse) as reference.ResultsCompared with the preceding weeks (37–40), the economic collapse in week 41 2008 was associated with a distinct increase in the total number of visits to the cardiac ED (RR 1.26; 95% CI 1.07 to 1.49), particularly among women (RR 1.41; 95% CI 1.17 to 1.69) and marginally among men (RR 1.15; 95% CI 0.96 to 1.37). A similar increase was not observed in week 41 at the general ED in 2008 or in either ED in 2007 or 2006. In week 41 2008, visits with ischaemic heart disease as discharge diagnoses (ICD-10: I20–25) were increased among women (RR 1.79; 95% CI 1.01 to 3.17) but not among men (RR 1.07; 95% CI 0.71 to 1.62).ConclusionThe dramatic economic collapse in Iceland in October 2008 was associated with an immediate short-term increase in female attendance at the cardiac ED.</description><subject>Acute coronary syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>cardiac care</subject><subject>Cardiology Service, Hospital - utilization</subject><subject>Cardiovascular disease</subject><subject>Cohort Studies</subject><subject>diagnosis</subject><subject>Economic Recession</subject><subject>Electronic health records</subject><subject>Emergency medical care</subject><subject>emergency service</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>Gender</subject><subject>guidelines</subject><subject>heart disease</subject><subject>hospital</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Iceland</subject><subject>major incidents</subject><subject>Male</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Population</subject><subject>population surveillance</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - epidemiology</subject><subject>Prosperity</subject><subject>psychological</subject><subject>Sex Factors</subject><subject>stress</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkc1u1DAUhSMEoqXwBEjIEhs2KXb8E4cdHf5GKoNUAQs2luPcDB7ieLCdwjwBr43TTLtgxcL21b3fPT7SKYqnBJ8TQsVLcBAcdGWFCckX5kTeK04Jq6sSV4Tev6sxPykexbjDmPCGyYfFSUUaJkgtTos_a5c1rE6A4hS2gOyIenB6AHRto00RJY_Sd0BGh4wZNP-6hdEcUAd7HZKDMaHeD4P_ZcftDQrGj95Zg0xu6328EV0bGPTYvUJ6RL6NEK51sn7UA4pp6g6Piwe9HiI8Ob5nxZd3bz-vPpSXn96vV68vy5YRnErRaNpSygiwqtbcABFGE2aYlAR3UGEwoupN3_C2Z7zRLDd60eoOjJQ95fSseLHo7oP_OUFMytmYrWVv4KeoCKaMk3yqjD7_B935KWTHmaolxo2UfBakC2WCjzFAr_bBOh0OWUrNOaljTmrOSS055a1nR-2pnWe3O7fBZKBcABsT_L6b6_BDiZrWXG2-rpS42ny7uvj4Rm0yf77wrdv9l4O_WmGwLg</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>Guðjónsdóttir, Guðlaug Rakel</creator><creator>Kristjánsson, Már</creator><creator>Ólafsson, Örn</creator><creator>Arnar, Davíð O</creator><creator>Getz, Linn</creator><creator>Sigurðsson, Jóhann Ágúst</creator><creator>Guðmundsson, Sigurður</creator><creator>Valdimarsdóttir, Unnur</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study</title><author>Guðjónsdóttir, Guðlaug Rakel ; Kristjánsson, Már ; Ólafsson, Örn ; Arnar, Davíð O ; Getz, Linn ; Sigurðsson, Jóhann Ágúst ; Guðmundsson, Sigurður ; Valdimarsdóttir, Unnur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b410t-69a3b3341e427a5ce16ca14c48810de20ec62fcf95bf459a40ecf6badec88f353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acute coronary syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>cardiac care</topic><topic>Cardiology Service, Hospital - utilization</topic><topic>Cardiovascular disease</topic><topic>Cohort Studies</topic><topic>diagnosis</topic><topic>Economic Recession</topic><topic>Electronic health records</topic><topic>Emergency medical care</topic><topic>emergency service</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Female</topic><topic>Gender</topic><topic>guidelines</topic><topic>heart disease</topic><topic>hospital</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Iceland</topic><topic>major incidents</topic><topic>Male</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Population</topic><topic>population surveillance</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - epidemiology</topic><topic>Prosperity</topic><topic>psychological</topic><topic>Sex Factors</topic><topic>stress</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guðjónsdóttir, Guðlaug Rakel</creatorcontrib><creatorcontrib>Kristjánsson, Már</creatorcontrib><creatorcontrib>Ólafsson, Örn</creatorcontrib><creatorcontrib>Arnar, Davíð O</creatorcontrib><creatorcontrib>Getz, Linn</creatorcontrib><creatorcontrib>Sigurðsson, Jóhann Ágúst</creatorcontrib><creatorcontrib>Guðmundsson, Sigurður</creatorcontrib><creatorcontrib>Valdimarsdóttir, Unnur</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guðjónsdóttir, Guðlaug Rakel</au><au>Kristjánsson, Már</au><au>Ólafsson, Örn</au><au>Arnar, Davíð O</au><au>Getz, Linn</au><au>Sigurðsson, Jóhann Ágúst</au><au>Guðmundsson, Sigurður</au><au>Valdimarsdóttir, Unnur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><addtitle>Emerg Med J</addtitle><date>2012-09</date><risdate>2012</risdate><volume>29</volume><issue>9</issue><spage>694</spage><epage>698</epage><pages>694-698</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>ObjectiveTo study potential changes in attendance at emergency departments (ED) in Reykjavík immediately following the swift economic meltdown in Iceland in October 2008.MethodsUsing electronic medical records of the National University Hospital in Reykjavík, a population-based register study was conducted contrasting weekly attendance rates at Reykjavík ED (cardiac and general ED) during 10-week periods in 2006, 2007 and 2008. The weekly number of all ED visits (major track), with discharge diagnoses, per total population at risk were used to estimate RR and 95% CI of ED attendance in weeks 41–46 (after the 2008 economic collapse) with the weekly average number of visits during weeks 37–40 (before the collapse) as reference.ResultsCompared with the preceding weeks (37–40), the economic collapse in week 41 2008 was associated with a distinct increase in the total number of visits to the cardiac ED (RR 1.26; 95% CI 1.07 to 1.49), particularly among women (RR 1.41; 95% CI 1.17 to 1.69) and marginally among men (RR 1.15; 95% CI 0.96 to 1.37). A similar increase was not observed in week 41 at the general ED in 2008 or in either ED in 2007 or 2006. In week 41 2008, visits with ischaemic heart disease as discharge diagnoses (ICD-10: I20–25) were increased among women (RR 1.79; 95% CI 1.01 to 3.17) but not among men (RR 1.07; 95% CI 0.71 to 1.62).ConclusionThe dramatic economic collapse in Iceland in October 2008 was associated with an immediate short-term increase in female attendance at the cardiac ED.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</pub><pmid>21946176</pmid><doi>10.1136/emermed-2011-200518</doi><tpages>5</tpages></addata></record> |
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| subjects | Acute coronary syndrome Adolescent Adult Aged cardiac care Cardiology Service, Hospital - utilization Cardiovascular disease Cohort Studies diagnosis Economic Recession Electronic health records Emergency medical care emergency service Emergency Service, Hospital - utilization Female Gender guidelines heart disease hospital Hospitals Humans Iceland major incidents Male Medical records Middle Aged Mortality Population population surveillance Pregnancy Pregnancy Complications, Cardiovascular - epidemiology Prosperity psychological Sex Factors stress Womens health Young Adult |
| title | Immediate surge in female visits to the cardiac emergency department following the economic collapse in Iceland: an observational study |
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