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BACKGROUND Law and policy in several countries require health services to demonstrate that they are promoting racial/ethnic equality. However, suitable and accurate data are usually not available. We demonstrated, using acute myocardial infarction, that linkage techniques can be ethical and potentially useful for this purpose. METHODS The linkage was(More)
BACKGROUND Contemporary survival in unselected patients with heart failure and the population impact of newer therapies have not been widely studied. Therefore, we have documented case-fatality rates (CFRs) over a recent 10-year period. METHODS AND RESULTS In Scotland, all hospitalizations and deaths are captured on a single database. We have studied case(More)
BACKGROUND Cerebral palsy seems to be more common in term babies whose birthweight is low for their gestational age at delivery, but past analyses have been hampered by small datasets and Z-score calculation methods. METHODS We compared data from ten European registers for 4503 singleton children with cerebral palsy born between 1976 and 1990 with the(More)
OBJECTIVE To examine the epidemiology, primary care burden and treatment of angina in Scotland. DESIGN Cross-sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 2001 and 31 March 2002. SETTING 55 primary care practices (362 155 patients). PARTICIPANTS 9508 patients with angina.(More)
OBJECTIVE To examine the epidemiology, primary care burden, and treatment of heart failure in Scotland, UK. DESIGN Cross sectional data from primary care practices participating in the Scottish continuous morbidity recording scheme between 1 April 1999 and 31 March 2000. SETTING 53 primary care practices (307,741 patients). SUBJECTS 2186 adult(More)
OBJECTIVES We tested the hypotheses that the effect of gender on short-term case fatality following a first admission for acute myocardial infarction (AMI) varies with age, and that this effect is offset by differences in the proportion of men and women who survive to reach hospital. BACKGROUND Evidence is conflicting regarding the effect of gender on(More)
OBJECTIVE To determine neonatal outcomes (perinatal mortality and special care unit admission) and maternal outcomes (mode of delivery, delivery complications) of elective induction of labour compared with expectant management. DESIGN Retrospective cohort study using an unselected population database. SETTING Consultant and midwife led obstetric units(More)
BACKGROUND Rates of preterm birth are rising worldwide. Studies from the United States and Latin America suggest that much of this rise relates to increased rates of medically indicated preterm birth. In contrast, European and Australian data suggest that increases in spontaneous preterm labour also play a role. We aimed, in a population-based database of 5(More)
A recent study in Moscow reported higher cardiovas-cular mortality on Saturdays, Sundays, and Mondays and linked this to the Russian pattern of binge drinking. 1 Other studies have reported an increased risk of cardiac events on Mondays, a peak on other days, or no significant weekly variation. 2 We investigated the patterns of death from coronary heart(More)
OBJECTIVE The objective of this study was to compare international trends in pre-eclampsia rates and in overall pregnancy hypertension rates (including gestational hypertension, pre-eclampsia and eclampsia). DESIGN Population data (from birth and/or hospital records) on all women giving birth were available from Australia (two states), Canada (Alberta),(More)