The Spatio-Temporal Information System on Myocardial Infarction  (SIST-IM) GEOIDE Annual Conference May 2003
<ul><li>SIST-IM* ( Vanasse et al. ) </li></ul><ul><ul><li>Acute Coronary Syndrome (ACS) </li></ul></ul><ul><ul><li>Provinc...
Geomatics and health
SIST Program
Partners
SIST-IM Project <ul><li>Principal   investigator </li></ul><ul><li>A. Vanasse M.D. Ph.D. </li></ul><ul><li>Co-researchers ...
SIST-IM Objectives <ul><li>For patients hospitalized for ACS in Quebec between 1991 and 2001:  </li></ul><ul><ul><li>Descr...
Aspatial Database Codes ICD-9: 410-414 1991-2001
Variables MED-ECHO (MSSS) Vital Statistics (MSSS) Pharmaceutical Services (RAMQ)
Specific Question  <ul><li>For patients hospitalized for ACS in year 2000: </li></ul><ul><ul><li>Can we observe a regional...
Conceptual model
Revascularization Standardized revascularization ratios and 95%-confidence intervals
 
Thresholding: standardized ratios
 
Discussion <ul><li>Is there any relation between access to tertiary cardiology centers and revascularization? </li></ul>
 
Discussion Revascula- rization Access to tertiary  cardiology center Odds Ratio = 1.73 p  <  0.0001 20,161 7316 12,845 12,...
Discussion <ul><li>Other related works </li></ul><ul><ul><li>Relation between meteorological extreme conditions and myocar...
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The Spatio-Temporal Information System on Myocardial Infarction

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The Spatio-Temporal Information System on Myocardial Infarction

  1. 1. The Spatio-Temporal Information System on Myocardial Infarction (SIST-IM) GEOIDE Annual Conference May 2003
  2. 2. <ul><li>SIST-IM* ( Vanasse et al. ) </li></ul><ul><ul><li>Acute Coronary Syndrome (ACS) </li></ul></ul><ul><ul><li>Provincial Level </li></ul></ul><ul><li>SIST-OS* ( Vanasse et al. ) </li></ul><ul><ul><li>Osteoporosis </li></ul></ul><ul><ul><li>Provincial Level </li></ul></ul><ul><li>SIST-STAT* ( Niyonsenga et al. ) </li></ul><ul><ul><li>Spatial Statistics </li></ul></ul><ul><ul><li>Fundamental Research </li></ul></ul>SIST Program * Financed by: GEOIDE networks and Merck Frosst Canada Ltd
  3. 3. Geomatics and health
  4. 4. SIST Program
  5. 5. Partners
  6. 6. SIST-IM Project <ul><li>Principal investigator </li></ul><ul><li>A. Vanasse M.D. Ph.D. </li></ul><ul><li>Co-researchers </li></ul><ul><ul><li>T. Niyonsenga Ph.D. </li></ul></ul><ul><ul><li>G. Bénié Ph.D. </li></ul></ul><ul><ul><li>J.-P. Grégoire Ph.D. </li></ul></ul><ul><ul><li>K. Goïta Ph.D. </li></ul></ul><ul><ul><li>C. Dean Ph.D. </li></ul></ul><ul><ul><li>P. Dagenais M.D. FRCP Ph.D. </li></ul></ul><ul><ul><li>A. Ciampi Ph.D. </li></ul></ul>Research Assistants J. Courteau Ph.D. A. Hemiari Ph.D. M. Yergeau M.Sc. Students M. Pomerleau M.Sc. (c) J. Loslier M.D. M.Sc. (c) J. Autmizguine
  7. 7. SIST-IM Objectives <ul><li>For patients hospitalized for ACS in Quebec between 1991 and 2001: </li></ul><ul><ul><li>Describe and compare the profile of revascularization and the profile of mortality/morbidity </li></ul></ul><ul><ul><li>Describe and compare short and long term treatments for patients aged 65 and older </li></ul></ul><ul><ul><li>Identify possible factors explaining spatio-temporal heterogeneity </li></ul></ul><ul><li>Ethical considerations </li></ul><ul><ul><li>Approved by the ethical committee of CHUS and CAI </li></ul></ul>
  8. 8. Aspatial Database Codes ICD-9: 410-414 1991-2001
  9. 9. Variables MED-ECHO (MSSS) Vital Statistics (MSSS) Pharmaceutical Services (RAMQ)
  10. 10. Specific Question <ul><li>For patients hospitalized for ACS in year 2000: </li></ul><ul><ul><li>Can we observe a regional variation in standardized revascularization ratios? </li></ul></ul>
  11. 11. Conceptual model
  12. 12. Revascularization Standardized revascularization ratios and 95%-confidence intervals
  13. 14. Thresholding: standardized ratios
  14. 16. Discussion <ul><li>Is there any relation between access to tertiary cardiology centers and revascularization? </li></ul>
  15. 18. Discussion Revascula- rization Access to tertiary cardiology center Odds Ratio = 1.73 p < 0.0001 20,161 7316 12,845 12,607 5157 7450 NO 7554 2159 5395 YES NO YES
  16. 19. Discussion <ul><li>Other related works </li></ul><ul><ul><li>Relation between meteorological extreme conditions and myocardial infarction ( Michel Pomerleau ) </li></ul></ul><ul><ul><li>Relation between rural areas and myocardial infarction ( Julie Loslier ) </li></ul></ul>

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