Discharge rates for suspected acute coronary syndromes: Is morbidity or empowerment increasing?

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7458.172-c (Published 15 July 2004) Cite this as: BMJ 2004;329:172
  1. Aldo Mariotto (pghid{at}libero.it), director
  1. Primary Health Care Unit Health Authority N 17, V G Marconi 19, 35043 Monselice (PD), Italy

    EDITOR—In their population based analysis Murphy et al reported a marked increase in morbidity rates for suspected acute coronary syndromes between 1990 and 2000.1 However, we need to eliminate all reasonable doubt that the trend represents an actual rise and is not simply the result of empowerment of the population, enabled to recognise symptoms and enforce their rights better.


    Population discharge rates for acute coronary syndromes in people over 75 in Scotland1

    For example, among “new fashioned” elderly people, this factor may contribute to the reported rise in morbidity which, in the case in point, may not be due solely to the ageing population process. The morbidity rate trends in Scotland by urban and rural areas would be helpful. Traditionally, rates of use are lower in rural areas for partly cultural reasons.2 3


    • Competing interests None declared.


    1. 1.
    2. 2.
    3. 3.
    View Abstract

    Log in

    Log in through your institution


    * For online subscription