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
- Aldo Mariotto (), director
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.
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.