scholarly journals Mortality and causes of death in a total national sample of patients with affective disorders admitted for the first time between 1973 and 1993

2000 ◽  
Vol 176 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Eyd Hansen Høyer ◽  
Preben Bo Mortensen ◽  
Anne V. Olesen

BackgroundThe high mortality from suicide in patients admitted to hospital with an affective disorder is well documented, although specific causes of mortality and changes in mortality are less well studied.AimsTo describe the pattern of mortality in patients with affective disorder and to study changes in suicide riskduring the study period.MethodAll patients (n=54 103) admitted for the first time to a psychiatric hospital in Denmarkduring the period 1973–1993 because of affective disorder were included in this study. The mortality rate was compared with that of the general population.ResultsMortality from natural and unnatural causes was elevated in all subgroups of affective disorder. The risk of suicide among patients ill for one year or less after first admission increased during the period 1973–1993.ConclusionsMore attention should be paid to the risk of suicide and to physical illness in patients with affective disorders.

2019 ◽  
Vol 72 (5) ◽  
pp. 1087-1091
Author(s):  
Valentyn M. Dvornyk ◽  
Inna V. Bielikova ◽  
Ludmyla M. Shylkina ◽  
Valentyna L. Filatova ◽  
Natalia M. Martynenko

Introduction: Saving and improvement of population’ health is one of the main priorities of the policy in any country. Studying of the level and causes of mortality is a powerful tool for assessing the effectiveness of health care systems. WHO recommends using of the European classification of preventable causes of death that based on three levels of prevention. The aim of this study is to compare the level and structure of mortality of the population of Ukraine and the Poltava region, to substantiate scientific approaches to the study and identification of those causes of death that can be prevented in order to formulate prevention programs at different level. Materials and methods: In research are used the information from the State Statistics Service of Ukraine and from the Center for Medical Statistics of the MoH of Ukraine. Review: Despite the positive dynamics of mortality in recent years, both in the Poltava region and in Ukraine, the indicators remain extremely negative. About 73.3% of all fatalities in Ukraine are three main types of causes cardiovascular diseases, external causes of death and neoplasms. In the Poltava region, 70.56% of all causes of death are due to cardiovascular disease; neoplasms occupy 13.88%; external causes - 4.87%; diseases of the digestive system - 3,06%; respiratory diseases - 1.31% of the causes of death. Conclusions: The mortality rate both in the Poltava region and in Ukraine has tendency for declines, but remains rather high. General trends in the structure of causes of death: in the first place are diseases of the cardiovascular system, the second - neoplasms, the third -external causes. Structuring of the causes of death that based on the principle of prevention in Ukraine do not conduct.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S100-S100
Author(s):  
J. French ◽  
C. Somayaji ◽  
D. Dutton ◽  
S. Benjamin ◽  
P. Atkinson

Introduction: The New Brunswick Trauma Registry is a database of injury admissions from eight hospitals throughout the province. Data tracks individuals in-hospital. By linking this information with vital statistics, we are able to observe outcomes post-discharge and can model health outcomes for participants. We want to know how outcomes for trauma patients compare with the general population post discharge. Methods: Using data from 2014-15, we followed over 2100 trauma registry observations for one year and tracked mortality rate per 1,000 people by age-group. We also compared the outcomes of this group to all Discharge Abstract Database (DAD) entries in the province (circa. 7500 total). We tracked mortality in-hospital, at six months, and one year after discharge. We truncated age into groups aged 40-64, 65-84, and 85 or older. Results: In-hospital mortality among those in the trauma registry is approximately 20 per 1,000 people for those age 40-64, 50 per 1,000 people for those aged 65-84, and 150 per 1,000 people aged 85 or older. For the oldest age group this is in line with the expected population mortality rate, for the younger two groups these estimates are approximately 2-4 times higher than expected mortality. The mortality at six-month follow-up for both of the younger groups remains higher than expected. At one-year follow-up, the mortality for the 65-84 age group returns to the expected population baseline, but is higher for those age 40-64. Causes of death for those who die in hospital are injury for nearly 50% of observations. After discharge, neoplasms and heart disease are the most common causes of death. Trends from the DAD are similar, with lower mortality overall. Of note, cardiac causes of death account for nearly as many deaths in the 6 months after the injury in the 40 -64 age group as the injury itself. Conclusion: Mortality rates remain high upon discharge for up to a year later for some age groups. Causes of death are not injury-related. Some evidence suggests that the injury could have been related to the eventual cause of death (e.g., dementia), but questions remain about the possibility for trauma-mitigating care increasing the risk of mortality from comorbidities. For example, cardiac death, which is largely preventable, is a significant cause of death in the 40-64 age group after discharge. Including an assessment of Framingham risk factors as part of the patients rehabilitation prescription may reduce mortality.


2008 ◽  
Vol 61 (9-10) ◽  
pp. 503-506
Author(s):  
Nevenka Roncevic ◽  
Aleksandra Stojadinovic

Introduction. Adolescents are the healthiest age group of the population but many studies show that period of adolescence is marked by significant morbidity and mortality. Health indicators of adolescent population have been getting worse during past decades. The aim of this study was to determine mortality rate of adolescents in the Republic of Serbia to determine most common causes of death in adolescence and to explore regional differences in adolescent mortality. Materials and methods: Documentation tables of vital statistics in the Republic of Serbia in 2004, and Documentation Tables of Census 2002 were used. The causes of mortality were classified according to ICD 10. Results and discussion. Specific morality rate in the Republic of Serbia is 32.08 on 100.000 adolescents. The leading causes of death in adolescence are injuries, malignancies and non specified causes, and there are significant regional differences, as well as gender and age differences. The mortality rate of male adolescents is about 2.4 times higher than the mortality rates in female adolescents. The mortality rate of older adolescents is significantly higher than mortality rate of younger adolescents. The mortality of adolescents is higher in Vojvodina than in Central Serbia. Precise data of external causes of death do not exist in vital statistics in our country. Conclusion. The mortality of adolescents is high, especially for older male adolescents (15 to 19 years of age) and majority of deaths among adolescents could be prevented. It is necessary to improve data of vital statistics to get better insight into causes of adolescent death.


1965 ◽  
Vol 59 (10) ◽  
pp. 333-338
Author(s):  
Eugene Rogot

A follow-up study of 11,732 persons first registered as legally blind in Massachusetts during the twenty-year period, 1940-1959, was conducted in order to determine survivorship patterns and causes of death among the blind. This paper reports findings for 5,976 blind persons who were sixty-five years of age or older at the time of registration. Life-expectancy values calculated for single years of age from sixty-five to ninety showed that blind males had lower values than the general population over most of this age range; differences in life-expectancy were roughly two years for ages sixty-five to seventy-two, about one year for ages seventy-three to seventy-nine, and essentially no difference for ages eighty to ninety. The pattern for females was very similar to that for males. The largest differences according to major causes of blindness were for diabetes with blind males age sixty-five and over having an observed life-expectancy almost four years less than expected, and blind females age sixty-five and over having a life-expectancy 4.8 years less than expected. For blind males as well as for blind females age sixty-five and over, excess mortality due to diabetes was particularly noted.


2021 ◽  
Author(s):  
Mahdiyeh Heydari ◽  
Khadijeh Yarifard ◽  
Maryam Tajvar

Abstract Background: Youth is undeniably the most important force and resource of any country, thus, identifying the leading causes of death among them to develop preventable interventions is essential. This study aimed to determine the trend of mortality rate and the leading cause of death, based on the ICD-10, among young people in Iran.Methods: The present study is a retrospective cohort and examines the trend of Iranian youth mortality, aged 15-24 years, between 1990 and 2017. The data source was the Global Burden of Disease (GBD) website. Linear Regression analysis was used to measure the slope of changes in mortality rates and causes of mortality during the period, where "time" was the independent variable and "mortality rate" and "causes of mortality" were dependent variables.Results: the death rate of young people declined by 54% during the period, equal to an average of 1.37 units per year. The most common cause of death has been injuries (70%), and then NCDs (25%) and finally communicable diseases (5%). However, death due to injuries (except SUD) and communicable diseases (except HIV) declined significantly by 0.94 and 0.09 units per year, respectively (P<0.001), while, death due to the NCDs had an increasing trend by 0.12 units per year over 28 years (P=0.006).Conclusion: Examining past trends in death rates and causes strengthens insights into the state and future trends in health and death-related indicators, which are crucial for policy-making, especially in developing countries with limited resources.


2020 ◽  
Vol 8 (4) ◽  
pp. 12
Author(s):  
Hassan Soleimanpour ◽  
Neda Gilani ◽  
Shima Shekari ◽  
Javad Morsali ◽  
Kavous Shahsavarinia

Introduction: The analysis of causes of death in the hospital and identification and dealing with the causes of death, in one of the best strategies to increase longevity. This study, with the aim of better understanding of the causes of death and by taking into account all hospital wards, describes the causes of hospital mortality occurred in Sina educational and clinical hospital of Tabriz, in order to investigate demographic ,clinical and cause of death variables for each disease separately. Method: This study is done by the sectional descriptive method in 2018 in Sina educational and clinical hospital of Tabriz. This hospital is the most important center for admissions of poisoning and burns in the North West of Iran. For this purpose, after obtaining a license, records of all patients who are admitted to hospital since 21 March 2018 until 19 March 2019, were extracted from the archives center in an elective and emergency form. Demographic and clinical variables were extracted from records and recorded in the questionnaire. The sample in counting the mortality occurred during one year was 626 cases according to documentations, that 88 cases were eliminated from study due to containing incomplete information. The data were analyzed by descriptive tests and SPSS18. Findings: The mortality rate in this study was 1%. 56.5% of those who died were male. Most deaths occurred among patients of over 75 years old. Among the under-15 age group the highest mortality rate were for burns. The most common causes of mortality, were, respectively, burns (19.33%), cancer (16.86%), and infectious disease (16.57%) .Most deaths occurred in the special wards. In 61%, chronic and underlying diseases are reported. Conclusion: Since this hospital is the largest and most important teaching hospitals for burns, in the province, the most common causes of death in this study are result of burns. The high percentage of deaths from burns in children and young people shows the importance of informing the dangers of burn for preventing the occurrence of burns and control its effects.


1993 ◽  
Vol 33 (4) ◽  
pp. 329-339 ◽  
Author(s):  
M N Marks ◽  
R Kumar

In England and Wales children under one year of age are at four times greater risk of becoming victims of homicide than either older children or the general population. The annual rate of infant homicide (45 per million) has remained relatively constant since the Homicide Act (1957) in contrast with a progressive fall in the infant mortality rate. Details from Home Office records of all infants under a year who were the victims of homicide during 1982–1988 are presented. Infants were most at risk on the first day of life — neonates accounted for 21% of victims and 13% of the victims were between one day and one month old. Thereafter the proportion decreased steadily so that by the final quarter of the first year the risk of becoming a homicide victim equalled that of the general population. Excluding neonates, there were more male victims than female ones, especially in the first three months. A parent was the most likely perpetrator. For all neonaticides the mother was recorded as a suspect, 36% of these mothers were subsequently indicted, all but two were convicted of infanticide and all their convictions resulted in probation. For children over a day marginally more fathers than mothers were recorded as the prime suspect. Mother and father suspects were equally likely to be indicted and also equally likely to be convicted of a homicide offence. However, mothers received both less severe convictions and less severe sentences than fathers. Fathers were more likely than mothers to have killed their infants using violence which wounded. Nonetheless sentences were unrelated to the brutality of the offence: mothers who had killed with wounding violence received less severe penalties than fathers who had killed in a non-wounding way.


2021 ◽  
pp. jrheum.210159
Author(s):  
Amir Haddad ◽  
Walid Saliba ◽  
Idit Lavi ◽  
Amin Batheesh ◽  
Samir Kasem ◽  
...  

Objective To examine the association between PsA and all-cause mortality from a populationbased large database. Methods PsA Patients from the Clalit Health database were identified between 2003-2018 and matched to 4 controls by age, sex, ethnicity and index date. Patient's Demographics, comorbidities and treatments were extracted. Mortality data was obtained from the Notification of Death form. The proportionate mortality rate (PMR) of the leading causes of death was calculated and compared to the general population. Cox-proportional hazard regression models were used to estimate the crude and the multivariate adjusted hazard ratio (HR) for the association between PsA and all-cause mortality and for factors associated with mortality within the PsA group. Results 5275 PsA patients and 21,011 controls were included and followed for 7.2±4.4 years. The mean age was 51.7±15.4 years, and 53% were females. 38.2% of PsA patients were on biologics. 471(8.9%) patients died in the PsA group compared to 1,668(7.9%) in the control group. The crude HR for the association of PsA and allcause mortality was 1.16 (95%CI 1.042-1.29) and 1.02 (95%CI 0.90-1.15) on multivariate analysis. Malignancy was the leading cause of death (26%), followed by ischemic heart disease (15.8%) in keeping with the order in the general population. Older age, male sex, lower socioeconomic status, increased body mass index, Charlson comorbidity index scores and history psoriasis or hospitalization during 1- year prior to entry were positive predictors for mortality. Conclusion No clinically relevant increase in mortality rate was observed in PsA patients, specific PMRs were similar to the general population.


CNS Spectrums ◽  
2005 ◽  
Vol 10 (5) ◽  
pp. 365-371 ◽  
Author(s):  
Scott B. Patten ◽  
Lawrence W. Svenson ◽  
Luanne M. Metz

AbstractBackground: Affective disorders present an important clinical challenge in multiple sclerosis (MS). Due to prohibitive sample size requirements, population-based studies have not yet provided an adequate description of the underlying epidemiology of this association.Objective: To describe the epidemiology of affective disorders in MS in a general population sample.Methods: The study presented here accessed administrative data from a universal healthcare insurance plan in the Canadian province of Alberta. Physician billing data recorded in the Alberta Health Care Insurance Plan was used to identify members of the population ≥15 years of age with and without MS. Crude and stratified estimates of the association between affective disorders and MS were made. Logistic regression analysis was used to evaluate statistical interactions and to provide adjusted estimates of the association.Results: The estimated prevalence of MS in the population within the targeted age range (2.3 million individuals) was 386/100,000 and that of affective disorders was 7.7%. As expected, an association between MS and affective disorders was identified (crude relative prevalence: 2.2). The association varied in strength over age-sex categories. Although the prevalence of affective disorder was higher in women with MS than men with MS, the association of MS with affective disorders was stronger in men. The strength of association declined with age in both men and women. Affective disorder prevalence in people with MS becomes similar to that of the general population in older age groups.Conclusion: Affective disorders occur with an increased frequency in MS. This is true in men and women and across all relevant age groups, although the association gets weaker with advancing age. Higher frequencies of affective disorder occur in women with MS than in men with MS. The frequency of affective disorder in people with MS is highest in the 25–44 age group, and declines in older age categories.


2020 ◽  
Vol 29 (2) ◽  
pp. 143-8
Author(s):  
Milad Azami ◽  
Shamim Jasemi ◽  
Yosef Khalifpur ◽  
Gholamreza Badfar

BACKGROUND Neonatal mortality rate is a major health index. Approximately, 65% of all deaths in the first year of life occur during this 4-week period. The present study was conducted to investigate the mortality rates and causes of death in a neonatal intensive care unit (NICU) in Ahvaz, Iran in a year.  METHODS This cross-sectional study was conducted in the NICU of Sina Hospital in Ahvaz. Medical records were studied, and data from 1,040 newborns admitted to the NICU within one year (March 2016 to March 2017) were collected following a checklist. Of these newborns, 123 died, and their relevant data were collected. Data were analyzed using SPSS, version 20 (SPSS Inc., USA).  RESULTS The mortality rate was 11.82% (123 cases) out of 1,040 newborns admitted to NICU. Most of the newborns (48.8%) died on days 1–7. The causes of death were respiratory distress syndrome (RDS) (34.1%), asphyxia (25.2%), anomalies (10.6%), sepsis (7.3%), intracerebral hemorrhage (8.1%), pulmonary hemorrhage (7.3%), and other causes (6.4%), such as hydrops, severe pneumothorax, severe renal failure, and others.  CONCLUSIONS The mortality rate in the NICU of this center was similar to that in other Iranian provinces. The most common causes of NICU mortality included prematurity and its complications, such as asphyxia and RDS. Thus, a strategic plan for reducing preterm delivery and asphyxia are necessary.


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