Decline of coronary heart disease mortality is strongly effected by changing patterns of underlying causes of death : An analysis of mortality data from 27 countries of the WHO European region 2000 and 2013

Autor: Susanne Stolpe, Bernd Kowall, Andreas Stang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Time Factors
Epidemiology
very elderly
Medizin
Coronary Disease
mortality rate
030204 cardiovascular system & hematology
survival analysis
cause of death
0302 clinical medicine
cardiovascular mortality
Mortality registry data
time factor
Cause of Death
middle aged
atrial fibrillation
030212 general & internal medicine
Registries
Georgia (republic)
Causes of death
Cause of death
Czech Republic
Aged
80 and over

Mortality rate
Middle Aged
Eastern european
Europe
Causality
female
Female
coronary artery disease
Adult
medicine.medical_specialty
Coronary heart disease mortality
Western Europe
Eastern Europe
World Health Organization
03 medical and health sciences
medicine
Dementia
Humans
ddc:610
cardiovascular diseases
Mortality
Aged
business.industry
Public health
medicine.disease
ischemic heart disease
Survival Analysis
Coronary heart disease
Mortality data
Mortality patterns
Dewey Decimal Classification::600 | Technik::610 | Medizin
Gesundheit

business
Demography
heart atrium flutter
Zdroj: European Journal of Epidemiology
European Journal of Epidemiology 36 (2021), Nr. 1
Popis: Mortality rates for coronary heart disease (CHD) experience a longstanding decline, attributed to progress in prevention, diagnostics and therapy. However, CHD mortality rates vary between countries. To estimate whether national patterns of causes of death impact CHD mortality, data from the WHO “European detailed mortality database” for 2000 and 2013 for populations aged ≥ 80 years was analyzed. We extracted mortality rates for total mortality, cardiovascular diseases, neoplasms, dementia and ill-defined causes. We calculated proportions of selected causes of death among all deaths, and proportions of selected cardiovascular causes among cardiovascular deaths. CHD mortality rates were recalculated after re-coding ill-defined causes of death. Association between CHD mortality rates and proportions of CHD deaths was estimated by population-weighted linear regression. National patterns of causes of death were divers. In 2000, CHD was assigned as cause of death in 13–53% of all cardiovascular deaths. Until 2013, this proportion changed between − 65% (Czech Republic) and + 57% (Georgia). Dementia was increasingly assigned as underlying cause of death in Western Europe, but rarely in eastern European countries. Ill-defined causes accounted for between
Databáze: OpenAIRE