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 |
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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 |
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