What do chronic obstructive pulmonary disease patients die from? A multiple cause coding analysis
What do chronic obstructive pulmonary disease patients die from? A multiple cause coding analysis
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DOI：
10.1183/09031936.03.00031403
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发表时间：
2003-11-01
影响因子：
24.3
通讯作者：
Soriano, JB
中科院分区：
文献类型：
--
作者：
Hansell, AL;Walk, JA;Soriano, JB
阻塞性肺病（OLD）死亡的信息通常来自死亡证明上的根本死亡原因。1993- 1999年，英格兰和威尔士对所有死亡证明上提到的所有疾病进行了描述性分析，其中老年性肺病（慢性阻塞性肺病或哮喘）被认为是导致死亡的原因。312，664例或所有死亡的8.0%提到老年性肺病。在提及OLD的死亡中，59.8%的死亡的根本原因是OLD。在老年痴呆症不是死亡的根本原因的情况下，《国际疾病分类》第9版的主要原因是循环系统疾病、肿瘤和呼吸系统的非老年痴呆症疾病。在英格兰和威尔士，最常见的单一死因是急性心肌梗死、其他缺血性心脏病和肺癌。目前的分析证实，使用潜在死因低估了阻塞性肺疾病对死亡率的贡献，而心肌梗死则是潜在死因中死亡证明上提到最多的（94%）。
Information on obstructive lung disease (OLD) deaths is generally derived from the underlying cause of death on the death certificate. This neglects information on other conditions mentioned and may underestimate the burden of disease.Descriptive analyses of all conditions mentioned on the death certificate for all decedents where OLD (chronic obstructive pulmonary disease or asthma) was mentioned as a contributing cause of death were conducted for England and Wales for 1993-1999.OLD was mentioned in 312,664 or 8.0% of all deaths. OLD comprised the underlying cause of death in 59.8% of deaths with any mention of OLD. Where OLD was not the underlying cause of death, the leading causes by the International Classification of Disease version 9 chapter were diseases of the circulatory system, neoplasms, and non-OLD diseases of the respiratory system. The top single causes were acute myocardial infarction, other ischaemic heart disease, and lung cancer.The current analysis confirms that using the underlying cause of death underestimates the contribution of obstructive lung disease to mortality in England and Wales, in contrast to myocardial infarction where underlying cause of death captures most (94%) mentions on the death certificate.