Reporting of Aspiration Pneumonia or Choking as a Cause of Death in Patients Who Died With Stroke
Reporting of Aspiration Pneumonia or Choking as a Cause of Death in Patients Who Died With Stroke
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DOI：
10.1161/strokeaha.111.000663
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发表时间：
2013-04-01
期刊：
影响因子：
8.3
通讯作者：
Kawachi, Ichiro
中科院分区：
文献类型：
--
作者：
Chang, Chia-Yu;Cheng, Tain-Junn;Kawachi, Ichiro
背景和目的：目前尚不清楚在美国每年有多少中风患者死于致命性肺部并发症，如吸入性肺炎（AP）和窒息。本研究的目的是确定在美国的中风死亡证明中，将AP或窒息作为死亡原因的报告频率，作为中风患者死于AP或窒息的发生率的替代指标。方法：我们使用2001年至2010年的多原因死亡数据来识别提及中风（国际疾病分类，第十版代码I60-I69）、AP（国际疾病分类，第十版代码J69）和窒息（国际疾病分类，第十版代码W78-W80）的死亡证明进行分析。结果：2001年至2010年间，在美国2424379份提及中风的死亡证明中，5.1% （n=124 503）报告AP为死亡原因，1.5% （n=36 997）报告窒息为死亡原因。然而，如果我们将分析局限于尸检确诊病例，则频率分别降至1.3%（555/42 732）和1.3%（541/42 732）。报告AP或窒息为死亡原因的校正优势比在男性中较高，随年龄增长而增加，在养老院/长期护理中死亡的死者中较高。结论：根据死亡证明报告的信息，死于中风的患者中死于AP和窒息的估计发生率分别为5%（相当于每年12000例死亡）和1%（相当于每年3700例死亡）。需要努力减少这两种可预防的并发症造成的死亡人数。(中风。2013;44:1182 - 1185)。
Background and Purpose-It is not known how many stroke patients die from fatal pulmonary complications such as aspiration pneumonia (AP) and choking each year in the United States. This study aimed to determine the frequency of reporting of AP or choking as a cause of death on death certificates with mention of stroke in the United States as a proxy measure of the incidence of dying from AP or choking among patients with stroke.Methods-We used multiple-cause mortality data for the years 2001 to 2010 to identify death certificates with mention of stroke (International Classification of Diseases, Tenth Revision code I60-I69), AP (International Classification of Diseases, Tenth Revision code J69), and choking (International Classification of Diseases, Tenth Revision code W78-W80) for analysis.Results-Of 2 424 379 death certificates with mention of stroke in the United States between 2001 and 2010, 5.1% (n=124 503) reported AP as a cause of death, and 1.5% (n=36 997) reported choking as a cause of death. However, if we confined the analysis to autopsy-confirmed cases, the frequency decreased to 1.3% (555/42 732) and 1.3% (541/42 732), respectively. The adjusted odds ratios of reporting AP or choking as a cause of death were higher among men, increased with age, and were higher among decedents who died in a nursing home/long-term care.Conclusions-The estimated incidence of dying from AP and choking among patients who died with stroke was 5% (similar to 12 000 deaths per year) and 1% (similar to 3700 deaths per year) according to information reported on death certificates. Efforts are needed to reduce the number of deaths from these 2 preventable complications. (Stroke. 2013;44:1182-1185.)