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首页> 外文期刊>COPD: Journal of Chronic Obstructive Pulmonary Disease >COPD-Related Mortality and Co-morbidities in Northeastern Italy, 2008-2012: A Multiple Causes of Death Analysis
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COPD-Related Mortality and Co-morbidities in Northeastern Italy, 2008-2012: A Multiple Causes of Death Analysis

机译:2008-2012年意大利东北部与COPD相关的死亡率和合并症:死亡的多重原因分析

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Introduction: Analysis of COPD mortality based only on the underlying cause of death (UCOD) derived from death certificates underestimates disease burden. We analyzed the burden of COPD, as well as the pattern of reporting COPD and its co-morbidities in death certificates, using multiple-cause of death (MCOD) records.Methods: All 220,281 death certificates of decedents aged 40 years in the Veneto region (northeastern Italy) were analyzed through 2008-2012. The UCOD was selected by the Automated Classification of Medical Entities software. COPD was defined by ICD-10 codes J40-J44 and J47 based either on the UCOD or on any mention of COPD in death certificates (MCOD). Annual age-standardized COPD death rates were computed for 40-85 year-old subjects.Results: COPD was mentioned in 7.9% (and selected as the UCOD in 2.7%) of death certificates. In about half of these, COPD was mentioned in Part II only. After circulatory and neoplastic diseases, the most frequent chronic diseases reported in certificates with any mention of COPD were diabetes (15.2%) and dementia/Alzheimer (8.9%). Between 2008 and 2012, age-standardized death rates (/100,000/year) decreased from 39.8 to 34.0 in males and from 12.7 to 11.3 in females in the UCOD analyses. These trends were confirmed, although figures were three times greater, in the MCOD analyses.Conclusions: MCOD analysis should be adopted to fully evaluate the burden of COPD-related mortality. Our findings support a decreasing trend in COPD-related mortality in northeastern Italy between 2008 and 2012, in line with other recent studies in Europe and beyond.
机译:简介:仅根据由死亡证明得出的基本死亡原因(UCOD)进行的COPD死亡率分析低估了疾病负担。我们使用多重死亡原因(MCOD)记录分析了COPD的负担以及死亡证明中报告COPD及其并发症的方式。方法:威尼托大区所有40岁的已故死者共有220,281份死亡证明(意大利东北部)进行了2008-2012年的分析。 UCOD是通过“医疗实体自动分类”软件选择的。 COPD由ICD-10代码J40-J44和J47定义,基于UCOD或死亡证明(MCOD)中任何提及的COPD。计算了40-85岁受试者的年度年龄标准化COPD死亡率。结果:在7.9%的死亡证明中提到了COPD(在2.7%的调查中被选为UCOD)。在其中的大约一半中,仅在第二部分中提到了COPD。在循环系统疾病和赘生性疾病之后,证书中提及的最常见的慢性病是任何提及COPD的疾病,其中糖尿病(15.2%)和痴呆/阿尔茨海默病(8.9%)。在UCOD分析中,2008年至2012年之间,男性的年龄标准化死亡率(/ 100,000 /年)从39.8降至34.0,女性从12.7降至11.3。这些趋势在MCOD分析中得到了证实,尽管数字要大三倍。结论:应采用MCOD分析来全面评估COPD相关死亡率的负担。我们的研究结果支持了2008年至2012年之间意大利东北部COPD相关死亡率的下降趋势,这与欧洲及其他地区最近的其他研究一致。

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