Mortality and years of life lost of cardiovascular diseases in China, 2005–2020: Empirical evidence from national mortality surveillance system

Abstract Background In France, a mortality syndromic surveillance system was set up with objectives of early detection and reactive evaluation of the impact of expected and unexpected events to support decision makers. This study aims to describe the characteristics of the system and its usefulness for decision makers. Methods Anonymized data from the administrative part of death certificates were daily collected from 3062 computerized city halls and were transmitted to Santé publique France in routine. Coverage of the system was measured as the proportion of deaths registered by the system among the complete number of deaths and analyzed by age, month and region. Deaths were described by gender, age and geographical level using proportion. The excess periods of deaths were described based on the comparison of the weekly observed and expected numbers of deaths between 2012 and 2016. Results The system recorded 77.5% of the national mortality covering the whole territory. About 81% of deaths were aged 65 years old and more. The surveillance system identified mortality variations mainly during winter and summer, for some concomitant with influenza epidemic or heatwave period, and thus provided information for decision makers. Conclusion The ability of the system to detect and follow mortality outbreaks in routine in the whole territory has been demonstrated. It is a useful tool to provide early evaluation of the impact of threats on mortality and alert decision makers to adapt control measures. However, the absence of information on medical causes of death may limit the ability to target recommendations.

Download Full-text

Estimation of Pediatric End-of-Life Palliative Care Needs in China: A Secondary Analysis of Mortality Data From the 2017 National Mortality Surveillance System

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2020.02.019 ◽

2020 ◽

Vol 59 (6) ◽

pp. e5-e8 ◽

Cited By ~ 1

Author(s):

Qi Lu ◽

Shi-Ting Xiang ◽

Kwok Yin Lin ◽

Ying Deng ◽

Xun Li

Keyword(s):

Palliative Care ◽

End Of Life ◽

Surveillance System ◽

Secondary Analysis ◽

Mortality Data ◽

Care Needs ◽

National Mortality ◽

Palliative Care Needs ◽

Mortality Surveillance

Download Full-text

Occupational Differences in Deaths of Despair in the United States, Using Data from the using the National Occupational Mortality Surveillance System

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0000000000002435 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Cherish Rayhall ◽

Devan Hawkins

Keyword(s):

United States ◽

Surveillance System ◽

The United States ◽

Occupational Differences ◽

Occupational Mortality ◽

Using Data ◽

Deaths Of Despair ◽

Mortality Surveillance

Download Full-text

Evolution of disease mortality burden in Cuba: 1990-2005

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2010000300018 ◽

2010 ◽

Vol 26 (3) ◽

pp. 615-623 ◽

Cited By ~ 2

Author(s):

Armando H. Seuc ◽

Emma Domínguez

Keyword(s):

Burden Of Disease ◽

Hierarchical Cluster ◽

Premature Death ◽

Years Of Life Lost ◽

Middle Income ◽

Middle Income Countries ◽

Disease Mortality ◽

National Mortality ◽

Summary Measures ◽

The One

The objective of this study was to estimate the evolution of the burden of disease in Cuba for 20 major causes at five year intervals from 1990 to 2005, in terms of mortality and years of life lost due to premature death (YLL), using national mortality registries. Six summary measures were computed for each of the 20 major causes of death which characterized the evolution of the disease burden over the period studied. The 20 causes were then grouped according to their behaviour in these summary measures; hierarchical cluster analysis was used to support this grouping process. We compute YLL results with and without age-weighting and time discounting (3%). The 20 major causes were grouped into 12 subgroups, each with a particular pattern. The burden of disease in Cuba during the period 1990-2005 has a peculiar pattern that does not reproduce the one characteristic of other low- and middle-income countries. The approach used in this study supports a better description of mortality and YLL trends for major causes, for identifying possible explanations, and for supporting public health policy making. It seems convenient to reproduce this analysis using shorter time intervals, e.g. annually.

Download Full-text

The new automated daily mortality surveillance system in Portugal

Eurosurveillance ◽

10.2807/ese.15.13.19529-en ◽

2010 ◽

Vol 15 (13) ◽

Author(s):

P J Nogueira ◽

A Machado ◽

E Rodrigues ◽

B Nunes ◽

L Sousa ◽

...

Keyword(s):

Information Acquisition ◽

Surveillance System ◽

Warning System ◽

Automated System ◽

Mortality Data ◽

Fast Method ◽

Daily Mortality ◽

Public Health Action ◽

The Impact ◽

Mortality Surveillance

The experience reported in an earlier Eurosurveillance issue on a fast method to evaluate the impact of the 2003 heatwave on mortality in Portugal, generated a daily mortality surveillance system (VDM) that has been operating ever since jointly with the Portuguese Heat Health Watch Warning System. This work describes the VDM system and how it evolved to become an automated system operating year-round, and shows briefly its potential using mortality data from January 2006 to June 2009 collected by the system itself. The new system has important advantages such as: rapid information acquisition, completeness (the entire population is included), lightness (very little information is exchanged, date of death, age, sex, place of death registration). It allows rapid detection of impacts (within five days) and allows a quick preliminary quantification of impacts that usually took several years to be done. These characteristics make this system a powerful tool for public health action. The VDM system also represents an example of inter-institutional cooperation, bringing together organisations from two different ministries, Health and Justice, aiming at improving knowledge about the mortality in the population.

Download Full-text

Evaluation of Active Mortality Surveillance System Data for Monitoring Hurricane-Related Deaths—Texas, 2008

Prehospital and Disaster Medicine ◽

10.1017/s1049023x12000957 ◽

2012 ◽

Vol 27 (4) ◽

pp. 392-397 ◽

Cited By ~ 15

Author(s):

Ekta Choudhary ◽

David F. Zane ◽

Crystal Beasley ◽

Russell Jones ◽

Araceli Rey ◽

...

Keyword(s):

Surveillance System ◽

Vital Statistics ◽

Mortality Data ◽

System Evaluation ◽

Sufficient Information ◽

Hurricane Ike ◽

Case Definitions ◽

System Data ◽

Mortality Surveillance ◽

Surveillance System Evaluation

AbstractIntroductionThe Texas Department of State Health Services (DSHS) implemented an active mortality surveillance system to enumerate and characterize hurricane-related deaths during Hurricane Ike in 2008. This surveillance system used established guidelines and case definitions to categorize deaths as directly, indirectly, and possibly related to Hurricane Ike.ObjectiveThe objective of this study was to evaluate Texas DSHS' active mortality surveillance system using US Centers for Disease Control and Prevention's (CDC) surveillance system evaluation guidelines.MethodsUsing CDC's Updated Guidelines for Surveillance System Evaluation, the active mortality surveillance system of the Texas DSHS was evaluated. Data from the active mortality surveillance system were compared with Texas vital statistics data for the same time period to estimate the completeness of reported disaster-related deaths.ResultsFrom September 8 through October 13, 2008, medical examiners (MEs) and Justices of the Peace (JPs) in 44 affected counties reported deaths daily by using a one-page, standardized mortality form. The active mortality surveillance system identified 74 hurricane-related deaths, whereas a review of vital statistics data revealed only four deaths that were hurricane-related. The average time of reporting a death by active mortality surveillance and vital statistics was 14 days and 16 days, respectively.ConclusionsTexas's active mortality surveillance system successfully identified hurricane-related deaths. Evaluation of the active mortality surveillance system suggested that it is necessary to collect detailed and representative mortality data during a hurricane because vital statistics do not capture sufficient information to identify whether deaths are hurricane-related. The results from this evaluation will help improve active mortality surveillance during hurricanes which, in turn, will enhance preparedness and response plans and identify public health interventions to reduce future hurricane-related mortality rates.Choudhary E, Zane DF, Beasley C, Jones R, Rey A, Noe RS, Martin C, Wolkin AF, Bayleyegn TM. Evaluation of active mortality surveillance system data for monitoring hurricane-related deaths, Texas, 2008. Prehosp Disaster Med. 2012;27(4):1-6.

Download Full-text

National hospital mortality surveillance system: a descriptive analysis

BMJ Quality & Safety ◽

10.1136/bmjqs-2018-008364 ◽

2018 ◽

Vol 27 (12) ◽

pp. 974-981 ◽

Cited By ~ 5

Author(s):

Elizabeth Cecil ◽

Samantha Wilkinson ◽

Alex Bottle ◽

Aneez Esmail ◽

Charles Vincent ◽

...

Keyword(s):

Patient Outcomes ◽

Surveillance System ◽

Descriptive Analysis ◽

Care Quality ◽

Time Range ◽

Local Case ◽

Care Quality Commission ◽

Hospital Administrative ◽

Care Problems ◽

Mortality Surveillance

ObjectiveTo provide a description of the Imperial College Mortality Surveillance System and subsequent investigations by the Care Quality Commission (CQC) in National Health Service (NHS) hospitals receiving mortality alerts.BackgroundThe mortality surveillance system has generated monthly mortality alerts since 2007, on 122 individual diagnosis and surgical procedure groups, using routinely collected hospital administrative data for all English acute NHS hospital trusts. The CQC, the English national regulator, is notified of each alert. This study describes the findings of CQC investigations of alerting trusts.MethodsWe carried out (1) a descriptive analysis of alerts (2007–2016) and (2) an audit of CQC investigations in a subset of alerts (2011–2013).ResultsBetween April 2007 and October 2016, 860 alerts were generated and 76% (654 alerts) were sent to trusts. Alert volumes varied over time (range: 40–101). Septicaemia (except in labour) was the most commonly alerting group (11.5% alerts sent). We reviewed CQC communications in a subset of 204 alerts from 96 trusts. The CQC investigated 75% (154/204) of alerts. In 90% of these pursued alerts, trusts returned evidence of local case note reviews (140/154). These reviews found areas of care that could be improved in 69% (106/154) of alerts. In 25% (38/154) trusts considered that identified failings in care could have impacted on patient outcomes. The CQC investigations resulted in full trust action plans in 77% (118/154) of all pursued alerts.ConclusionThe mortality surveillance system has generated a large number of alerts since 2007. Quality of care problems were found in 69% of alerts with CQC investigations, and one in four trusts reported that failings in care may have an impact on patient outcomes. Identifying whether mortality alerts are the most efficient means to highlight areas of substandard care will require further investigation.

Download Full-text