Some Statistical Aspects of Mortality from Degenerative Heart Disease

1954 ◽  
Vol 80 (1) ◽  
pp. 69-100 ◽  
Author(s):  
R. H. Daw
Keyword(s):  
Heart Disease ◽  
Old Age ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Heart Diseases ◽  
Social Progress ◽  
Age Group ◽  
England And Wales ◽  
The Past ◽  
The Future

Medical and social progress over the past 50 years has resulted in a large increase in the expectation of life, and this, together with a declining birthrate, has caused an increase in the proportion of old persons in the population. In 1901 less than 5% of the population of England and Wales was aged 65 and over; by 1949 the estimated percentage had increased to 11% and must inevitably increase still further in the future. A result of this is that more and more attention is being given to diseases of old age and in fact a new specialized branch of medicine, geriatrics, seems to have arisen. Heart diseases form by far the largest group of causes of death in old age and in 1949 were the certified cause of death in 37% of the deaths in England and Wales at ages 65 and over (Table 1). Even in the age-group 55-59 heart disease was responsible for 24% of all deaths in 1949.

scholarly journals Causes of Death Among 9000 Danish Centenarians and Semisuper-Centenarians in the 1970–2012 Period

2020 ◽  
pp. 85-102
Author(s):  
Lasse Kaalby ◽  
Axel Skytthe ◽  
Karen Andersen-Ranberg ◽  
Bernard Jeune
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Old Age ◽  
Causes Of Death ◽  
Heart Diseases ◽  
Cerebrovascular Diseases ◽  
Age Group ◽  
Mental Diseases ◽  
Group 3 ◽  
Diagnosis Of Diseases

AbstractAs most centenarians suffer from multiple diseases, they are at high risk of dying – but what do they ultimately die of? This question has scarcely been examined. We have carried out a register-based study of the causes of death (CoD) among Danish centenarians. Among 8559 centenarian deaths in the 1970–2012 period, the most common CoD was in the category of cardio- and cerebrovascular diseases (CVD); at the end of the study period, this CoD accounted for one-third of the deaths in this age group. The mortality rate for CVD as an underlying CoD was more than halved during the period (from 358 to 170 per 1000 person-years). In contrast, the mortality rate for cancer remained stable during the whole period, but at a very low level (15–20 per 1000 person-years). Cancer made up a much smaller share of underlying CoDs among this age group (3–4%) than among 85–99-year-olds (15%). The mortality rate for pneumonia remained at a constant level (about 50 per 1000 person-years) of around 10% among centenarians and 5% among 85–99-year-olds. The underlying CoD groups that were reported with increasing frequency during the period were mental diseases, including dementia, which increased sevenfold; and ill-defined conditions/senility, which increased fourfold. The latter CoD group accounted for 28% of deaths among centenarians in the most recent years, and for more than one-third of deaths among semi-supercentenarians (aged 105–109). The increase in the proportion of deaths for which the CoD was listed as ill-defined conditions/senility was probably partly due to the under-diagnosis of diseases among centenarians, especially of heart diseases. However, a substantial proportion of these deaths may have been attributable to “old age” – i.e., a combination of several diseases and organ deficiencies – and not to a single underlying cause.

scholarly journals Modal lifespan and disparity at older ages by leading causes of death: a Canada-U.S. comparison

2020 ◽  
Vol 37 (4) ◽  
pp. 323-344
Author(s):  
Viorela Diaconu ◽  
Nadine Ouellette ◽  
Robert Bourbeau
Keyword(s):  
Old Age ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Heart Diseases ◽  
Cerebrovascular Diseases ◽  
Mortality Data ◽  
Age At Death ◽  
Specific Mortality ◽  
The U.S ◽  
Country Specific

AbstractThe U.S. elderly experience shorter lifespans and greater variability in age at death than their Canadian peers. In order to gain insight on the underlying factors responsible for the Canada-U.S. old-age mortality disparities, we propose a cause-of-death analysis. Accordingly, the objective of this paper is to compare levels and trends in cause-specific modal age at death (M) and standard deviation above the mode (SD(M +)) between Canada and the U.S. since the 1970s. We focus on six broad leading causes of death, namely cerebrovascular diseases, heart diseases, and four types of cancers. Country-specific M and SD(M +) estimates for each leading cause of death are calculated from P-spline smooth age-at-death distributions obtained from detailed population and cause-specific mortality data. Our results reveal similar levels and trends in M and SD(M +) for most causes in the two countries, except for breast cancer (females) and lung cancer (males), where differences are the most noticeable. In both of these instances, modal lifespans are shorter in the U.S. than in Canada and U.S. old-age mortality inequalities are greater. These differences are explained in part by the higher stratification along socioeconomic lines in the U.S. than in Canada regarding the adoption of health risk behaviours and access to medical services.

Causes of Death

2018 ◽  
Author(s):  
Michael Anderson ◽  
Corinne Roughley
Keyword(s):  
Heart Disease ◽  
Pulmonary Tuberculosis ◽  
Western Europe ◽  
Causes Of Death ◽  
Whooping Cough ◽  
The Elderly ◽  
World War Two ◽  
World War ◽  
The Past ◽  
Disease Mortality

The principal reported causes of death have changed dramatically since the 1860s, though changes in categorization of causes and improved diagnosis make it difficult to be precise about timings. Diseases particularly affecting children such as measles and whooping cough largely disappeared as killers by the 1950s. Deaths particularly linked to unclean environments and poor sanitary infrastructure also declined, though some can kill babies and the elderly even today. Pulmonary tuberculosis and bronchitis were eventually largely controlled. Reported cancer, stroke, and heart disease mortality showed upward trends well into the second half of the twentieth century, though some of this was linked to diagnostic improvement. Both fell in the last decades of our period, but Scotland still had among the highest rates in Western Europe. Deaths from accidents and drowning saw significant falls since World War Two but, especially in the past 25 years, suicide, and alcohol and drug-related deaths rose.

Changes in mortality by cause of death in Polish voivodships

2015 ◽  
Vol 60 (11) ◽  
pp. 30-53
Author(s):  
Wiktoria Wróblewska
Keyword(s):  
Heart Disease ◽  
Life Expectancy ◽  
Ischemic Heart Disease ◽  
Cause Of Death ◽  
Regional Level ◽  
Age Group ◽  
Decomposition Technique ◽  
Avoidable Mortality ◽  
Mortality Causes ◽  
Causes Of Deaths

This study analyses the avoidable mortality in Poland at the regional level of 16 voivodships over the last two decades, 1991–2010. The author divided the mortality causes into three groups: treatable disease, preventable diseases and ischemic heart disease. We used a decomposition technique to calculate the contribution of changes in mortality from these conditions to changes in life expectancy between birth and age 75 for the two periods 1991–2000 and 2000–2010 by sex and age group. The analyses were based on temporary life expectancy between birth and age 75 (e0–75). Chiang’s method was used for constructing abridged life tables, and Arriaga’s method was used for decomposition. The results revealed differences in the temporary life expectancy level and pace of change between voivodships, causes of deaths and sex.

scholarly journals Risk Factors of Stroke in Young and Old Age Group Admitted in a Tertiary Level Hospital, Dhaka - A Comparative Study

2014 ◽  
Vol 27 (2) ◽  
pp. 94-100
Author(s):  
Md. Nurul Amin Miah ◽  
MA Azhar ◽  
Aminur Rahman ◽  
Durba Halder ◽  
Md. Akteruzzaman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Old Age ◽  
Transient Ischemic Attack ◽  
Oral Contraceptive Pill ◽  
Age Group ◽  
Old Patients ◽  
History Of ◽  
Ischemic Attack ◽  
Stroke In Young

Background: Stroke is an important cause of death and disability. Prevalence of stroke in Bangladesh differs with age. The risk factors in young differ in comparison to old age group. In this study risk factors of stroke in young in comparison to old age group were evaluated. Objectives: To compare the risk factors associated with stroke in young adult and to those of old age group. Methodology: This comparative study conducted in the department of Medicine and Neurology, Sir Salimullah Medical College & Mitford Hospital, Dhaka from January 2008 to June 2009. One hundred two stroke patient of above 15 years of age were confirmed by CT scan or MRI of brain those were included in young and old age groups. The risk factors of stroke were defined in terms of hypertension, diabetes mellitus, dyslipidaemia, ischemic heart diseases, valvular heart disease, history of transient ischemic attack or stroke, smoking and oral contraceptive pill. Results: Of total 102 cases 17 were young adults and 85 old patients between 19 to 100 years. Mean age young adult was 39.76 (± 6.379) and old age was 65.06 (± 11.238). 61.7% were male & 38.2% were female and the ratio was 1.6:1. Amongst male 58.8% patients were smoker in each age group and only 2.9% old patients were alcoholic. Only 17.6% had previous history of transient ischemic attack or stroke in each age group. 58.8% of young and 48.2% of old were hypertensive. 7% old patients had history of ischemic heart disease. 5.9% of young and 2.4% of old patients had valvular heart disease but no patient had vasculitis. 16.7% old patients had diabetes mellitus. 4.9% of total patients (young 11.8% and 3.5% old) were oral contraceptive pill user. Out of all patients 24.7% old patients and 5.9% young adult was dyslipidaemic. Among all patients 66.7% patients had the Ischemic stroke and 33.3% patients had the hemorrhagic stroke. 68.2% old patients and 58.8% young patients had Ischemic stroke; 31.8% old patients and 41.2% young patients had hemorrhagic stroke. Conclusion: In young age group smoking, transient ischemic attack or stroke, hypertension, valvular heart disease, oral contraceptive pill and in old age group smoking, transient ischemic attack or stroke, hypertension, Ischemic heart disease, diabetes mellitus and dyslipidaemia were found significant risk factors for development of stroke. So modification of risk factors may reduce the incidence of stroke. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 94-100 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17576

scholarly journals Cardiac rehabilitation

Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
D Nieman
Keyword(s):  
South Africa ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Ischaemic Heart Disease ◽  
Cause Of Death ◽  
Circulatory System ◽  
Age Group ◽  
The Republic

In the Republic of South Africa, ischaemic heart disease is the main cause of death amongst Whites in the age group 20 — 65 years. The percentage for ischaemic heart disease of all deaths from diseases of the circulatory system for Whites in the age group 25 — 34 is 63% for males and 21% for females. In the age group 35 — 44 the percentages are 77% for males and 34% for females (22, p.1025).

scholarly journals Mortality in Emergency Services in a University Teaching Hospital: A Retrospective Study

2019 ◽  
Vol 41 (2) ◽  
pp. 17-20
Author(s):  
Tirtha Man Shrestha ◽  
Ramesh P Aacharya ◽  
Ram P Neupane ◽  
Bigyan Prajapati
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Septic Shock ◽  
Mortality Rate ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Emergency Services ◽  
University Teaching ◽  
Chronic Obstructive ◽  
Age Group ◽  
Obstructive Pulmonary Disease

Introduction: Emergency services are the gateway between the community and hospital that provides 24-hour access for most needy patients in critical and emergency conditions. Mortality rate varies in emergency department across the world and even in different emergency units of the same hospital. This retrospective study was done in adult emergency services of a tertiary hospital to determine mortality rate and analyze causes of death. Methods: A retrospective observational study of mortality cases to analyze mortality rate and causes of death of patients for a period of 6 months between October 2017 to March 2018 was carried out in the adult emergency services of Tribhuvan University Teaching Hospital, Kathmandu. Data required were collected from copies of death certificates. Results: During the study period, a total of 128 patients died in emergency, accounting 0.5% of total patient. Male deaths (52.3%) were slightly higher compared to female deaths (47.7%). Age group 66-75 years had the highest (24.2%) of total mortalities in the emergency. The most common immediate cause of death was sepsis/septic shock (21.9%) followed by cardiopulmonary arrest, aspiration, respiratory failure, other causes of shock and poisoning. The commonest antecedent cause of death was attributed to respiratory causes. Similarly, the most common contributory cause of death was chronic obstructive pulmonary disease. Conclusion: Older age group is prone to the mortality risk. Sepsis/septic shock was the most common immediate cause of death. Pneumonia was the most common antecedent causes of death. Chronic obstructive pulmonary disease was the commonest contributory cause.

scholarly journals P099: Extending the trimodal distribution of death; trauma patients die at increased rates after discharge. Linking trauma registry data to vital statistics and hospital datasets identifies opportunities to save life

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S100-S100
Author(s):  
J. French ◽  
C. Somayaji ◽  
D. Dutton ◽  
S. Benjamin ◽  
P. Atkinson
Keyword(s):  
Mortality Rate ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Trauma Registry ◽  
Vital Statistics ◽  
Trauma Patients ◽  
Age Group ◽  
Post Discharge ◽  
One Year

Introduction: The New Brunswick Trauma Registry is a database of injury admissions from eight hospitals throughout the province. Data tracks individuals in-hospital. By linking this information with vital statistics, we are able to observe outcomes post-discharge and can model health outcomes for participants. We want to know how outcomes for trauma patients compare with the general population post discharge. Methods: Using data from 2014-15, we followed over 2100 trauma registry observations for one year and tracked mortality rate per 1,000 people by age-group. We also compared the outcomes of this group to all Discharge Abstract Database (DAD) entries in the province (circa. 7500 total). We tracked mortality in-hospital, at six months, and one year after discharge. We truncated age into groups aged 40-64, 65-84, and 85 or older. Results: In-hospital mortality among those in the trauma registry is approximately 20 per 1,000 people for those age 40-64, 50 per 1,000 people for those aged 65-84, and 150 per 1,000 people aged 85 or older. For the oldest age group this is in line with the expected population mortality rate, for the younger two groups these estimates are approximately 2-4 times higher than expected mortality. The mortality at six-month follow-up for both of the younger groups remains higher than expected. At one-year follow-up, the mortality for the 65-84 age group returns to the expected population baseline, but is higher for those age 40-64. Causes of death for those who die in hospital are injury for nearly 50% of observations. After discharge, neoplasms and heart disease are the most common causes of death. Trends from the DAD are similar, with lower mortality overall. Of note, cardiac causes of death account for nearly as many deaths in the 6 months after the injury in the 40 -64 age group as the injury itself. Conclusion: Mortality rates remain high upon discharge for up to a year later for some age groups. Causes of death are not injury-related. Some evidence suggests that the injury could have been related to the eventual cause of death (e.g., dementia), but questions remain about the possibility for trauma-mitigating care increasing the risk of mortality from comorbidities. For example, cardiac death, which is largely preventable, is a significant cause of death in the 40-64 age group after discharge. Including an assessment of Framingham risk factors as part of the patients rehabilitation prescription may reduce mortality.

scholarly journals Risk Factors of Stroke in Young and Old age Group - A Comparative Study

2012 ◽  
Vol 13 (2) ◽  
pp. 138-142 ◽  
Author(s):  
MNA Miah ◽  
MA Azhar ◽  
A Rahman ◽  
D Halder ◽  
M Akteruzzaman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Old Age ◽  
Transient Ischemic Attack ◽  
Oral Contraceptive Pill ◽  
Age Group ◽  
Old Patients ◽  
History Of ◽  
Ischemic Attack ◽  
Stroke In Young

Background: Stroke is an important cause of death and disability. Prevalence of stroke in Bangladesh differs with age. The risk factors in young differ in comparison to old age group. In this study risk factors of stroke in young in comparison to old age group were evaluated. Objectives: To compare the risk factors associated with stroke in young adult and to those of old age group. Methodology: This comparative study conducted in the department of Medicine and Neurology, Sir Salimullah Medical College & Mitford Hospital, Dhaka from January 2008 to June 2009. One hundred two stroke patient of above 15 years of age were confirmed by CT scan or MRI of brain those were included in young and old age groups. The risk factors of stroke were defined in terms of hypertension, diabetes mellitus, dyslipidaemia, ischemic heart diseases, valvular heart disease, history of transient ischemic attack or stroke, smoking and oral contraceptive pill. Results: Of total 102 cases 17 were young adults and 85 old patients between 19 to 100 years. Mean age young adult was 39.76 (± 6.379) and old age was 65.06 (± 11.238). 61.7% were male & 38.2% were female and the ratio was 1.6:1. Amongst male 58.8% patients were smoker in each age group and only 2.9% old patients were alcoholic. Only 17.6% had previous history of transient ischemic attack or stroke in each age group. 58.8% of young and 48.2% of old were hypertensive. 7% old patients had history of ischemic heart disease. 5.9% of young and 2.4% of old patients had valvular heart disease but no patient had vasculitis. 16.7% old patients had diabetes mellitus. 4.9% of total patients (young 11.8% and 3.5% old) were oral contraceptive pill user. Out of all patients 24.7% old patients and 5.9% young adult was dyslipidaemic. Among all patients 66.7% patients had the Ischemic stroke and 33.3% patients had the hemorrhagic stroke. 68.2% old patients and 58.8% young patients had Ischemic stroke; 31.8% old patients and 41.2% young patients had hemorrhagic stroke. Conclusion: In young age group smoking, transient ischemic attack or stroke, hypertension, valvular heart disease, oral contraceptive pill and in old age group smoking, transient ischemic attack or stroke, hypertension, Ischemic heart disease, diabetes mellitus and dyslipidaemia were found significant risk factors for development of stroke. So modification of risk factors may reduce the incidence of stroke. DOI: http://dx.doi.org/10.3329/jom.v13i2.12741 J Medicine 2012; 13 : 138-142

Cancer in older patients

2003 ◽  
Vol 13 (3) ◽  
pp. 203-213 ◽  
Author(s):  
N Beechey-Newman ◽  
D Kulkarni
Keyword(s):  
Life Expectancy ◽  
Old Age ◽  
Older Patients ◽  
Causes Of Death ◽  
Late Life ◽  
General Context ◽  
Age Group ◽  
Men And Women ◽  
Very High

As the number of people living to reach old age increases, so the proportion of cancers presenting in this age group increases to an even greater degree. Although 70% of all cancers in men and women occur over the age of 65 and in the over-75s, who are perhaps more appropriately classified as ‘elderly’, the figures are still very high (46% of all cancers occur in women over 75 and 35% in men over 75). As a consequence, cancer is rapidly becoming a problem of late life, and the management of patients in old age is an important part of general oncology. The magnitude of the overlap between old age and cancer is increasing because of improved life expectancy, more sensitive methods of diagnosing cancer and the biological fact that most cancers occur more commonly with increasing age. It is interesting, however, to put these figures into a more general context by examining the different causes of death in older patients by decade.

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