scholarly journals Determinants of the Underlying Causes of Mortality during the First Wave of COVID-19 Pandemic in Saudi Arabia: A Descriptive National Study

Author(s):  
Abdullah M. Asiri ◽  
Shaker A. Alomary ◽  
Saeed A. Alqahtani ◽  
Izzeldin F. Adam ◽  
Samar A. Amer

Since the emergence of the COVID-19 pandemic, the mortality statistics are constantly changing globally. Mortality statistics analysis has vital implications to implement evidence-based policy recommendations. This study aims to study the demographic characteristics, patterns, determinants, and the main causes of death during the first half of 2020, in the Kingdom of Saudi Arabia (KSA). Methodology: A retrospective descriptive study targeted all death (29291) registered in 286 private and governmental health settings, from all over KSA. The data was extracted from the ministry of health’s death records after the ethical approval. The International Classification of Diseases (ICD-10) and WHO grouping, were used to classify the underlying causes of deaths. The collected data were analyzed using the appropriate tables and graphs. Results: 7055 (24.9%) died at the middle age (40–59 y), and 19212(65.6%) were males, and 18110 (61.8%) were Saudi. The leading causes of deaths were non-communicable diseases (NCDs) 15340 (62.1%), mainly Cardiovascular diseases (CVDs) 10103(34. 5%). There was a significant relationship between the main causes of deaths and sex (p< 0.05) and nationality (p = 0.01). Conclusion: NCDs mainly CVDs are the leading cause of death. The Covid-19 mortalities were mainly in males, and old age >55y. The lockdown was associated with a reduction in the NCDs and Road traffic accidents mortalities.

2021 ◽  
Vol 10 (11) ◽  
pp. e431101119942
Author(s):  
Claudia Schneck ◽  
Elias Teixeira Krainski ◽  
Carlos Eduardo da Rocha Omoto ◽  
Daniel Grabasky Accioly ◽  
Faissal Nemer Hajar ◽  
...  

Brazil is in fifth place among countries with the highest number of land transport accidents. The state of Paraná, Brazil, was the object of this study which conducted spatial analysis with the aim of identifying areas where this phenomenon occurs more and their time series over a 10-year period. This was an ecological and exploratory observational study covering the period 2007 to 2016 in 39 micro-regions of the state of Paraná. Data of road traffic accident deaths as per the International Classification of Diseases (ICD-10, codes V01 to V89) held on the Mortality Information System, were analyzed. Relative risk rates were calculated and choropleth maps were built. A total of 31,651 deaths from the causes examined were recorded according to municipality of occurrence. The most frequent ICD-10 items found were those involving automobile occupants, motorcyclists, pedestrians and cyclists in road traffic accidents. An overall falling trend was found with effect from 2012. The rate by area did not show pronounced spatial dependence and there was considerable variation, whereby the Cerro Azul micro-region had the lowest relative risk in the period, while in Campo Mourão deaths were around 53.3% above the expected level. The estimated average annual trend for the Curitiba micro-region had the steepest fall in the period, while Campo Mourão had the highest rising trend. The trend analysis indicated places where more robust public policy interventions and enforcement actions need to be reviewed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Ishitani ◽  
R Teixeira ◽  
D Abreu ◽  
L Paixão ◽  
E França

Abstract Background Quality of cause-of-death information is fundamental for health planning. Traditionally, this quality has been assessed by the analysis of ill-defined causes from chapter XVIII of the International Classification of Diseases - 10th revision (ICD-10). However, studies have considered other useless diagnoses for public health purposes, defined, in conjunction with ill-defined causes, as garbage codes (GC). In Brazil, despite the high completeness of the Mortality Information System, approximately 30% of deaths are attributable to GCs. This study aims to analyze the frequency of GCs in Belo Horizonte municipality, the capital of Minas Gerais state, Brazil. Methods Data of deaths from 2011 to 2013 in Belo Horizonte were analyzed. GCs were classified according to the GBD 2015 study list. These codes were classified in: a) GCs from chapter XVIII of ICD-10 (GC-R), and b) GC from other chapters of ICD-10 (GC-nonR). Proportions of GC were calculated by sex, age, and place of occurrence. Results In Belo Horizonte, from the total of 44,123 deaths, 5.5% were classified as GC-R. The majority of GCs were GC-nonR (25% of total deaths). We observed a higher proportion of GC in children (1 to 4 years) and in people aged over 60 years. GC proportion was also higher in females, except in the age-groups under 1 year and 30-59 years. Home deaths (n = 7,760) had higher proportions of GCs compared with hospital deaths (n = 30,182), 36.9% and 28.7%, respectively. The leading GCs were the GC-R other ill-defined and unspecified causes of death (ICD-10 code R99)), and the GCs-nonR unspecified pneumonia (J18.9), unspecified stroke (I64), and unspecified septicemia (A41.9). Conclusions Analysis of GCs is essential to evaluate the quality of mortality information. Key messages Analysis of ill-defined causes (GC-R) is not sufficient to evaluate the quality of information on causes of death. Causes of death analysis should consider the total GC, in order to advance the discussion and promote adequate intervention on the quality of mortality statistics.


2021 ◽  
Vol 9 (B) ◽  
pp. 1016-1020
Author(s):  
Sulaiman Aldakhil ◽  
Godwin Ovenseri-Ogbomo ◽  
Majid Moafa ◽  
Waleed Alghamdi ◽  
Muhammed Alluwimi ◽  
...  

BACKGROUND: The mortality rate due to road traffic accidents (RTA) is significantly high in Saudi Arabia (SA) compared to other countries. The visual function which includes good visual acuity (VA) and binocular vision are very important factors that can contribute to the incidence of RTA. AIM: The aim of this study is to investigate the association between refractive errors (REs) and the RTA in SA. METHODS: A total of 354 participants (mean age 22.67 ± 3.22 years) were recruited randomly to participate in this study from the population of Qassim district. Data collected using the questionnaire included participants’ age, sex, and education level, ocular and medical history, driving history as well as history of RTA. Ocular health examination including VA, RE measurements, and binocular vision function vision was measured and analyzed. RESULTS: The results of this study show that 48.3% of drivers had some form of REs with 3.4% being visually impaired. 217 (61.3%) of participants have had an RTA, and 119 (54.9%) of them have had more than two accidents in the past two years. The findings show no significant association between the occurrence of RTA and uncorrected REs or binocular vision dysfunction. CONCLUSION: Our data showed significantly higher rate of RTA among Saudi drivers which is much higher than any country in the world. The current Saudi regulations for obtaining driving license need to be modified, with implementing a comprehensive eye examination prior to acquiring or renewing drivers’ licenses.


2021 ◽  
Author(s):  
Monkgogi Mudongo ◽  
Edwin Thuma ◽  
Nkwebi Peace Motlogelwa ◽  
Tebo Leburu-Dingalo ◽  
Pulafela Majoo

Road traffic accidents are a serious problem for the nation of Botswana. A large amount of money is used to compensate those who are affected by road accidents. Traffic accidents are one of the major causes of Deaths in Botswana. It is important for relevant organizations to have a reliable source of data for accurate evaluation of traffic accidents. Similarly, data on vehicle registration must be transformed and be readily available to assist managerial decision makers. In this article, we deploy a Business Intelligence (BI) and Data Warehouse (DW) solution in an attempt to assist the relevant departments in their road traffic accidents and vehicle registration evaluation. In Our evaluation of the traffic accidents our findings suggest that across accident severity, Damage Only accidents had the most interesting recent trend with a 11.93% decrease in the last 3 years on record. Count of Accident Severity for Damage Only accidents dropped from 13,491 to 11,881 between 2018 and 2020 whilst Minor accidents experienced the longest period of growth. Most accidents take place in rural locations and more accidents take place during the weekend. At 28,439, Sunday had the highest number of accidents and was 47.59% higher than Wednesday, which had the lowest count of accidents at 19,269. The results for vehicle registration reveal that the number of vehicle registration decreased for the last 3 years on record. The number of vehicles registered dropped from 65535 to 24457 during its steepest decline between 2019 and 2021.


2017 ◽  
Vol 36 (4) ◽  
pp. 451
Author(s):  
MuharibM Alshammari ◽  
NagahM Abo El-Fetoh ◽  
MushrefS Alshammari ◽  
AbdulazizS Alshammari ◽  
AbdulazizM Alsharari ◽  
...  

2019 ◽  
Vol 26 (5) ◽  
pp. 412-416 ◽  
Author(s):  
Aayushi Joshi ◽  
Fahra Rajabali ◽  
Kate Turcotte ◽  
M Denise Beaton ◽  
Ian Pike

BackgroundThe British Columbia Coroners Service implemented a policy in 2010 advising the reclassification of underlying causes of deaths due to falls from ‘natural’ to ‘accidental’. This study investigates whether observed data trends reflect this change in practice, are artefacts of inconsistent reporting, or indicate a true increase in fall-related deaths.MethodsMortality data were analysed from 2004 to 2017 for cases with International Statistical Classification of Diseases and Related Health Problems, 10th Revision fall codes W00–W19, occurring among adults aged 60 years and older.ResultsFrom 2010 to 2012, accidental fall-related deaths increased among those aged 80 years and older, followed by an increase in natural deaths with fall as the contributing cause.ConclusionsChanges in reporting resulting from the 2010 policy change were observed; however, post-2012 data indicate a reversion to previous reporting practices.


1996 ◽  
Vol 116 (5) ◽  
pp. 304-311 ◽  
Author(s):  
Fatin H. Nofal ◽  
Abdalla A. W. Saeed ◽  
Charles C. Anokute

2017 ◽  
Vol 6 (1) ◽  
pp. 1386
Author(s):  
Kamran Bokhari Syed

<p><strong>Background</strong>: World Health Organization has estimated that nearly 25% of all injuries fatalities worldwide are a result of road traffic crashes with 90% of the fatalities occurring in low and middle income countries. Trauma in Saudi Arabia is a major public health problem with increasing rates of mortality and morbidity.</p><p><strong>Objectives</strong>: To review the incidence of maxillofacial injuries due to road traffic accidents in Saudi Arabia and to highlight the etiological factors, the current preventive strategies and suggestions to reduce such injuries.</p><p><strong>Material and Methods</strong>: This review was conducted through literature search over a period of 25 years. The key words included in the search include road traffic injuries, maxillofacial trauma, Saudi Arabia. The search was conducted through search engines and which included Google, science direct, pub med. A total of 56 reference articles and web pages were reviewed. 31 of these references are cited in this review. The demographic factors involved in road traffic accidents, the existing legislation in the country as cited in the literature, primary care system and recent advances in management are highlighted in this review article.</p><p><strong>Conclusion</strong>: Trauma is a preventable cause of death, morbidity, depression and unemployment. Simple measures such as seat belt legislation, traffic monitoring, creation of awareness among youth will significantly bring down loss of lives. This will create a better society to live and enjoy life.</p>


2020 ◽  
Author(s):  
Lachmi Kodan ◽  
Kim J.C. Verschueren ◽  
Affette M. McCaw-Binns ◽  
Ray Tjon Kon Fat ◽  
Joyce L. Browne ◽  
...  

Abstract Background Insight into the underlying causes of pregnancy-related deaths is essential to develop policies to avert preventable deaths. The WHO International Classification of Diseases-Maternal Mortality (ICD-MM) guidelines provide a framework to standardize maternal death classifications and enable comparison in and among countries over time. However, despite the implementation of these guidelines, differences in classification remain. We evaluated consensus on maternal death classification using the ICD-MM guidelines. Methods The classification of pregnancy-related deaths in Suriname during 2010-2014 was compared in the country (between the attending physician and the national maternal death review (MDR) committee), and among the MDR committees from Suriname, Jamaica and the Netherlands. All reviewers applied the ICD-MM guidelines. The inter-rater reliability (Fleiss kappa [κ]) was used to measure agreement.Results Out of the 89 cases certified by attending physicians, 47% (n=42) were classified differently by the Surinamese MDR committee. The three MDR committees agreed that 18% (n=16/89) of these cases were no maternal deaths, and, therefore, excluded from further analyses. However, opinions differed whether 15% (n=11) of the remaining 73 cases were maternal deaths. The MDR committees achieved moderate agreement classifying the deaths into type (direct, indirect and unspecified) (κ=0.53) and underlying cause group (κ=0.52). The Netherlands MDR committee classified more maternal deaths as unspecified (19%), than the Jamaican (7%) and Surinamese (4%) committees did. The mutual agreement between the Surinamese and Jamaican MDR committees (κ=0.69 vs κ=0.63) was better than between the Surinamese and the Netherlands MDR committees (κ=0.48 vs κ=0.49) for classification into type and underlying cause group, respectively. Agreement on the underlying cause category was excellent for abortive outcomes (κ=0.85) and obstetric hemorrhage (κ=0.74) and fair for unspecified (κ=0.29) and other direct causes (κ=0.32). Conclusions Maternal death classification differs in Suriname and among MDR committees from different countries, despite using the ICD-MM guidelines on similar cases. Specific challenges in applying these guidelines included attribution of underlying cause when comorbidities occurred, the inclusion of deaths from suicides, and maternal deaths that occurred outside the country of residence.


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