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Updated: Aug 7, 2026

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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Fatal accidents among Danes with multiple sclerosis
Henrik Brønnum-Hansen1, Thomas Hansen, Nils Koch-Henriksen
1National Institute of Public Health, Oster Farimagsgade 5, DK-1399 Copenhagen K, Denmark. hbh@niph.dk
Summary
Individuals with multiple sclerosis (MS) face a 37% higher risk of fatal accidents compared to the general population. This increased risk is primarily linked to burns and suffocation, not traffic accidents.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Multiple sclerosis (MS) is a chronic neurological disease.
- Understanding mortality risks in MS patients is crucial for patient care and public health initiatives.
Purpose of the Study:
- To compare the incidence of fatal accidents in individuals with MS against the general population.
- To identify specific types of accidents contributing to increased mortality in MS.
Main Methods:
- Utilized data linkage between the Danish Multiple Sclerosis Registry and the Cause of Death Registry.
- Included 10,174 individuals diagnosed with MS between 1953 and 1996.
- Calculated Standardized Mortality Ratios (SMRs) for various accident types until January 1, 1999.
Main Results:
- Overall fatal accident risk was 37% higher in the MS population (SMR = 1.37).
- No significant excess risk for fatal road accidents (SMR = 0.80).
- Significantly elevated risks for deaths from burns (SMR = 8.90) and suffocation (SMR = 5.57).
Conclusions:
- Persons with multiple sclerosis have a higher propensity for fatal accidents.
- The excess mortality risk is attributed to increased deaths from burns and suffocation, not traffic-related incidents.
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