超越死亡的根本原因:一个算法来研究死亡时的多病态性
Francesco Grippo1, Luisa Frova2, Marilena Pappagallo2
1Istituto Nazionale di Statistica (ISTAT), Viale Liegi, 13, 00198, Rome, Italy. frgrippo@istat.it.
Population health metrics
|December 19, 2024
概括
分析多种死亡原因,可以发现多种疾病在不同国家之间存在差异. 我们的算法有助于理解这些差异,通过在死亡证明上列出的每个原因分配角色来帮助理解这些差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 预期寿命的增加导致多重疾病的患病率更高.
- 死亡原因数据可以监测多种疾病,但需要分析所有列出的原因,而不仅仅是潜在的原因.
研究的目的:
- 开发和应用一个算法来分类死亡证书上每个原因的作用.
- 分析多种死因数据,以了解多种发病率的跨国变化.
主要方法:
- 开发了一种基于世卫组织规则的算法,用于将死亡证明中的原因赋予角色 (起源,沉,关联,不确定).
- 将算法应用于2017年意大利,法国,西班牙和美国的死亡记录.
主要成果:
- 发病原因的平均数量在不同国家是相似的.
- 具有多个原始原因 (多重发病) 的死亡证明的比例在10% (美国) 到18% (西班牙) 之间.
- 与相关原因死亡的比例在意大利 (41%) 和美国 (42%) 比法国 (29%) 和西班牙 (27%) 高.
结论:
- 该算法澄清了死亡证明中平均死因数量的跨国差异.
- 研究结果强调需要改进多种死亡原因分析方法,以更好地了解多种疾病.
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