What really happened with pneumonia mortality in Finland in 2000–2008?: a cohort study

This cohort study examines trends in pneumonia mortality in Finland and the effects of a WHO recommendation restricting the registering of pneumonia as the underlying cause of death (COD) for several chronic diseases. All cases having pneumonia in any COD fields in 2000–2008 were extracted from the...

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Veröffentlicht in:Epidemiology and infection 2013-04, Vol.141 (4), p.800-804
Hauptverfasser: MANDERBACKA, K., ARFFMAN, M., LYYTIKÄINEN, O., SAJANTILA, A., KESKIMÄKI, I.
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container_end_page 804
container_issue 4
container_start_page 800
container_title Epidemiology and infection
container_volume 141
creator MANDERBACKA, K.
ARFFMAN, M.
LYYTIKÄINEN, O.
SAJANTILA, A.
KESKIMÄKI, I.
description This cohort study examines trends in pneumonia mortality in Finland and the effects of a WHO recommendation restricting the registering of pneumonia as the underlying cause of death (COD) for several chronic diseases. All cases having pneumonia in any COD fields in 2000–2008 were extracted from the COD statistics. We examined trends in underlying-cause pneumonia mortality where pneumonia was also the immediate COD. Results are presented as age-specific and age-standardized rates. In the study period 2000–2008, there were 90 626 deaths with pneumonia in COD fields, while the underlying-cause pneumonia mortality rate decreased from 32 to 6/100 000 person-years. Immediate-cause pneumonia was less often chosen as underlying-cause towards 2008 suggesting an effect from changing coding practices. Changes in coding practices need to be considered when comparing different countries or time periods in pneumonia mortality.
doi_str_mv 10.1017/S0950268812001562
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Infect</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>141</volume><issue>4</issue><spage>800</spage><epage>804</epage><pages>800-804</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>This cohort study examines trends in pneumonia mortality in Finland and the effects of a WHO recommendation restricting the registering of pneumonia as the underlying cause of death (COD) for several chronic diseases. All cases having pneumonia in any COD fields in 2000–2008 were extracted from the COD statistics. We examined trends in underlying-cause pneumonia mortality where pneumonia was also the immediate COD. Results are presented as age-specific and age-standardized rates. In the study period 2000–2008, there were 90 626 deaths with pneumonia in COD fields, while the underlying-cause pneumonia mortality rate decreased from 32 to 6/100 000 person-years. Immediate-cause pneumonia was less often chosen as underlying-cause towards 2008 suggesting an effect from changing coding practices. Changes in coding practices need to be considered when comparing different countries or time periods in pneumonia mortality.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>22809739</pmid><doi>10.1017/S0950268812001562</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Alzheimers disease
Biological and medical sciences
Cause of Death - trends
Causes of death
Chemical oxygen demand
Chronic diseases
Chronic illnesses
Clinical Coding - trends
Cohort Studies
Death
Fatalities
Female
Finland - epidemiology
Fundamental and applied biological sciences. Psychology
Humans
Infectious diseases
Male
Microbiology
Middle Aged
Mortality
Myocardial ischemia
Nervous system diseases
Original Papers
Other Respiratory infections
Pneumonia
Pneumonia - mortality
Recommendations
Womens health
title What really happened with pneumonia mortality in Finland in 2000–2008?: a cohort study
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