Can regional variation in "avoidable" mortality be explained by deaths outside hospital ? A study from Sweden, 1987-90.
This study aimed to calculate the proportion of deaths outside hospital in Sweden for some conditions for which the acute medical management may be important to the outcome and to analyse whether the proportion of deaths outside hospital can explain regional variations in mortality from these causes of death.
The place of death was registered on all death certificates in Sweden during the period 1987-90.
The proportion of deaths outside hospital was calculated at the national level for selected causes of death.
Variation in cause-specific mortality among the 26 administrative health areas in Sweden was analysed.
Death rate ratios were calculated with standardisation for age and sex using the national rate as standard.
The correlation between the proportion of deaths outside hospital in each health area and the cause specific mortality irrespective ofplace of death was calculated.
For areas with a significantly high death rate the ratios for mortality outside hospital as well as in hospital were analysed in order to decide which component of mortality represented a high mortality risk.
Setting and participants
All death registration in Swedish citizens and other residents in Sweden aged under 70 years between 1987 and 1990 which gave diabetes, asthma, ischaemic heart disease, cerebrovascular diseases, or ulcer of the stomach or duodenum as the underlying cause of death. (...)
Mots-clés Pascal : Mortalité, Hôpital, Communauté, Epidémiologie, Variation géographique, Homme, Suède, Europe, Mortalité évitable
Mots-clés Pascal anglais : Mortality, Hospital, Community, Epidemiology, Geographical variation, Human, Sweden, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0319995
Code Inist : 002B30A01A2. Création : 10/04/1997.