Finnish mortality statistics show a marked decrease in coronary disease mortality especially among middle-aged males during the last 20 to 25 years.
At the same time, the overall autopsy rate in deaths due to natural, non-violent causes has diminished in Finland.
National mortality statistics are based on medical information given in death certificates.
How often are the causes of death based on autopsy and is there any definitive trend ?
Possible changes in cause-of-death determination practices may have contributed to the mortality changes observed.
In this study, deaths due to ischemic heart diseases (IHD) and cerebrovascular diseases (CVD) from 1974 to 1993 in Finland were compared with natural deaths, i.e. all of the deaths due to natural causes, in regard to use of autopsy.
It was found that IHD-diagnosis as the underlying cause-of-death was, unlike natural deaths and CVD in particular, increasingly based on autopsy.
It is thus concluded that the recent decline in coronary disease mortality among middle-aged men in Finland cannot be explained by any deterioration in cause-of-death examination practices.
Mots-clés Pascal : Mortalité, Ischémie, Myocarde, Cérébrovasculaire pathologie, Autopsie, Diagnostic, Mort, Cause, Epidémiologie, Tendance, Evolution, 1970-1980, 1980-1990, Homme, Mâle, Statistique sanitaire, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Cardiopathie coronaire, Myocarde pathologie, Système nerveux pathologie, Encéphale pathologie, Système nerveux central pathologie, Finlande, Europe, Médecine légale
Mots-clés Pascal anglais : Mortality, Ischemia, Myocardium, Cerebrovascular disease, Autopsy, Diagnosis, Death, Cause, Epidemiology, Trend, Evolution, 1970-1980, 1980-1990, Human, Male, Sanitary statistics, Cardiovascular disease, Vascular disease, Coronary heart disease, Myocardial disease, Nervous system diseases, Cerebral disorder, Central nervous system disease, Finland, Europe, Legal medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0152286
Code Inist : 002B30A01A2. Création : 21/07/1998.