Hidden respiratory disease-associated deaths
METHODS: The most recent disaggregated mortality database (data from 86 countries) available from the World Health Organization using the ICD-10 was reviewed.
RESULTS: Respiratory problems caused 16.6% of the deaths in the countries analysed (95%CI 7.9–27.1); 61% were considered chronic respiratory ailments (95%CI 17–85). Of all respiratory-related deaths, 44% were outside Group J and 7.8% were hidden in codes other than J, thoracic tumours, tuberculosis and diseases of pulmonary circulation. Hidden respiratory deaths were more common in low-income countries, but approximately 5% of respiratory deaths in high-income countries were also hidden. Respiratory deaths were the leading cause of death in five countries even when compared to the total number of cardiovascular and cancer deaths.
CONCLUSIONS: A significant proportion of respiratory deaths are ‘hidden’ in several ICD-10 codes, and are more numerous in countries with a high rate of acute respiratory disease and a low rate of chronic respiratory disease.
Document Type: Regular Paper
Affiliations: National Institute of Respiratory Diseases of Mexico, Tlalpan, México
Publication date: 2008-04-01
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