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Showing 4 results for Causes of Death

S Aghamohamadi, A Khosravi, E Kazemi, A Atefi,
Volume 16, Issue 1 (6-2020)
Abstract

Background and Objectives: A large proportion of the data of cause of death is registered in hospitals in Iran. Assessment of the death data can help to identify the problems of cause of death registration system and improve it. Therefore, this study was conducted to review the quality of cause of death registration in Iranian hospitals in 2016.
 
Methods: All hospital deaths in 2016 were reviewed and classified by age group and sex using the Ministry of Health’s death registration system. Analysis of Causes of National Deaths for Action (ANACONDA) was used to evaluate the quality of the data of cause of death.
 
Results: About 24% of the recorded hospital deaths were assigned to garbage code categories. The highest percentage of this group was seen in the age group over 70 years old and the highest percentage of well-defined causes of death was seen in the age group below one year. Moreover, among the five groups of garbage code causes of death, the group with insufficient details of the cause of death based on ICD classification had the highest percentage in all age groups.
 
Conclusion: Since a substantial proportion of the causes of deaths registered in the Iranian hospitals are categorized in the garbage code categories and cannot be used for planning and health policy making, it is necessary to design a comprehensive plan to implement interventions such as implementation of process evaluation programs and training programs for physicians and coders.
M Sasanipour, A Khosravi, M Moheby Meymandi,
Volume 17, Issue 4 (3-2022)
Abstract

Background and objectives: Considering the high contribution of unintentional accidents to mortality, particularly in males in Iran, and their changes over the last decade, a study was conducted to review the share of deaths due to unintentional accidents in sex difference in life expectancy at birth in the country over the last decades.

Methods: The mortality data for the years 2006 to 2015 were obtained from the Ministry of Health and Medical Education. Then, the child mortality was corrected using the intercensal generational method and adult mortality was corrected for underreporting based on the Bennett-Horiuchi method. The contribution of mortality changes due to unintentional accidents to increase in females’ life expectancy was calculated using the ARIAGA decomposition method.

Results: The sex differential in life expectancy was about 3.5 years in 2006 in Iran, which decreased to 2.9 years in 2011 and increased to 3 years in in 2015. The unintentional accidents in all three periods played a dominant role in sex differential mortality, but its contribution over time was significantly reduced, with a contribution of 60% to around 42% between 2006 and 2015.

Conclusion: Due to the slowdown in the increase in life expectancy at birth in Iran in recent decades, attention to differential mortality, including sex difference in mortality and identification of potentials to increase life expectancy according to different groups, can increase life expectancy.
 
N Zanjari, M Sasanipour,
Volume 18, Issue 1 (5-2022)
Abstract

Background and Objectives: The rate of the increase in life expectancy has slowed down during the last two or three decades in Iran. In this study, we examined the role of change in thecause of death older adults in increasing life expectancy in Iran between 2006 and 2016.
Methods: Death data by age, sex, and cause in Iran between 2006 and 2016 were obtained from the death registration and classification system of the Ministry of Health and Medical Education. Using the Brass-Trussell and generalized Benett-Horiuchi method, underreporting of child and adult death registration was corrected. Then, using the Arriaga decomposition method, the role of age groups and causes of death of Iranian older adults in increasing life expectancy at birth was calculated.
Results: Men’s life expectancy at birth increased by 3.7 years during 2006 to 2016, and the contribution of older adult’s death changes on this increase was estimated at 2 years. Out of the total increase of 3.1 years in women’s life expectancy, 1.57 years was related to changes in the older adults’ cause of death. Furthermore, 74% and 57% of the role of change in the cause of death among older men and women in increasing the life expectancy was related to cardiovascular diseases.
Conclusion: Considering the transition of age structure in the coming decades, transition of death trend to older ages is expected to continue. The results of this study showed that it is necessary to pay more attention to diseases that affect older people in policy priorities.

Kh Yarifard, M Tajvar, M Heydari,
Volume 18, Issue 1 (5-2022)
Abstract

Background and Objectives: One of the important basis of health planning in any society is to identify the causes of death and the trend of each cause in that country over time. The purpose of this study is to investigate the trend of youth mortality and causes od death among young population of the Eastern Mediterranean region.
Methods: The present study conducted based on a secondary longitudinal analysis of death data to analyze the trend of youth mortality aged 15-24 and causes of death based on the ICD-10 in Eastern Mediterranean Region between 1990 and 2019. Study data were collected from the IHME Global Burden of Disease (GBD) website and analyzed using descriptive statistical and linear regression analysis. Death rate or cause is the dependent variable and time is the independent variable.
Results: The mortality rate of young people (15 to 24 years old) in all the countries of the Eastern Mediterranean region decreased from 1990 to 2019 except in Syria and Libya. Syria was the only country with a significant increase in the death rate. The most common cause of death was accidents; in general, the death rate related to this cause decreased during 30 years. Among the sub-groups of death causes among young people, the highest rate until 2010 was due to road accidents, which decreased over the study years. From 2010 onwards, death due to self-harm and interpersonal violence had the first rank.
Conclusion: Although a declining trend was observed during the last three decades among young people of Eastern Mediterranean region, deaths due to accidents are still considerable. It seems that the interventions to reduce death due to road accidents were successful; however, any policy and intervention to reduce death due to self-harm and interpersonal violence has a high priority.


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