Climate Change Data Portal
DOI | 10.1186/s12876-014-0211-0 |
Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes | |
Jagai, Jyotsna S.1,4; Smith, Genee S.2; Schmid, Judith E.3; Wade, Timothy J.4 | |
发表日期 | 2014-12-10 |
ISSN | 1471-230X |
卷号 | 14 |
英文摘要 | Background: Trends in gastroenteritis-associated mortality are changing over time with development of antibiotic resistant strains of certain pathogens, improved diagnostic methods, and changing healthcare. In 1999, ICD-10 coding was introduced for mortality records which can also affect trends. We assess trends in gastroenteritis-associated mortality and changes associated with coding. Methods: Trends in gastroenteritis-associated mortality rates in the United States were examined using the National Center for Health Statistics Multiple Cause-of-Death Mortality databases for 1985-2005. All deaths with the underlying cause or any contributing cause included gastroenteritis were included. Cases were selected based on ICD9 (pre-1999) and ICD10 (1999-2005) codes and all analyses were stratified by ICD usage. Annual trends in age adjusted mortality rates were assessed using linear regression spline analysis. Relative risks and 95% confidence intervals (CIs) were calculated using Poisson regression adjusted for age group, sex, race, and region. Results: There were a total of 190,674 deaths related to gastroenteritis in the U.S. from 1985-2005 with an average of 9,080 per year. During this time the percent of deaths related to gastroenteritis more than tripled, increasing from 0.25% to 0.80% of all deaths. Though the time periods varied in length, we demonstrate a significant increase in slope from a 0.0054% annual increase during the period 1985-1998, when ICD-9 coding was used, to a 0.0550% annual increase during 1999-2005, when ICD-10 coding was used. For both time periods, the oldest age group (75+ years) demonstrated the highest risk of death due to gastroenteritis. Additionally, males demonstrated higher risk than females and blacks were at higher risk than whites for death due to gastroenteritis. Conclusions: This analysis demonstrates the public health burden of gastroenteritis-associated mortality in the United States and changes in trends due to change from ICD-9 to ICD-10 coding. The overall rate of gastroenteritis-associated mortality has more than tripled over the 21-year period from 1985 to 2005 and the primary burden of deaths due to gastroenteritis is in the elderly population. |
英文关键词 | Gastroenteritis;Mortality;Intestinal infections |
语种 | 英语 |
WOS记录号 | WOS:000346744800002 |
来源期刊 | BMC GASTROENTEROLOGY
![]() |
来源机构 | 美国环保署 |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/60616 |
作者单位 | 1.Univ Illinois, Sch Publ Hlth, Div Environm & Occupat Hlth Sci, Chicago, IL 60625 USA; 2.Univ N Carolina, Dept Epidemiol, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA; 3.US EPA, Off Res & Dev, Natl Hlth & Environm Effects Res Lab, Res Cores Unit, Res Triangle Pk, NC 27711 USA; 4.US EPA, Off Res & Dev, Natl Hlth & Environm Effects Res Lab, Environm Publ Hlth Div,Epidemiol Branch, Res Triangle Pk, NC 27711 USA |
推荐引用方式 GB/T 7714 | Jagai, Jyotsna S.,Smith, Genee S.,Schmid, Judith E.,et al. Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes[J]. 美国环保署,2014,14. |
APA | Jagai, Jyotsna S.,Smith, Genee S.,Schmid, Judith E.,&Wade, Timothy J..(2014).Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes.BMC GASTROENTEROLOGY,14. |
MLA | Jagai, Jyotsna S.,et al."Trends in gastroenteritis-associated mortality in the United States, 1985-2005: variations by ICD-9 and ICD-10 codes".BMC GASTROENTEROLOGY 14(2014). |
条目包含的文件 | 条目无相关文件。 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。