Accuracy of Death Certificate Diagnosis of Intracranial Hemorrhage and Nonhemorrhagic Stroke

Iso, Hiroyasu; Jacobs, David R.; Goldman, Linda

doi:10.1093/oxfordjournals.aje.a115742

Cited by 83 publications

(49 citation statements)

References 5 publications

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“…However, these death indexes have been used by several studies in the past and are considered reliable. [33][34][35] Our internal validation process of those who died within our healthcare system also showed the reliability of these data.…”

Section: Discussionmentioning

confidence: 75%

Cause-Specific Deaths in Non–Dialysis-Dependent CKD

Navaneethan

Schold

Arrigain

et al. 2015

Journal of the American Society of Nephrology

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CKD is associated with higher risk of death, but details regarding differences in cause-specific death in CKD are unclear. We examined the leading causes of death among a non-dialysis-dependent CKD population using an electronic medical record-based CKD registry in a large healthcare system and the Ohio Department of Health mortality files. We included 33,478 white and 5042 black patients with CKD who resided in Ohio between January 2005 and September 2009 and had two measurements of eGFR,60 ml/min per 1.73 m 2 obtained 90 days apart. Causes of death (before ESRD) were classified into cardiovascular, malignancy, and non-cardiovascular/non-malignancy diseases and non-disease-related causes. During a median follow-up of 2.3 years, 6661 of 38,520 patients (17%) with CKD died. Cardiovascular diseases (34.7%) and malignant neoplasms (31.8%) were the leading causes of death, with malignancy-related deaths more common among those with earlier stages of kidney disease. After adjusting for covariates, each 5 ml/min per 1.73 m 2 decline in eGFR was associated with higher risk of death due to cardiovascular disease (hazard ratio [HR], 1.10; 95% confidence interval [95% CI], 1.08 to 1.12) and non-cardiovascular/ non-malignancy diseases (HR, 1.12; 95% CI, 1.09 to 1.14) but not to malignancy. In the adjusted models, blacks had overall-mortality hazard ratios similar to those of whites but higher hazard ratios for cardiovascular deaths. Further studies to confirm these findings and explain the mechanisms for differences are warranted. In addition to lowering cardiovascular burden in CKD, efforts to target known risk factors for cancer at the population level are needed.

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Section: Discussionmentioning

confidence: 75%

Cause-Specific Deaths in Non–Dialysis-Dependent CKD

Navaneethan

Schold

Arrigain

et al. 2015

Journal of the American Society of Nephrology

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“…The widespread use of computer tomography in local hospitals since the 1980s has probably made the diagnosis of stroke and its subtypes reported on the death certificates sufficiently accurate. 33 For coronary heart disease, however, approximately one-fourth of ischemic heart disease deaths appearing on death certificates were misdiagnosed according to the validation studies. 34,35 Finally, although hazard ratios were adjusted for selected cardiovascular risk factors and social factors, we cannot exclude the possibility that other risk factors such as socioeconomic status and psychosocial factors may have affected our findings.…”

Section: Discussionmentioning

confidence: 99%

Alcohol Consumption and Mortality From Stroke and Coronary Heart Disease Among Japanese Men and Women

Ikehara

Iso

Toyoshima

et al. 2008

Stroke

Self Cite

114

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Background and Purpose-Previous studies have demonstrated the association between alcohol consumption and cardiovascular mortality. However, the sex-specific association between alcohol consumption and mortality from stroke and coronary heart disease remains unclear. Methods-Between 1988 and 1990, 34 776 men and 48 906 women aged 40 to 79 years completed a self-administered questionnaire including information about alcohol consumption. They were followed-up for a median duration of 14.2 years. Results-Of the 83 682 respondents, 1628 died from stroke and 736 died from coronary heart disease. For men, heavy drinking (Ն46.0 g ethanol/day) was associated with increased mortality from total, hemorrhagic, and ischemic strokes, whereas light-to-moderate drinking was associated with reduced mortality from total cardiovascular disease, compared with not drinking. The respective multivariable hazard ratios (95% CI) were 1.48 (1.22 to 1.80) for total stoke, 1.67 (1.17 to 2.38) for hemorrhagic stroke, 1.35 (1.04 to 1.75) for ischemic stroke, and 0.88 (0.78 to 1.00) for total cardiovascular disease. Women who were heavy drinkers (Ն46.0 g ethanol/day) showed increased mortality from coronary heart disease, and there was reduced mortality from total cardiovascular disease for drinkers of 0.1 to 22.9 g ethanol per day compared with mortality for nondrinkers. The respective multivariable hazard ratios (95% CI) for the 2 categories of drinkers were 4.10 (1.63 to 10.3) and 0.75 (0.62 to 0.91). Conclusions-Heavy alcohol consumption is associated with increased mortality from total stroke, particularly hemorrhagic stroke, and total cardiovascular disease for men, and from coronary heart disease for women, whereas light-to-moderate drinking may be associated with reduced mortality from cardiovascular disease for both sexes.

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“…18 Cerebrovascular disease, however, has been found to be classified accurately on death certificates. 19 Fourth, the ICD classification system was revised in 1999, but the comparability ratios between ICD-9 and ICD-10 classification codes for cerebrovascular disease (1.0588) and heart disease (0.9858) are similar. 10 The importance of regional data is shown by our findings.…”

Section: Discussionmentioning

confidence: 99%

Defining Disparities in Cardiovascular Disease for American Indians

et al. 2005

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Background— Disparities in stroke and heart disease have been well defined in many populations in the United States. Relatively few studies, however, have assessed current disparities in cardiovascular disease in American Indian populations and compared trends with other regions of the United States. Methods and Results— Using mortality data, age-adjusted all-cause, heart disease, and stroke mortality rates (per 100 000) were calculated for American Indians and whites from 1991 to 1995 and 1996 to 2000. The all-cause mortality rate was strikingly higher for American Indians than for whites. For example, during 1996 to 2000, the all-cause mortality rate for American Indians (1317, ±61) was more than half again greater than that for whites (831, ±8). Heart disease mortality declined significantly in whites (237 to 216 per 100 000) in Montana over the past decade and declined, although not significantly, in American Indians (326 to 283 per 100 000). Stroke mortality also declined significantly in whites (64 to 60 per 100 000) but not in American Indians (80 to 81 per 100 000) during this time period. The proportion of deaths before age 65 years for heart disease and stroke was considerably higher in Indian men (45% and 36%) and Indian women (29% and 28%) compared with white men (21% and 11%) and white women (8% and 7%). Conclusions— The disparity in heart disease and stroke mortality exists between American Indians and whites in Montana. Regional or state-level surveillance data will be needed to describe the changing patterns of heart disease and stroke mortality and cardiovascular risk factors in many native communities in the United States and Canada.

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Accuracy of Death Certificate Diagnosis of Intracranial Hemorrhage and Nonhemorrhagic Stroke

Cited by 83 publications

References 5 publications

Cause-Specific Deaths in Non–Dialysis-Dependent CKD

Cause-Specific Deaths in Non–Dialysis-Dependent CKD

Alcohol Consumption and Mortality From Stroke and Coronary Heart Disease Among Japanese Men and Women

Defining Disparities in Cardiovascular Disease for American Indians

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