Heart Disease Deaths on Death Certificates Re-Evaluated by Clinical Records in a Japanese City
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概要
- 論文の詳細を見る
In order to estimate the number of deaths from ischemic heart disease (IHD) in a Japanese city, we reevaluated heart disease deaths among residents aged 25-74 years by examining their clinical records. During the 2-year period from 1987 to 1988, 271 deaths among this population were attributed to heart disease. The recorded underlying cause of death was IHD in 96 cases, heart failure in 123 cases, and other heart disease in 52 cases. Re-evaluation of the cause of death yielded 57 cases of acute myocardial infarction (AMI), 85 cases of sudden death, 37 cases of heart disease other than IHD, and 63 cases of non-heart disease. In the remaining cases, there was insufficient information for evaluation. According to some autopsy studies, about 50% of sudden deaths are due to IHD. Thus, 50% of the number of sudden death cases may be added to the total number of IHD deaths. Accordingly, the total number of IHD deaths may have been 100, ie, 57 cases of AMI plus 43 cases of sudden death. The difference between the number of IHD deaths after re-evaluation and the number for which IHD was recorded as the underlying cause was small, with the former only 4% higher than the latter. The number of false-positives was equal to the number of false-negatives, and hence the number of IHD deaths recorded in this area seems to be close to the actual figure. We speculate that more accurate death certification will result in a decrease in the total number of deaths attributable to heart disease, as in 23% of deaths attributed to heart disease the underlying cause of death was not in fact heart disease.
- 社団法人日本循環器学会の論文
- 1997-03-20
著者
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SAITO Isao
Department of Orthodontics, School of Dentistry, Niigata University
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OZAWA Hideki
Department of Physics, Osaka University
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IKEBE Toshiko
Department of Public Health and Hygiene, Oita Medical University
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Ozawa Hideki
Department Of Public Health And Hygiene Oita Medical University
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Saito Isao
Department Of Public Health And Hygiene Oita Medical University
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Ikebe Toshiko
Department Of Public Health And Hygiene Oita Medical University
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Ozawa Hideki
Department Of Earth And Space Science Graduate School Of Science Osaka University
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AONO Hiroshi
Department of Public Health and Hygiene, Oita Medical University
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Yamashita Tsuyoshi
Department of Public Health and Hygiene, Oita Medical University
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Hosokawa Hiroshi
Department of Public Health and Hygiene, Oita Medical University
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Aono Hiroshi
Department Of Public Health And Hygiene Oita Medical University
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Aono H
Public Health And Hygiene
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Aono Hiroshi
Department Of Infectious Diseases Faculty Of Medicine Oita University
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OZAWA HIDEKI
Public Health and Hygiene
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Saito I
Department Of Chemistry Graduate School Of Engineering Kyoto University
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Ozawa Hideki
Department Of Cardiology Tokai University School Of Medicine
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Saito Isao
Department Of Materials Chemistry And Engineering School Of Engineering Nihon University
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Yamashita Tsuyoshi
Department Of Public Health And Hygiene Oita Medical University
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Yamashita Tsuyoshi
Department Of Materials-process Engineering And Applied Chemistry For Environments Faculty Of Engine
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Hosokawa Hiroshi
Department Of Public Health And Hygiene Oita Medical University
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Hosokawa Hiroshi
Department Of Dermatology Kansai Medical University
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Saito Isao
Department Of Cardiovascular Disease Research Eisai Tsukuba Research Laboratories
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YAMASHITA Tsuyoshi
Department of Chemical Science and Engineering, Faculty of Engineering, Kobe University
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HOSOKAWA Hiroshi
Department of Aeronautics and Astronautics, Tokai University
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