Reporting of aspiration pneumonia or choking as a cause of death in patients who died with stroke

Chia Yu Chang, Tain Junn Cheng, Ching Yih Lin, Jen Yin Chen, Tsung Hsueh Lu, Ichiro Kawachi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background and Purpose-It is not known how many stroke patients die from fatal pulmonary complications such as aspiration pneumonia (AP) and choking each year in the United States. This study aimed to determine the frequency of reporting of AP or choking as a cause of death on death certificates with mention of stroke in the United States as a proxy measure of the incidence of dying from AP or choking among patients with stroke. Methods-We used multiple-cause mortality data for the years 2001 to 2010 to identify death certificates with mention of stroke (International Classification of Diseases, Tenth Revision code I60-I69), AP (International Classification of Diseases, Tenth Revision code J69), and choking (International Classification of Diseases, Tenth Revision code W78-W80) for analysis. Results-Of 2 424 379 death certificates with mention of stroke in the United States between 2001 and 2010, 5.1% (n=124 503) reported AP as a cause of death, and 1.5% (n=36 997) reported choking as a cause of death. However, if we confined the analysis to autopsy-confirmed cases, the frequency decreased to 1.3% (555/42 732) and 1.3% (541/42 732), respectively. The adjusted odds ratios of reporting AP or choking as a cause of death were higher among men, increased with age, and were higher among decedents who died in a nursing home/long-term care. Conclusions-The estimated incidence of dying from AP and choking among patients who died with stroke was 5% (̃12 000 deaths per year) and 1% (̃3700 deaths per year) according to information reported on death certificates. Efforts are needed to reduce the number of deaths from these 2 preventable complications.

Original languageEnglish
Pages (from-to)1182-1185
Number of pages4
JournalStroke
Volume44
Issue number4
DOIs
Publication statusPublished - 2013 Apr 1

Fingerprint

Aspiration Pneumonia
Airway Obstruction
Cause of Death
Stroke
Death Certificates
International Classification of Diseases
Incidence
Long-Term Care
Proxy
Nursing Homes
Autopsy
Odds Ratio
Lung
Mortality

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialised Nursing

Cite this

Chang, Chia Yu ; Cheng, Tain Junn ; Lin, Ching Yih ; Chen, Jen Yin ; Lu, Tsung Hsueh ; Kawachi, Ichiro. / Reporting of aspiration pneumonia or choking as a cause of death in patients who died with stroke. In: Stroke. 2013 ; Vol. 44, No. 4. pp. 1182-1185.
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title = "Reporting of aspiration pneumonia or choking as a cause of death in patients who died with stroke",
abstract = "Background and Purpose-It is not known how many stroke patients die from fatal pulmonary complications such as aspiration pneumonia (AP) and choking each year in the United States. This study aimed to determine the frequency of reporting of AP or choking as a cause of death on death certificates with mention of stroke in the United States as a proxy measure of the incidence of dying from AP or choking among patients with stroke. Methods-We used multiple-cause mortality data for the years 2001 to 2010 to identify death certificates with mention of stroke (International Classification of Diseases, Tenth Revision code I60-I69), AP (International Classification of Diseases, Tenth Revision code J69), and choking (International Classification of Diseases, Tenth Revision code W78-W80) for analysis. Results-Of 2 424 379 death certificates with mention of stroke in the United States between 2001 and 2010, 5.1{\%} (n=124 503) reported AP as a cause of death, and 1.5{\%} (n=36 997) reported choking as a cause of death. However, if we confined the analysis to autopsy-confirmed cases, the frequency decreased to 1.3{\%} (555/42 732) and 1.3{\%} (541/42 732), respectively. The adjusted odds ratios of reporting AP or choking as a cause of death were higher among men, increased with age, and were higher among decedents who died in a nursing home/long-term care. Conclusions-The estimated incidence of dying from AP and choking among patients who died with stroke was 5{\%} (̃12 000 deaths per year) and 1{\%} (̃3700 deaths per year) according to information reported on death certificates. Efforts are needed to reduce the number of deaths from these 2 preventable complications.",
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Reporting of aspiration pneumonia or choking as a cause of death in patients who died with stroke. / Chang, Chia Yu; Cheng, Tain Junn; Lin, Ching Yih; Chen, Jen Yin; Lu, Tsung Hsueh; Kawachi, Ichiro.

In: Stroke, Vol. 44, No. 4, 01.04.2013, p. 1182-1185.

Research output: Contribution to journalArticle

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AU - Cheng, Tain Junn

AU - Lin, Ching Yih

AU - Chen, Jen Yin

AU - Lu, Tsung Hsueh

AU - Kawachi, Ichiro

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N2 - Background and Purpose-It is not known how many stroke patients die from fatal pulmonary complications such as aspiration pneumonia (AP) and choking each year in the United States. This study aimed to determine the frequency of reporting of AP or choking as a cause of death on death certificates with mention of stroke in the United States as a proxy measure of the incidence of dying from AP or choking among patients with stroke. Methods-We used multiple-cause mortality data for the years 2001 to 2010 to identify death certificates with mention of stroke (International Classification of Diseases, Tenth Revision code I60-I69), AP (International Classification of Diseases, Tenth Revision code J69), and choking (International Classification of Diseases, Tenth Revision code W78-W80) for analysis. Results-Of 2 424 379 death certificates with mention of stroke in the United States between 2001 and 2010, 5.1% (n=124 503) reported AP as a cause of death, and 1.5% (n=36 997) reported choking as a cause of death. However, if we confined the analysis to autopsy-confirmed cases, the frequency decreased to 1.3% (555/42 732) and 1.3% (541/42 732), respectively. The adjusted odds ratios of reporting AP or choking as a cause of death were higher among men, increased with age, and were higher among decedents who died in a nursing home/long-term care. Conclusions-The estimated incidence of dying from AP and choking among patients who died with stroke was 5% (̃12 000 deaths per year) and 1% (̃3700 deaths per year) according to information reported on death certificates. Efforts are needed to reduce the number of deaths from these 2 preventable complications.

AB - Background and Purpose-It is not known how many stroke patients die from fatal pulmonary complications such as aspiration pneumonia (AP) and choking each year in the United States. This study aimed to determine the frequency of reporting of AP or choking as a cause of death on death certificates with mention of stroke in the United States as a proxy measure of the incidence of dying from AP or choking among patients with stroke. Methods-We used multiple-cause mortality data for the years 2001 to 2010 to identify death certificates with mention of stroke (International Classification of Diseases, Tenth Revision code I60-I69), AP (International Classification of Diseases, Tenth Revision code J69), and choking (International Classification of Diseases, Tenth Revision code W78-W80) for analysis. Results-Of 2 424 379 death certificates with mention of stroke in the United States between 2001 and 2010, 5.1% (n=124 503) reported AP as a cause of death, and 1.5% (n=36 997) reported choking as a cause of death. However, if we confined the analysis to autopsy-confirmed cases, the frequency decreased to 1.3% (555/42 732) and 1.3% (541/42 732), respectively. The adjusted odds ratios of reporting AP or choking as a cause of death were higher among men, increased with age, and were higher among decedents who died in a nursing home/long-term care. Conclusions-The estimated incidence of dying from AP and choking among patients who died with stroke was 5% (̃12 000 deaths per year) and 1% (̃3700 deaths per year) according to information reported on death certificates. Efforts are needed to reduce the number of deaths from these 2 preventable complications.

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