Trends in mortality from pneumonia in the Europe Union: a temporal analysis of the European Detailed Mortality Database between 2001-2014
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Author(s)
Type
Journal Article
Abstract
Background
Pneumonia is responsible for approximately 230 000 deaths in Europe, annually.
Comprehensive and comparable reports on pneumonia mortality trends across the
European Union (EU) are lacking.
Methods
An temporal analysis of national mortality statistics to compare trends in pneumonia
age-standardised death rates (ASDR) of EU countries between 2001-2014 was
performed. International Classification of Diseases version 10 (ICD-10) codes were
used to extract data from the World Health Organisation European Detailed Mortality
Database and trends were analysed using Joinpoint regression.
Results
Median pneumonia mortality across the EU for the last recorded observation was 19.8 /
100 000 and 6.9 / 100 000 for males and females, respectively. Mortality was higher in
males across all EU counties, most notably in Estonia and Lithuania where the ratio of
male to female ASDR was 4.0 and 3.7, respectively. Gender mortality differences were
lowest in the UK and Demark with ASDR ratios of 1.1 and 1.5, respectively.
Pneumonia mortality across all countries decreased by a median of 31.0% over the
observation period. Countries that demonstrated an increase in pneumonia mortality
were Poland (males +33.1%, females +10.2%), and Lithuania (males +6.0%).
Conclusions
Mortality from pneumonia is improving in most EU countries, however substantial
variation in trends remains between countries and between genders.
Pneumonia is responsible for approximately 230 000 deaths in Europe, annually.
Comprehensive and comparable reports on pneumonia mortality trends across the
European Union (EU) are lacking.
Methods
An temporal analysis of national mortality statistics to compare trends in pneumonia
age-standardised death rates (ASDR) of EU countries between 2001-2014 was
performed. International Classification of Diseases version 10 (ICD-10) codes were
used to extract data from the World Health Organisation European Detailed Mortality
Database and trends were analysed using Joinpoint regression.
Results
Median pneumonia mortality across the EU for the last recorded observation was 19.8 /
100 000 and 6.9 / 100 000 for males and females, respectively. Mortality was higher in
males across all EU counties, most notably in Estonia and Lithuania where the ratio of
male to female ASDR was 4.0 and 3.7, respectively. Gender mortality differences were
lowest in the UK and Demark with ASDR ratios of 1.1 and 1.5, respectively.
Pneumonia mortality across all countries decreased by a median of 31.0% over the
observation period. Countries that demonstrated an increase in pneumonia mortality
were Poland (males +33.1%, females +10.2%), and Lithuania (males +6.0%).
Conclusions
Mortality from pneumonia is improving in most EU countries, however substantial
variation in trends remains between countries and between genders.
Date Issued
2018-05-04
Date Acceptance
2018-04-16
Citation
Respiratory Research, 2018, 19
ISSN
1465-9921
Publisher
BioMed Central
Journal / Book Title
Respiratory Research
Volume
19
Copyright Statement
The Author(s). 2018
Open Access
This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (
http://creativecommons.org/licenses/by/4.0/
), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(
http://creativecommons.org/publicdomain/zero/1.0/
) applies to the data made available in this article, unless otherwise stated.
Open Access
This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (
http://creativecommons.org/licenses/by/4.0/
), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(
http://creativecommons.org/publicdomain/zero/1.0/
) applies to the data made available in this article, unless otherwise stated.
Sponsor
Engineering and Physical Sciences Research Council (EPSRC) & alumni
Subjects
1102 Cardiovascular Medicine And Haematology
1103 Clinical Sciences
Respiratory System
Publication Status
Published
Article Number
81