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- Title
What really happened with pneumonia mortality in Finland in 2000-2008?: a cohort study.
- Authors
Manderbacka, K; Arffman, M; Lyytikäinen, O; Sajantila, A; Keskimäki, I
- Abstract
This cohort study examines trends in pneumonia mortality in Finland and the effects of a WHO recommendation restricting the registering of pneumonia as the underlying cause of death (COD) for several chronic diseases. All cases having pneumonia in any COD fields in 2000-2008 were extracted from the COD statistics. We examined trends in underlying-cause pneumonia mortality where pneumonia was also the immediate COD. Results are presented as age-specific and age-standardized rates. In the study period 2000-2008, there were 90 626 deaths with pneumonia in COD fields, while the underlying-cause pneumonia mortality rate decreased from 32 to 6/100 000 person-years. Immediate-cause pneumonia was less often chosen as underlying-cause towards 2008 suggesting an effect from changing coding practices. Changes in coding practices need to be considered when comparing different countries or time periods in pneumonia mortality.
- Publication
Epidemiology & Infection, 2013, Vol 141, Issue 4, p800
- ISSN
0950-2688
- Publication type
journal article
- DOI
10.1017/S0950268812001562