Table 2 Mortality related to aortic aneurysm and dissection, according to the qualification of the cause-of-death and sex, age-standardized death rates, absolute numbers and percentage of aneurysmal types and of mention of rupture, age at death and number of causes of death per death certificate, state of São Paulo, Brazil, 1985 to 2009
Variables | Underlying | Associated (Non Underlying) | Mentions | ||||||
|---|---|---|---|---|---|---|---|---|---|
Men | Women | Subtotal | Men | Women | Subtotal | Men | Women | Total | |
AGE STANDARDIZED DEATH RATES PER 100.000 POPULATION | |||||||||
In 1985 | 5.34 | 2.01 | 3.56 | 0.94 | 0.18 | 0.52 | 6.28 | 2.20 | 4.08 |
In 2009 | 8.74 | 4.10 | 6.09 | 1.60 | 0.62 | 1.02 | 10.35 | 4.72 | 7.12 |
Average age-standardized rates from 1985 through 2009 | 8.23 | 3.42 | 5.53 | 1.71 | 0.56 | 1.05 | 9.94 | 3.98 | 6.58 |
Rates Ratio 2009/1985 | 1.64 | 2.04 | 1.71 | 1.70 | 3.37 | 1.98 | 1.65 | 2.15 | 1.75 |
AORTIC ANEURYSM AND DISSECTION TYPES (ICD-9) (ICD-10). ABSOLUTE NUMBERS (%) | |||||||||
Dissection of aorta [any part] (441.0) (171.0) | 8,056 (57.2) | 5,304 (37.7) | 13,360 (94.8) | 456(3.2) | 272(1.9) | 728 (5.2) | 8,512(60.4) | 5,576 (39.60 | 14,088 (100.0) |
(34.1) | (42.7) | (37.4) | (10.1) | (13.5) | (11.2) | (30.2) | (38.6) | (33.1) | |
Thoracic aortic aneurysm, ruptured (441.1) (171.1) | 1,732 (54.6) | 1,262 (39.8) | 2,994 (94.3) | 108 (3.4) | 72 (2.3) | 180 (5.7) | 1,840 (58.0) | 1,334 (42.0) | 3,174 (100.0) |
(7.3) | (10.2) | (8.3) | (2.4) | (3.6) | (2.8) | (6.5) | (9.2) | (7.5) | |
Thoracic aortic aneurysm, without mention of rupture (441.2) (171.2) | 751 (37.9) | 489 (24.7) | 1,240 (62.6) | 427 (21.6) | 314 (15.9) | 741 (37.4) | 1,178 (59.5) | 803 (40.5) | 1,981 (100.0) |
(3.2) | (3.9) | (3.4) | (9.5) | (15.6) | (11.4) | (4.2) | (5.6) | (4.7) | |
Abdominal aortic aneurysm, ruptured (441.3) (171.3) | 4,860 (72.2) | 1,399 (20.8) | 6,259 (92.9) | 365 (5.4) | 112 (1.7) | 477 (7.1) | 5,225 (77.6) | 1,511 (22.4) | 6,736 (100.0) |
(20.5) | (11.3) | (17.3) | (8.1) | (5.6) | (7.3) | (18.6) | (10.5) | (15.8) | |
Abdominal aortic aneurysm, without mention of rupture (441.4) (171.4) | 2,363 (43.7) | 735 (13.6) | 3,098 (57.3) | 1,753 (32.4) | 560 (10.4) | 2,313 (42.8) | 4,116 (76.1) | 1,295 (23.9) | 5,411 (100.0) |
(10.0) | (5.9) | (8.6) | (38.9) | (27.8) | (35.4) | (14.6) | (9.0) | (12.7) | |
Thoracoabdominal aortic aneurysm, ruptured (171.5) | 150 (56.6) | 97 (36.6) | 247 (93.2) | 12 (4.5) | 6 (2.3) | 18 (6.8) | 162 (61.1) | 103 (38.9) | 265 (100.0) |
(0.6) | (0.8) | (0.7) | (0.3) | (0.3) | (0.3) | (0.6) | (0.7) | (0.6) | |
Thoracoabdominal aortic aneurysm, without mention of ruptured (171.6) | 166 (41.0) | 108 (26.7) | 274 (67.7) | 77 (19.0) | 54 (13.3) | 131 (32.4) | 243 (60.0) | 162 (40.0) | 405 (100.0) |
(0.7) | (0.9) | (0.8) | (1.7) | (2.7) | (2.0) | (0.9) | (1.1) | (1.0) | |
Aortic aneurysm of unspecified site, ruptured (441.5) (171.8) | 4,015 (58.9) | 2,316 (34.0) | 6,331 (92.8) | 326 (4.8) | 164 (2.4) | 490 (7.2) | 4,341 (63.6) | 2,480 (36.4) | 6,821 (100.0) |
(17.0) | (18.6) | (17.5) | (7.2) | (8.1) | (7.5) | (15.4) | (17.2) | (16.0) | |
Aortic aneurysm of unspecified site, without mention of rupture (441.6) (171.9) | 1,565 (41.9) | 720 (19.3) | 2,285 (61.2) | 986 (26.4) | 463 (12.4) | 1,449 (38.8) | 2,551 (68.3) | 1,183 (31.7) | 3,734 (100.0) |
(6.6) | (5.8) | (6.3) | (21.9) | (23.0) | (22.2) | (9.1) | (8.2) | (8.8) | |
Total | 23,658 (55.5) | 12,430 (27.2) | 36,088 (84.7) | 4,510 (10.6) | 2,017 (4.7) | 6,527 (15.3) | 28,168 (66.1) | 14,447 (33.9) | 42,615 (100.0) |
(100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | |
AORTIC ANEURYSM AND DISSECTION WITH MENTION OF RUPTURE (ICD-9) (ICD-10). ABSOLUTE NUMBERS (%) | |||||||||
Dissecting (441.0) (171.0) | 8,056 (57.2) | 5,304 (37.7) | 13,360 (94.8) | 456 (3.2) | 272 (1.9) | 728 (5.2) | 8,512 (60.4) | 5,576 (39.6) | 14,088 (100.0) |
(34.1) | (42.7) | (37.0) | (10.1) | (13.5) | (11.2) | (30.2) | (38.6) | (33.1) | |
Ruptured (441.1) (171.1) (441.3) (171.3) (171.5) (441.5) (171.8) | 10,757 (63.3) | 5,074 (29.9) | 15,831 (93.2) | 811 (4.8) | 354 (2.1) | 1,165 (6.9) | 11,568 (68.1) | 5,428 (31.9) | 16,996 (100.0) |
(45.5) | (40.8) | (43.9) | (18.0) | (17.6) | (17.9) | (41.1) | (37.6) | (39.9) | |
Without rupture (441.2) (171.2) (441.4) (171.4) (171.6) (441.6) (171.9) | 4,845 (42.0) | 2,052 (17.8) | 6,897 (59.8) | 3,243 (28.1) | 1,391 (12.1) | 4,634 (40.2) | 8,088 (70.1) | 3,443 (29.9) | 11,531 (100.0) |
(20.5) | (16.5) | (19.1) | (71.9) | (69.0) | (71.0) | (28.7) | (23.8) | (27.1) | |
Total | 23,658 (55.5) | 12,430 (27.2) | 36,088 (84.7) | 4,510 (10.6) | 2,017 (4.7) | 6,527 (15.3) | 28,168 (66.1) | 4,447 (33.9) | 42,615 (100.0) |
(100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | (100.0) | |
AORTIC ANEURYSM AND DISSECTION WITH MENTION OF RUPTURE (ICD-9) (ICD-10), MEAN AGES AT DEATH AND STANDARD DEVIATION (IN YEARS) | |||||||||
Dissecting (441.0) (I71.0) | 61.4 (±13.6) | 65.7 (±14.0) | 63.1 (±13.9) | 63.4 (±14.5) | 66.3 (±14.8) | 64.5 (±14.6) | 61.5 (±13.7) | 65.8 (±14.0) | 63.2 (±14.0) |
Ruptured (441.1) (I71.1) (441.3) (I71.3) (I71.5) (441.5) (I71.8) | 67.4 (±13.2) | 70.2 (±14.1) | 68.3 (±13.5) | 69.6 (±13.0) | 70.9 (±16.0) | 70.0 (±14.0) | 67.6 (±13.2) | 70.2 (±14.2) | 68.4 (±13.6) |
Without rupture (441.2) (I71.2) (441.4) (I71.4) (I71.6) (441.6) (I71.9) | 69.4 (±11.8) | 71.4 (±13.4) | 70.0 (±12.3) | 73.1 (±11.2) | 76.4 (±12.0) | 74.1 (±11.5) | 70.9 (±11.7) | 73.5 (±13.1) | 71.6 (±12.2) |
Total | 65.8 (±13.4) | 68.5 (±14.1) | 66.7 (±13.8) | 71.5 (±12.3) | 74.1 (±13.7) | 72.3 (±12.8) | 66.7 (±13.4) | 69.3 (±14.2) | 67.6 (±13.8) |
AORTIC ANEURYSM AND DISSECTION MORTALITY STUDY PERIODS, MEAN NUMBER OF CAUSES OF DEATH PER DEATH CERTIFICATE AND STANDARD DEVIATION | |||||||||
1985-1995 (ICD-9) | 2.94 (±1.11) | 2.9 (±1.08) | 2.93 (±1.10) | 4.06 (±1.07) | 4.01 (±1.09) | 4.05 (±1.07) | 3.1 (±1.17) | 3.04 (±1.14) | 3.08 (±1.17) |
1996-2009 (ICD-10) | 3.38 (±1.35) | 3.26 (±1.30) | 3.33 (±1.33) | 4.49 (±1.17) | 4.46 (±1.17) | 4.48 (±1.17) | 3.56 (±1.38) | 3.43 (±1.35) | 3.52(±1.37) |