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Table 1 Characteristics of included studies

From: Herpes zoster-associated mortality in Europe: a systematic review

Study ID [ref]

Country/Dates

Data source

HZ diagnosis

Age (years)

Comorbidity

HZ-associated mortality data available or calculated*

Bilcke 2012 [21]

Belgium/1990-2007

National death certificates

Code for HZ as possible cause of death (no indication of primary or associated) and independent evaluation by 5 experts

≥60

None

Overall incidence

Gonzalez Chiappe 2010 [27]

France/2000-2007

National death certificate database (INSERM CepiDC: http://www.cepidc.inserm.fr/)

ICD-10 codes B020.0-B020.9 as primary or associated cause of death

96.8% of deaths occurred in ≥65

21.6% had ≥1 underlying condition (59.6% malignancies, 12.5% diabetes, 10.9% blood dyscrasias and some immune deficiencies)

Age-specific incidence; disease-specific number of HZ deaths and hospital fatality rate*

Ultsch 2011 [30]

Germany/2007-2008

Federal Health Monitoring database

ICD-10 codes of primary disease

≥50

None

Overall, and age- and gender-specific incidences and hospital fatality rate*

van Lier 2010 [31]

Netherlands/2000-2007

National Statistics (CBS) database

ICD-10 codes B02 and G530 as primary cause of death

92% of deaths in ≥75

None

Number of HZ deaths; incidence of HZ mortality*

de Melker 2006 [23]

Netherlands/1996-2002

National Statistics (CBS) database

ICD-10 code B02 as primary cause of death

97% in ≥60

None

Number of VZV deaths, incidence of HZ mortality*

Mesquita 2013 [28]

Portugal/2000-2010

National Health Hospital Ministry Database

IDC-9 codes 053.10-13, 053.19-22, 053. 29, 053.71, 053.79, 053.8, 053.9 as primary diagnosis at hospital admission

All ages, with 10-year groups from 50 to 99

None

In-hospital fatality rate (not available by gender)

Perez-Sola 2011 [29]

Spain/2000-2006

Registry for drug safety in rheumatic patients treated with anti-TNF (100 Spanish health centres)

Microbiological diagnosis

50 (mean; SD = 14)

Rheumatic diseases treated with TNF antagonists

Number of HZ deaths

Gil 2009 [24]

Spain/1998-2004

National hospital discharge database (CMBD)

ICD-9 code for primary or secondary diagnosis: 0.53, 053.0-053.9

68.3 (SD = 15.5) for hospitalisations

None

Number of HZ deaths; age-specific hospital-mortality incidence; age-specific hospital fatality rate

Gil-Prieto 2011 [26]

Spain/1998-2004

National hospital discharge database (CMBD)

ICD-9 code for primary or secondary diagnosis (053; 053.0-053.9)

>50

60.8% with diabetes, COPD and/or cardiovascular diseases, Exclusion of immunocompromised

Overall, age-specific and disease-specific hospital fatality rate

Gil-Prieto 2012 [25]

Spain/1997-2008

National hospital discharge database (CMBD)

ICD-9-CM code for primary or secondary diagnosis for HZ ophthalmicus HZO 053.2, 053.20-22, 053.29

>50; 50–59; 60–69; >70

25% immunocompromised (all ages)

Number of HZO deaths; HZO overall hospital-fatality rate; HZO age specific hospital-fatality rate

Comorbidities (cardiac chronic diseases, diabetes, COPD, asthma, chronic renal diseases)

Brisson 2003 [22]

England and Wales/1993-2000

Hospitalisation Episode Statistics database (national) & Office for National Statistics (death certificates)

ICD-10 code B02 as primary diagnosis and ICD Code for HZ as cause of death

45-64; 65+

8% with underlying conditions

Number of HZ deaths; Age-specific incidence; hospital-fatality rate

Edmunds 2001 [2]

England and Wales/1998 (1985–94; 1995–1999)

Hospitalisation Episode Statistics database (national) & Office for National Statistics (death certificates)

ICD-10 code B02 in any of the 7 diagnosis fields/ICD-9 code 053 death (no details for primary or associated)

45+; and 5-year sub-groups

None

Age-specific mortality and case fatality rate

  1. *to indicate that these have been calculated.