Mortalidad prematura y años potenciales de vida perdidos relacionados con el consumo de alcohol en España y en las comunidades autónomas en el año 2004 / Premature death and potential years of life lost due to alcohol consumption in Spain and the different autonomous communities in 2004

ObjetivoAnalizar la mortalidad prematura relacionada con el consumo de alcohol 2004 en España y en las diferentes comunidades autónomas (CC.AA.) españolas.DiseñoSe partió de los datos de las muertes atribuibles al consumo de alcohol en 2004 para España y las distintas CC.AA.; a partir de éstos se calcularon los años potenciales de vida perdidos (APVP) hasta los 70 años para cada categoría diagnóstica, sexo y grupos quinquenales de edad.EmplazamientoEspaña: 17 CC.AA., Ceuta y Melilla.ParticipantesDatos de defunciones según causa de muerte, desagregados por sexo y edad para cada una de las 17 CC.AA., Ceuta y Melilla.Mediciones principalesLos APVP, el porcentaje sobre el total de APVP y la media de APVP por muerte atribuible al consumo de alcohol.ResultadosDurante 2004 se perdieron 118.411 APVP, 4 veces más en varones, y la media por cada muerte atribuible al consumo de alcohol fue de 22,6 años (34,7 años en Ceuta y 20,2 años en Asturias). Las causas agudas (el 68,0% de los APVP) y en particular los accidentes no intencionales (el 47,9% de los APVP) son los que más contribuyen a la mortalidad prematura relacionada con el consumo de alcohol en España y las distintas CC.AA.ConclusionesLa estimación de los APVP pone de manifiesto el elevado impacto del consumo de alcohol en la mortalidad prematura en las CC.AA. españolas. El consumo de alcohol es una causa evitable de mortalidad y deberían adoptarse medidas de prevención para reducir la exposición al consumo, así como para detectar y tratar precozmente los posibles problemas relacionados con el consumo de alcohol(AU)

ObjectiveThe aim of this study is to analyse premature deaths due to alcohol consumption in 2004 in Spain and its different Autonomous Communities.DesignUsing data on deaths that can be attributed to alcohol consumption in 2004 for Spain and its different Autonomous Communities, the Potential Years of Life Lost (PYLL) were calculated up to the age of 70 for each diagnostic category, by sex and 5-year age groups.SettingSpain: 17 Autonomous Communities, Ceuta and Melilla.ParticipantsData on deaths that can be attributed to alcohol consumption in 2004 for Spain and its different Autonomous Communities.MeasurementsThe number of PYLL, the percentage of PYLL, and average PYLL.ResultsDuring 2004, 118,411 PYLL were lost, 4 times higher in males than in females, the average PYLL per death being attributable to alcohol was 22.6 years (ranging from 34.7 in Ceuta and 20.2 in Asturias). Acute causes (68% of the PYLL), and in particular unintentional accidents (47.9 of the PYLL), were the main causes that contributed to premature death related to alcohol consumption in Spain and in each of Spanish Autonomous Communities.ConclusionsThe estimation of the PYLL shows the great impact that alcohol consumption has on the premature death rate in Spain ant the Spanish Autonomous Communities. Given that alcohol consumption is an avoidable cause of death, the adoption of preventive measures aimed at reducing consumption, as well as the early detection and treatment of possible alcohol related problems is vital(AU)

[Premature death and potential years of life lost due to alcohol consumption in Spain and the different autonomous communities in 2004]. / Mortalidad prematura y años potenciales de vida perdidos relacionados con el consumo de alcohol en España y en las comunidades autónomas en el año 2004.

OBJECTIVE: The aim of this study is to analyse premature deaths due to alcohol consumption in 2004 in Spain and its different Autonomous Communities. DESIGN: Using data on deaths that can be attributed to alcohol consumption in 2004 for Spain and its different Autonomous Communities, the Potential Years of Life Lost (PYLL) were calculated up to the age of 70 for each diagnostic category, by sex and 5-year age groups. SETTING: Spain: 17 Autonomous Communities, Ceuta and Melilla. PARTICIPANTS: Data on deaths that can be attributed to alcohol consumption in 2004 for Spain and its different Autonomous Communities. MEASUREMENTS: The number of PYLL, the percentage of PYLL, and average PYLL. RESULTS: During 2004, 118,411 PYLL were lost, 4 times higher in males than in females, the average PYLL per death being attributable to alcohol was 22.6 years (ranging from 34.7 in Ceuta and 20.2 in Asturias). Acute causes (68% of the PYLL), and in particular unintentional accidents (47.9 of the PYLL), were the main causes that contributed to premature death related to alcohol consumption in Spain and in each of Spanish Autonomous Communities. CONCLUSIONS: The estimation of the PYLL shows the great impact that alcohol consumption has on the premature death rate in Spain ant the Spanish Autonomous Communities. Given that alcohol consumption is an avoidable cause of death, the adoption of preventive measures aimed at reducing consumption, as well as the early detection and treatment of possible alcohol related problems is vital.

Differences in alcohol-related mortality between foreign-born and native-born Spaniards.

BACKGROUND: Alcohol consumption is associated with high rates of mortality. This study aimed to analyse mortality attributable to alcohol consumption in foreign-born and native-born Spaniards in 2004 and to determine whether differences existed between these groups. METHODS: The number of deaths attributable to alcohol consumption was calculated by means of the alcohol-attributable fractions devised by the Center for Disease Control and Prevention for calculating mortality rates in the USA. Alcohol-related mortality rates and age-adjusted mortality rates per 100,000 persons (using European standard population) were calculated by gender. RESULTS: The mortality rates attributable to alcohol per 100,000 inhabitants were lower among foreign-born Spaniards (7.0) than native-born Spaniards (16.7). Chronic conditions accounted for only 23.6% of all alcohol-related mortality for foreign-born Spaniards, but 60% for native-born Spaniards. The former were much more likely to suffer unintentional injuries, particularly road traffic accidents, while the latter showed high rates of alcohol-related death for digestive diseases, cardiovascular disorders, intentional injuries and malignant neoplasm. CONCLUSION: Alcohol consumption is an important cause of death among the native-born Spanish population. The observed differences in alcohol-related mortality between native and foreign-born Spaniards should be considered when developing targeted harm reduction policies.

[Alcohol-related mortality and premature death in Spain between 1999 and 2004]. / Mortalidad y mortalidad prematura relacionadas con el consumo de alcohol en España entre 1999 y 2004.

BACKGROUND AND OBJECTIVE: To assess alcohol-related mortality and premature death in Spain between 1999 and 2004. POPULATION AND METHOD: The records of deaths according to cause of death were used, grouped by age, sex and 60 diagnostic categories. The number of deaths attributable to alcohol consumption according to sex and age group, the mortality percentages, rates per 100,000 inhabitants adjusted to the European population standard, and potential years of life lost (PYLL) per alcohol-related death up to the age of 70 were calculated. RESULTS: Alcohol-related mortality adjusted to the European population standard was 2.1%, decreasing from 1999 to 2004. Chronic causes, in general, accounted for 60% of alcohol-related mortality. Digestive system disorders, and in par ticular <>, among chronic disorders, were those conditions with the highest contributing rate. The 9.3% of all PYLL in Spain were attributable to alcohol consumption. Acute disorders (about 70% of the PYLL), were the causes that mainly contributed to premature death related to alcohol consumption, being unintentional accidents the main cause. CONCLUSIONS: Alcohol consumption is an important cause of death and premature death in Spain.

Mortalidad y mortalidad prematura relacionadas con el consumo de alcohol en España entre 1999 y 2004 / Alcohol-related mortality and premature death in Spain between 1999 and 2004

FUNDAMENTO Y OBJETIVO: El propósito del estudioha sido analizar la mortalidad y la mortalidad prematura atribuibles al consumo de alcohol en España entre 1999 y 2004.POBLACIÓN Y MÉTODO: Se han utilizado los datos dedefunciones según causa de muerte, agrupados por edad y sexo, para 60 procesos. Para cada proceso se calcularon, por sexos y grupos quinquenales de edad, el número de muertes atribuibles al consumo de alcohol, los porcentajes, las tasas por 100.000 habitantes ajustadas a la población estándar europea y los años potencialesde vida perdidos (APVP) hasta los 70 años.RESULTADOS: La mortalidad, ajustada a la poblaciónestándar europea, atribuible al consumo de alcohol fue del 2,1% y descendió entre 1999 y 2004. Los procesos crónicos contribuyeron al 60% de la mortalidad. Las enfermedades del aparato digestivo, y en particular «Otras cirrosis», fueron los procesos que más contribuyeron a la mortalidad. El 9,3% de todos los APVP fue atribuible al consumo de alcohol. Los procesosagudos provocaron casi el 70% de estos APVP, ylos accidentes no intencionales fueron la causaprincipal.CONCLUSIONES: El consumo de alcohol es una causaimportante de mortalidad y mortalidad prematuraen España

BACKGROUND AND OBJECTIVE: To assess alcohol-relatedmortality and premature death in Spain between1999 and 2004.POPULATION AND METHOD: The records of deaths accordingto cause of death were used, grouped byage, sex and 60 diagnostic categories. The numberof deaths attributable to alcohol consumptionaccording to sex and age group, the mortalitypercentages, rates per 100,000 inhabitantsadjusted to the European population standard,and potential years of life lost (PYLL) per alcohol-related death up to the age of 70 were calculated.RESULTS: Alcohol-related mortality adjusted to theEuropean population standard was 2.1%, decreasingfrom 1999 to 2004. Chronic causes, in general, accounted for 60% of alcohol-related mortality. Digestive system disorders, and in particular «Liver cirrhosis, unspecified», among chronic disorders, were those conditions with the highest contributing rate. The 9.3% of all PYLL in Spain were attributable to alcohol consumption. Acute disorders (about 70% of the PYLL),were the causes that mainly contributed to prematuredeath related to alcohol consumption, being unintentional accidents the main cause.CONCLUSIONS: Alcohol consumption is an importantcause of death and premature death inSpain

Concentración de consultas por morbilidad en menores de 6 años: Consultorio Dr. J. Symon O., 1997-1999 / Morbidity consultation in children under 6 years old: José Symon Ojeda, MD. clinic, 1997-1999

Se describe una muestra aleatoria de 468 niños de 0 a 5 años bajo control en el consultorio J. Symon Ojeda, del área norte de Santiago, que acudieron por enfermedad a solicitar atención médica y fueron seguidos durante un año. Se determina frecuencia de consultas y diagnósticos por año de edad y sexo. Los "diagnósticos diferentes" en cada niño comprende las distintas enfermedades diagnosticadas en cada uno en 12 meses, no equivalentes a episodios y/o consultas. No se hace distinción entre diagnósticos de afecciones respiratorias altas ni entre dermatológicos. Se calculan percentiles y se analiza con dócimas no paramétricas. La frecuencia de consultas varió entre 1 y 50, la mitad de los niños consultó 5 veces o menos y el 75 por ciento 9 o menos. Un 3, 2 por ciento sobrepasó las 20 atenciones. Promedio 6,7 y DS 5,68. Se identificaron entre 1 y 15 enfermedades en un mismo niño, la mitad presentó 4 o menos y 75 por ciento acumuló a lo más 6. Sólo en 3,8 por ciento se identificó más de 10 diagnósticos. El promedio fue de 4,8 y la DS 3,02. No hay diferencias por sexo. La correlación es positiva entre número de consultas y número de diagnósticos. Los menores de 3 años consultaron más que los de 3 a 5 años. Los índices calculados son más altos que otros publicados, pero estos corresponden a una metodología distinta y más depurada. Se trata del seguimiento de consultantes y no de un cuociente entre consultas y beneficiarios