Associations between chronic diseases and choking deaths among older adults in the USA: a cross-sectional study using multiple cause mortality data from 2009 to 2013

doi:10.1136/bmjopen-2015-009464

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Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/29557

Title:	Associations between chronic diseases and choking deaths among older adults in the USA: a cross-sectional study using multiple cause mortality data from 2009 to 2013
Authors:	Wu, Wen-Shiann Sung, Kuan-Chin Cheng, Tain-Junn Lu, Tsung-Hsueh
Contributors:	藥學系職業安全衛生系(含產業安全衛生與防災碩士班)
Keywords:	Rheumatoid-arthritis Dysphagia Asphyxia France Stroke
Date:	2015
Issue Date:	2016-04-19 19:00:09 (UTC+8)
Publisher:	Bmj Publishing Group
Abstract:	Objectives: To examine whether the strengths of the associations between chronic diseases and overall choking differ from those of the associations between chronic diseases and only food-related choking.Design: This cross-sectional study used nationwide multiple cause mortality files.Setting: The USA.Participants: Older adults aged 65 years or more died between 2009 and 2013.Main outcome measures: Mortality ratio (observed/expected) of number of deaths from both causes (chronic diseases and choking) and 95% CIs.Results: We identified 76543 deaths for which the death certificates report choking (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes W78, W79 and W80 combined) as a cause of death and only 4974 (6.5%) deaths were classified as food-related choking (ICD-10 code W79). Schizophrenia, Parkinson's disease, Alzheimer's disease and oral cancer are four chronic diseases that had significant associations with both overall and food-related choking. Stroke, larynx cancer and mood (affective) disorders had significant associations with overall choking, but not with food-related choking.Conclusions: We suggest using overall choking instead of only food-related choking to better describe the associations between chronic diseases and choking.
Relation:	BMJ Open, v.5 n.11, Article ID e009464
Appears in Collections:	[Dept. of Occupational Safety] Periodical Articles [Dept. of Pharmacy] Periodical Articles

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