Articles: mortality.
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To identify to which degree patient-related factors (age, gender, place of residence, general health condition, comorbidity) and hospital-related factors (waiting time for surgery, type of surgery, in-hospital complications, length of stay) may predict 1-year mortality in elderly hip fracture patients in an orthogeriatric unit, to optimize treatment and care. ⋯ Almost one fourth of older hip fracture patients in this unit died within a year. The most important predictor was admittance from nursing home, which was associated with comorbidity and frailty. More attention to patients from nursing homes is needed in the health care system.
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To evaluate the efficacy and safety of low-dose hydrocortisone therapy in patients with septic shock. ⋯ Hydrocortisone cannot be recommended as general adjuvant therapy for septic shock (vasopressor responsive), nor can corticotrophin testing be recommended to determine which patients should receive hydrocortisone therapy.
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To compare mortality patterns for urban Aboriginal adults with those of urban non-Aboriginal adults. ⋯ Results from this study help fill a data gap on mortality information of urban Aboriginal people of Canada.
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Objectives-This report presents preliminary U. S. data on deaths, death rates, life expectancy, leading causes of death, and infant mortality for 2008 by selected characteristics such as age, sex, race, and Hispanic origin. Methods-Data in this report are based on death records comprising more than 99 percent of the demographic and medical files for all deaths in the United States in 2008. ⋯ From 2007 to 2008, age-adjusted death rates decreased significantly for 6 of the 15 leading causes of death: Diseases of heart, Malignant neoplasms, Cerebrovascular diseases, Accidents (unintentional injuries), Diabetes mellitus, andAssault (homicide). From 2007 to 2008, age-adjusted death rates increased significantly for 6 of the 15 leading causes of death: Chronic lower respiratory diseases; Alzheimer's disease; Influenza and pneumonia; Nephritis, nephrotic syndrome and nephrosis; Intentional self-harm (suicide); and Essential hypertension and hypertensive renal disease. Life expectancy decreased by 0.1 year from 77.9 years in 2007 to 77.8 in 2008.
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Social science & medicine · Dec 2010
Are local health department expenditures related to racial disparities in mortality?
This study estimated whether 1990-1997 changes in expenditures per capita of local health departments (LHDs) and percentage share of local public revenue allocated to LHDs were associated inversely with 1990-1997 changes in mortality rates for Black and White racial/ethnic groups in the US. Population was 883 local jurisdictions with 1990 and 1997 mortality rates for Black and White racial populations from the Centers for Disease Control and Prevention Wonder Compressed Mortality File and LHD expenditures from the National Association of County and City Health Officials. ⋯ LHD expenditures or percentage share were related to absolute reductions in mortality for infants, Blacks, and White females but did not close Black-White mortality differences for these groups. Therefore, disparities in Black and White mortality rates for subgroups with the greatest mortality gaps may be more likely to be reduced by public investment in local health departments than disparities in Black and White total, all-cause mortality rates.