Originales
Distribución geográfica y evolución temporal de la mortalidad evitable en Cataluña (1986-2001)
Geographical distribution and time trends in avoidable mortality in Catalonia, Spain [1986-2001]
M. Arán Barésa,
, Rosa Gisperta, Xavier Puiga, Anna Puigdefàbregasa, Ricard Tresserrasb
Autor para correspondencia
tecnicsie.sanitat@gencat.net
Correspondencia: M. Arán Barés Marcano. Servei d’Informació i Estudis. Departament de Salut. Pavelló Ave Maria. Travessera de les Corts, 131-159. 08028 Barcelona. España.
Correspondencia: M. Arán Barés Marcano. Servei d’Informació i Estudis. Departament de Salut. Pavelló Ave Maria. Travessera de les Corts, 131-159. 08028 Barcelona. España.
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Arán Barés Marcano. Servei d’Informació i Estudis. Departament de Salut. Pavelló Ave Maria. Travessera de les Corts, 131-159. 08028 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Geographical distribution and time trends in avoidable mortality in Catalonia, Spain [1986-2001]" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-10-13" "fechaAceptado" => "2005-03-04" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec16914" "palabras" => array:5 [ 0 => "Mortalidad" 1 => "Mortalidad prematura" 2 => "Causa de muerte" 3 => "Análisis áreas pequeñas" 4 => "Indicadores de calidad" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec16915" "palabras" => array:5 [ 0 => "Mortality" 1 => "Premature mortality" 2 => "Cause of death" 3 => "Small-area analysis" 4 => "Quality indicators" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la evolución temporal y la distribución geográfica por sectores sanitarios de la mortalidad evitable en Cataluña</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se analizó la mortalidad evitable según la clasificación utilizada en el Departamento de Salud de Cataluña por sectores sanitarios durante el período 1986-2001 y se agruparon las causas en tratables o prevenibles. Se calcularon las tasas de mortalidad estandarizadas por el método directo e indirecto y la razón de mortalidad comparativa para el grupo de tratables y prevenibles y para los 46 sectores sanitarios. También se calculó el promedio de cambio anual ajustado por edad mediante la regresión de Poisson de la mortalidad evitable y general.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El total de defunciones evitables fue 61.261 (el 7,3% de la mortalidad general). 10.623 (17,34%) se clasificaron como tratables y 50.638 (82,65%) como prevenibles. El promedio de cambio anual para las causas evitables fue del −2,43% (intervalo de confianza [IC] del 95%, −2,60 a −2,26), superior al −1,57% (IC del 95%, −1,61 a −1,52) de la mortalidad general. Las tasas fueron más elevadas para las causas prevenibles que para las tratables, aunque en ambos grupos se apreció un descenso de la mortalidad. El sector sanitario del Segrià destaca por presentar sobremortalidad en los 2 períodos y en los 2 grupos de causas. Cuatro sectores sanitarios presentan un aumento significativo de la mortalidad por causas prevenibles, pero ninguno por causas tratables.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En Cataluña, durante el período 1986-2001 se produce un descenso de la mortalidad evitable, mayor que el de la mortalidad general. La distribución geográfica muestra una gran dispersión, aunque se identifican claramente zonas en las que es necesaria la intervención preventiva.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze time trends and geographical variation in avoidable mortality by health areas in Catalonia.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Avoidable mortality was analyzed according to the classification used by the Health Department of the Regional Government of Catalonia from 1986-2001 for health areas and causes were grouped as treatable and preventable. Standarized mortality rates were calculated by the direct and indirect method and the comparative mortality figures were calculated for the treatable and preventable groups and for the 46 health areas. The mean annual change adjusted for age was also calculated using a Poisson regression of avoidable and general mortality.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The total number of avoidable deaths was 61261 (7.3% of overall deaths). 10623 cases (17.34%) were classified as treatable and 50638 (82.65%) as preventable. The mean annual change for avoidable causes was −2.43% (95% CI, −2.60 to −2.26), higher than the −1.57% (95% CI, −1.61 to −1.52) change for general mortality. The rates were higher for preventable causes than for treatable causes, although mortality decreased in both groups. The health area of Segrià was notable for its significantly higher mortality from both treatable and preventable causes in both periods. Four health areas showed a significant increase in mortality from preventable causes but none showed an increase in mortality from treatable causes.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In Catalonia, the decrease in avoidable mortality was greater than that in general mortality from 1986 to 2001. The geographical distribution shows wide dispersion but allows areas requiring preventive interventions to be identified.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exploración de la mortalidad prematura como guía de política sanitaria e indicador de calidad asistencial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13078028
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