School of Medicine University of Belgrade, Internal Medicine Department, Belgrade, Serbia.
Respir Med. 2011 Oct;105 Suppl 1:S50-3. doi: 10.1016/S0954-6111(11)70011-7.
The asthma mortality pattern differs among countries. No published evidence is currently available on asthma mortality in a European low-middle-income country in socioeconomic transition. We analyzed the trend of asthma mortality rate in Serbia during the period 1980-2009.
a descriptive study; source of data: Republic of Serbia Institute of Statistics Death Registry. We analyzed asthma mortality data in the total population, including gender specific analysis, and in the selected ≥ 5-34 year age group. The International Classification of Diseases codes for asthma 493 (1980-1996) and J45 + J46 (1997-2009) were included. Population estimates were based on 1991 and 2002 census data, with extrapolation.
The over-all average mortality rate was 7.27 ± 2.14/100,000 inhabitants. The mortality rate peaked in 1981 at 11.3/100,000 but was 4.45/100,000 in the last year of analysis. While both overall mortality rate, as well as gender specific rates, showed clear decreases over the observed 30-year period (average absolute annual decrease of 0.195/100,000 inhabitants, 0.241/100,000 men and 0.149/100,000 women; p < 0.001) with corresponding relative annual decreases of 2.9% for the whole population, 3.0% for men and 2.8% for women, a stable trend of the rate was found in the age group ≥ 5-34 years. Male-to-female ratio was 1.59 ± 0.186, on average and it showed a stable trend over the observed period.
Although the failure of the health care system during the socioeconomic crisis of the 1990s might have transiently affected asthma mortality rates, the overall mortality rate for the disease shows a favorable decreasing trend.
哮喘死亡率的模式在不同国家有所不同。目前尚无关于处于社会经济转型期的欧洲中低收入国家哮喘死亡率的发表证据。我们分析了 1980-2009 年期间塞尔维亚哮喘死亡率的趋势。
描述性研究；数据来源：塞尔维亚共和国统计局死亡登记处。我们分析了总人口中的哮喘死亡率数据，包括性别特异性分析，以及选定的≥5-34 岁年龄组。包括国际疾病分类代码 493（1980-1996 年）和 J45 + J46（1997-2009 年）的哮喘死亡率数据。人口估计数基于 1991 年和 2002 年的人口普查数据，并进行了外推。
总体平均死亡率为 7.27 ± 2.14/100,000 居民。死亡率在 1981 年达到峰值，为 11.3/100,000，但在分析的最后一年降至 4.45/100,000。尽管在观察的 30 年期间，总体死亡率以及性别特异性死亡率均呈明显下降趋势（观察到的每年绝对下降率为 0.195/100,000 居民，男性为 0.241/100,000，女性为 0.149/100,000；p<0.001），相应的年相对下降率为 2.9%（总人口）、3.0%（男性）和 2.8%（女性），≥5-34 岁年龄组的死亡率呈稳定趋势。男女比例为 1.59 ± 0.186，在观察期间呈稳定趋势。
尽管 20 世纪 90 年代社会经济危机期间医疗保健系统的失败可能会暂时影响哮喘死亡率，但该疾病的总体死亡率呈下降趋势。
