Mansoor Taha, Shahid Daniyal, Gupta Kartik, Abramov Dmitry, Virani Salim S, Minhas Abdul Mannan Khan
Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan, USA.
Department of Internal Medicine, Shifa College of Medicine, Islamabad, Pakistan.
Proc (Bayl Univ Med Cent). 2025 Apr 10;38(4):454-459. doi: 10.1080/08998280.2025.2480979. eCollection 2025.
The objective of this study was to investigate the leading underlying causes of death across different locations in the USA from 2015 to 2022.
Data on the leading underlying causes of death in each location of death-including medical outpatient facility or emergency room, medical inpatient facility, medical facility/dead on arrival, decedent's home, hospice facility, and nursing home/long-term care-within the USA in individuals ≥18 years were extracted from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database.
There were 22,236,700 deaths in our studied locations during the study period. Most deaths were in the decedents' homes (34.5%), followed by inpatient medical facilities (31.8%). Malignant neoplasms were the leading cause of death in hospice facilities (32.8%-40.0%) and decedents' homes (25.9%-31.5%), followed by heart disease. Heart disease was the most common cause of death in nursing homes/long-term care facilities (20.0%-23.6%), outpatient or emergency medical facilities (36.5%-44.7%), those dead on arrival at medical facilities (35.4%-40.3%), and inpatient medical facilities (14.3%-20.4%), with COVID-19 becoming the top cause of death in 2020 and 2021 in inpatient medical facilities.
Overall, heart disease and malignant neoplasm were among the top three causes of death in all studied locations in our study period.
本研究的目的是调查2015年至2022年美国不同地区主要的潜在死亡原因。
从疾病控制与预防中心的广泛在线流行病学研究数据(CDC WONDER)数据库中提取美国≥18岁个体在每个死亡地点(包括医疗门诊设施或急诊室、医疗住院设施、医疗设施/到达时死亡、死者家中、临终关怀设施以及养老院/长期护理机构)的主要潜在死亡原因数据。
在研究期间,我们所研究的地点共有22236700例死亡。大多数死亡发生在死者家中(34.5%),其次是住院医疗设施(31.8%)。恶性肿瘤是临终关怀设施(32.8%-40.0%)和死者家中(25.9%-31.5%)的主要死亡原因,其次是心脏病。心脏病是养老院/长期护理机构(20.0%-23.6%)、门诊或急诊医疗设施(36.5%-44.7%)、到达医疗设施时死亡者(35.4%-40.3%)以及住院医疗设施(14.3%-20.4%)中最常见的死亡原因,2020年和2021年,COVID-19成为住院医疗设施中首要的死亡原因。
总体而言,在我们研究期间,心脏病和恶性肿瘤是所有研究地点的三大主要死亡原因。