Rodríguez Ortiz de Salazar B, Rodríguez Artalejo F, Fuentes Leal C, Sánchez Payá J, de la Fuente de Hoz L, del Rey Calero J
Dirección de Atención Primaria, Area de Salud 3, INSALUD, Madrid.
Rev Sanid Hig Publica (Madr). 1993 Sep-Oct;67(5):401-9.
Deaths by acute reaction from drugs consumption (RAD) particularly heroine or cocaine, collected in routine morality statistics, have not changed substantially during the last ten years, whereas an specific collection system (State Information System on Drug-Abuse SISD) presented a great increase. For this reason, we try to measure the validity of drug-related deaths certificate.
The cause of death, corresponding to the persons, from 15 to 39 years of age, decreased in 1988 and residing in the Municipality of Madrid, registered in the Civil Register Decease Book and in the death Statistics Bulletins (DSB) was compared with the cause present in the autopsy report.
A detection rate of 2.45% for the CR and 3.27% for the DSB were obtained. With the consequent correction, the RAD for this age group would be the second cause of mortality in the Municipality of Madrid and deaths related to circulatory and respiratory system would decrease in a great measure.
It is necessary to improve substantially the collection of this cause of death in mortality statistics if we want a correct measurement of drug abuse lethal effects and the effectiveness of control programmes on this health problem.
在常规死亡率统计中，因药物使用（尤其是海洛因或可卡因）急性反应导致的死亡（RAD）在过去十年中没有显著变化，而一个特定的收集系统（国家药物滥用信息系统SISD）显示此类死亡人数大幅增加。因此，我们试图衡量与药物相关的死亡证明的有效性。
将1988年居住在马德里市、年龄在15至39岁之间、登记在民事登记死亡簿和死亡统计公告（DSB）中的人员的死因，与尸检报告中的死因进行比较。
民事登记的检出率为2.45%，死亡统计公告的检出率为3.27%。经过相应修正后，该年龄组的药物使用急性反应死亡将成为马德里市的第二大死亡原因，与循环系统和呼吸系统相关的死亡将大幅减少。
如果我们想正确衡量药物滥用的致命影响以及针对这一健康问题的控制方案的有效性，就必须大幅改进死亡率统计中此类死亡原因的收集工作。
