Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010

There are limited epilepsy mortality data from developing countries and Latin America in particular. We examined national epilepsy mortality data from Cuba and contrasted them with comparable data from England and Wales. National epilepsy mortality data for Cuba between the years 1987 and 2010 were...

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Main Authors: Suárez-Medina, Ramón, Morales-Chacón, Lilia María, Venero-Fernández, Silvia Josefina, Liu, Clarence, Fogarty, Andrew W., Neligan, Aidan
Format: Article
Published: Elsevier 2018
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Online Access:https://eprints.nottingham.ac.uk/52642/
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author Suárez-Medina, Ramón
Morales-Chacón, Lilia María
Venero-Fernández, Silvia Josefina
Liu, Clarence
Fogarty, Andrew W.
Neligan, Aidan
author_facet Suárez-Medina, Ramón
Morales-Chacón, Lilia María
Venero-Fernández, Silvia Josefina
Liu, Clarence
Fogarty, Andrew W.
Neligan, Aidan
author_sort Suárez-Medina, Ramón
building Nottingham Research Data Repository
collection Online Access
description There are limited epilepsy mortality data from developing countries and Latin America in particular. We examined national epilepsy mortality data from Cuba and contrasted them with comparable data from England and Wales. National epilepsy mortality data for Cuba between the years 1987 and 2010 were obtained from the Medical Records and Health Statistics Bureau of the Cuban Public Health Ministry (www.sld.cu/sitios/dne/) with the corresponding mortality data from England and Wales obtained from the UK Office of National Statistics (ONS, www.ons.gov.uk). Indirect standardization with calculation of a standardized mortality ratio (SMR) was used to compare trends. The overall trend was of a slight decrease in mortality rates over the 23 years in Cuba, with higher mortality rates primarily occurring in young people. Annual age-adjusted rates were consistently lower in Cuba than those seen in England and Wales, with the SMR ranging from 0.35 (95% confidence interval (CI): 0.30 to 0.48) in 2007 to 1.00 (95% CI: 0.85 to 1.15) in 1994. Cuban epilepsy mortality rates are consistently lower than those of England and Wales. Reasons for this disparity in mortality rates are not immediately apparent but are likely to be multifactorial.
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spelling nottingham-526422020-05-04T19:50:34Z https://eprints.nottingham.ac.uk/52642/ Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010 Suárez-Medina, Ramón Morales-Chacón, Lilia María Venero-Fernández, Silvia Josefina Liu, Clarence Fogarty, Andrew W. Neligan, Aidan There are limited epilepsy mortality data from developing countries and Latin America in particular. We examined national epilepsy mortality data from Cuba and contrasted them with comparable data from England and Wales. National epilepsy mortality data for Cuba between the years 1987 and 2010 were obtained from the Medical Records and Health Statistics Bureau of the Cuban Public Health Ministry (www.sld.cu/sitios/dne/) with the corresponding mortality data from England and Wales obtained from the UK Office of National Statistics (ONS, www.ons.gov.uk). Indirect standardization with calculation of a standardized mortality ratio (SMR) was used to compare trends. The overall trend was of a slight decrease in mortality rates over the 23 years in Cuba, with higher mortality rates primarily occurring in young people. Annual age-adjusted rates were consistently lower in Cuba than those seen in England and Wales, with the SMR ranging from 0.35 (95% confidence interval (CI): 0.30 to 0.48) in 2007 to 1.00 (95% CI: 0.85 to 1.15) in 1994. Cuban epilepsy mortality rates are consistently lower than those of England and Wales. Reasons for this disparity in mortality rates are not immediately apparent but are likely to be multifactorial. Elsevier 2018-08 Article PeerReviewed Suárez-Medina, Ramón, Morales-Chacón, Lilia María, Venero-Fernández, Silvia Josefina, Liu, Clarence, Fogarty, Andrew W. and Neligan, Aidan (2018) Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010. Epilepsy & Behavior, 85 . pp. 72-75. ISSN 1525-5050 Epilepsy; Mortality; Trends; Standardised Mortality Ratio (SMR) https://www.sciencedirect.com/science/article/pii/S1525505018300155 doi:10.1016/j.yebeh.2018.04.031 doi:10.1016/j.yebeh.2018.04.031
spellingShingle Epilepsy; Mortality; Trends; Standardised Mortality Ratio (SMR)
Suárez-Medina, Ramón
Morales-Chacón, Lilia María
Venero-Fernández, Silvia Josefina
Liu, Clarence
Fogarty, Andrew W.
Neligan, Aidan
Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title_full Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title_fullStr Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title_full_unstemmed Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title_short Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010
title_sort epilepsy mortality trends in cuba compared with england and wales: 1987–2010
topic Epilepsy; Mortality; Trends; Standardised Mortality Ratio (SMR)
url https://eprints.nottingham.ac.uk/52642/
https://eprints.nottingham.ac.uk/52642/
https://eprints.nottingham.ac.uk/52642/