Background
Methods
Results
Cause of death
Variable | Category | All CCCs | CCC categories | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cancer | Neuromuscular | Cardiovascular | Respiratory | Renal | Gastrointestinal | Haem. & Immun. | Metabolic | Other | |||
N(%) | 10,571(100) | 2811(26.6) | 2128(20.1) | 2600(24.6) | 419(4.0) | 195(1.8) | 242(2.3) | 181(1.7) | 284(2.7) | 1711(16.2) | |
Gender | Male | 5814(55.0) | 1558(55.4) | 1153(54.2) | 1433(55.1) | 249(59.4) | 128(65.6) | 137(56.6) | 111(61.3) | 147(51.8) | 898(52.5) |
Female | 4756(45.0) | 1253(44.6) | 975(45.8) | 1167(44.9) | 170(40.6) | 67(34.4) | 105(43.4) | 70(38.7) | 137(48.2) | 812(47.5) | |
Nationality | Portuguese | 7078(67.0) | 2111(75.1) | 1475(69.3) | 1761(67.7) | 286(68.3) | 97(49.7) | 178(73.6) | 139(76.8) | 199(70.1) | 832(48.6) |
Other | 2102(19.9) | 697(24.8) | 414(19.5) | 492(18.9) | 94(22.4) | 15(7.7) | 26(10.7) | 42(23.2) | 85(29.9) | 237(13.9) | |
Missing | 1391(13.2) | 3(0.1) | 239(11.2) | 347(13.3) | 39(9.3) | 83(42.6) | 38(15.7) | 0(0.0) | 0(0.0) | 642(37.5) | |
Age of death | Median, years (IQR) | 0.94 (0.04–8.94) | 9.86 (5.16–14.73) | 2.00 (0.14–10.89) | 0.18 (0.02–0.96) | 0.12 (0.00–0.64) | 0.00 (0.00–0.21) | 0.22 (0.03–1.20) | 2.17 (0.65–10.77) | 1.78 (0.25–7.94) | 0.01 (0.00–0.25) |
0–27 days | 3055(28.9) | 20(0.7) | 449(21.1) | 1005(38.7) | 193(46.1) | 135(69.2) | 88(36.4) | 0(0.0) | 38(13.4) | 1127(65.9) | |
28–364 days | 2289(21.7) | 111(3.9) | 457(21.5) | 961(37.0) | 138(32.9) | 22(11.3) | 87(36.0) | 67(37.0) | 91(32.0) | 355(20.7) | |
1–5 years | 1855(17.5) | 708(25.2) | 405(19.0) | 413(15.9) | 30(7.2) | 17(8.7) | 38(15.7) | 49(27.1) | 71(25.0) | 124(7.2) | |
6–10 years | 1259(11.9) | 733(26.1) | 290(13.6) | 102(3.9) | 18(4.3) | 3(1.5) | 13(5.4) | 21(11.6) | 34(12.0) | 45(2.6) | |
11–14 years | 1046(9.9) | 586(20.8) | 280(13.2) | 64(2.5) | 21(5.0) | 11(5.6) | 9(3.7) | 13(7.2) | 30(10.6) | 32(1.9) | |
15–17 years | 1067(10.1) | 653(23.2) | 247(11.6) | 55(2.1) | 19(4.5) | 7(3.6) | 7(2.9) | 31(17.1) | 20(7.0) | 28(1.6) | |
<1 year | 5344(50.6) | 131(4.7) | 906(42.6) | 1966(75.6) | 331(79.0) | 157(80.5) | 175(72.3) | 67(37.0) | 129(45.4) | 1482(86.6) | |
≥1 year | 5227(49.4) | 2680(95.3) | 1222(57.4) | 634(24.4) | 88(21.0) | 38(19.5) | 67(27.7) | 114(63.0) | 155(54.6) | 229(13.4) | |
Place of death | Home | 2052(19.4) | 794(28.2) | 623(29.3) | 333(12.8) | 21(5.0) | 24(12.3) | 23(9.5) | 21(11.6) | 55(19.4) | 158(9.2) |
Hospital | 8383(79.3) | 1997(71.0) | 1452(68.2) | 2230(85.8) | 397(94.7) | 171(87.7) | 218(90.1) | 159(87.8) | 226(79.6) | 1533(89.6) | |
Other | 136(1.3) | 20(0.7) | 53(2.5) | 37(1.4) | 1(0.2) | 0(0.0) | 1(0.4) | 1(0.6) | 3(1.1) | 20(1.2) |
Place of death
Home death in complex chronic conditions
Variable | Category | Home death | Unadjusted odds ratios for home death | Adjusted odds ratios for home deatha
| |||
---|---|---|---|---|---|---|---|
% | N | OR | 95% CI | AOR | 95% CI | ||
Year of death | 1987 | 35.6 | 767 | 1 | 1 | ||
Successive years | NA | NA | 0.92 | 0.91–0.93 | 0.89 | 0.89–0.90 | |
Age | 0–27 days | 3.3 | 3039 | 1 | 1 | ||
28–364 days | 18.2 | 2259 | 6.48 | 5.17–8.11 | 8.67 | 6.81–11.04 | |
1–5 years | 27.2 | 1818 | 10.70 | 8.56–13.38 | 14.26 | 11.11–18.31 | |
6–10 years | 34.8 | 1236 | 15.17 | 12.05–19.09 | 21.46 | 16.42–28.04 | |
11–14 years | 30.4 | 1032 | 12.55 | 9.86–15.92 | 16.23 | 12.34–21.34 | |
15–17 years | 27.9 | 1056 | 11.18 | 8.80–14.20 | 14.99 | 11.35–19.79 | |
Cause of death | Cancer | 29.0 | 2739 | 1 | 1 | ||
Neuromuscular | 29.3 | 2116 | 1.05 | 0.93–1.19 | 1.59 | 1.37–1.84 | |
Cardiovascular | 12.9 | 2569 | 0.37 | 0.32–0.43 | 0.67 | 0.56–0.81 | |
Respiratory | 5.0 | 418 | 0.13 | 0.09–0.21 | 0.29 | 0.18–0.47 | |
Renal | 12.3 | 195 | 0.36 | 0.23–0.55 | 1.15 | 0.68–1.94 | |
Gastro-intestinal | 9.7 | 237 | 0.27 | 0.17–0.41 | 0.40 | 0.24–0.64 | |
Haematology & Immunodeficiency | 11.7 | 18 | 0.33 | 0.21–0.53 | 0.59 | 0.36–0.98 | |
Metabolic | 19.4 | 283 | 0.61 | 0.45–0.83 | 0.88 | 0.62–1.24 | |
Other congenital & genetic | 9.3 | 1703 | 0.26 | 0.22–0.31 | 0.87 | 0.69–1.09 | |
Semester of death | Spring-summer | 18.1 | 4977 | 1 | 1 | ||
Autumn-winter | 21.0 | 5463 | 1.19 | 1.08–1.31 | 1.18 | 1.05–1.32 | |
Sub-region | Greater Lisbon | 8.7 | 1916 | 1 | 1 | ||
Minho-Lima | 27.5 | 240 | 4.00 | 2.89–5.53 | 4.46 | 3.10–6.41 | |
Cávado | 22.4 | 478 | 3.04 | 2.33–3.97 | 3.66 | 2.73–4.91 | |
Ave | 22.0 | 563 | 2.98 | 2.31–3.84 | 3.31 | 2.50–4.37 | |
Greater Porto | 19.1 | 1221 | 2.49 | 2.01–3.08 | 2.91 | 2.31–3.67 | |
Tâmega | 27.8 | 709 | 4.06 | 3.23–5.10 | 5.34 | 4.14–6.87 | |
Entre Douro e Vouga | 25.4 | 276 | 3.58 | 2.62–4.91 | 4.43 | 3.13–6.26 | |
Douro | 38.9 | 262 | 6.72 | 5.00–9.03 | 7.60 | 5.44–10.62 | |
Alto Trás os Montes | 36.1 | 241 | 5.96 | 4.38–8.10 | 6.85 | 4.81–9.77 | |
Baixo Vouga | 27.0 | 370 | 3.91 | 2.95–5.16 | 4.13 | 3.04–5.62 | |
Baixo Mondego | 30.5 | 272 | 4.63 | 3.42–6.27 | 5.08 | 3.62–7.14 | |
Pinhal Litoral | 31.2 | 215 | 4.77 | 3.43–6.64 | 5.45 | 3.76–7.88 | |
Pinhal Interior Norte | 40.8 | 120 | 7.28 | 4.89–10.83 | 8.72 | 5.51–13.79 | |
Dão-Lafões | 31.6 | 304 | 4.87 | 3.64–6.50 | 5.76 | 4.16–7.97 | |
Pinhal Interior Sul | 28.6 | 35 | 4.22 | 1.99–8.93 | 4.05 | 1.76–9.30 | |
Serra da Estrela | 58.5 | 53 | 14.86 | 8.41–26.24 | 24.00 | 11.80–48.80 | |
Beira Interior Norte | 35.2 | 105 | 5.74 | 3.73–8.83 | 6.43 | 3.93–10.50 | |
Beira Interior Sul | 25.8 | 62 | 3.67 | 2.03–6.62 | 4.25 | 2.14–8.45 | |
Cova da Beira | 30.8 | 78 | 4.69 | 2.82–7.78 | 4.85 | 2.71–8.67 | |
Oeste | 15.7 | 281 | 1.96 | 1.37–2.80 | 1.98 | 1.34–2.91 | |
Médio Tejo | 24.3 | 251 | 3.39 | 2.44–4.71 | 3.25 | 2.26–4.67 | |
Península de Setúbal | 10.0 | 607 | 1.18 | 0.87–1.60 | 1.08 | 0.78–1.50 | |
Lezíria do Tejo | 13.4 | 164 | 1.63 | 1.01–2.63 | 1.49 | 0.89–2.48 | |
Alentejo Litoral | 5.1 | 78 | 0.57 | 0.21–1.58 | 0.57 | 0.20–1.64 | |
Alto Alentejo | 13.3 | 113 | 1.61 | 0.92–2.84 | 1.50 | 0.81–2.75 | |
Alentejo Central | 19.4 | 134 | 2.54 | 1.61–4.01 | 2.79 | 1.68–4.63 | |
Baixo Alentejo | 18.0 | 128 | 2.31 | 1.43–3.73 | 2.05 | 1.23–3.43 | |
Algarve | 6.2 | 372 | 0.70 | 0.44–1.09 | 0.77 | 0.48–1.23 | |
Azores | 14.8 | 413 | 1.83 | 1.33–2.50 | 1.90 | 1.35–2.67 | |
Madeira | 10.8 | 379 | 1.28 | 0.89–1.84 | 1.27 | 0.87–1.87 |
Variable | Category | <1 year-olds | 1–17 year-olds | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HD | OR for HD | AOR for HDa
| HD | OR for HD | AOR for HDb
| ||||||||
% | N | OR | 95%CI | AOR | 95%CI | % | N | OR | 95%CI | AOR | 95%CI | ||
Year of death | 1987 | 21.7 | 433 | 1 | 1 | 53.6 | 334 | 1 | 1 | ||||
Successive years | NA | 0.88 | 0.86–0.90 | 0.86 | 0.84–0.88 | NA | 0.91 | 0.90–0.92 | 0.90 | 0.89–0.91 | |||
Age bands | 0–27 days | 3.3 | 3039 | 1 | 1 | ||||||||
28–364 days | 18.2 | 2259 | 6.48 | 5.17–8.11 | 8.53 | 6.64–10.97 | |||||||
1–5 years | 27.2 | 1818 | 1 | 1 | |||||||||
6–10 years | 34.8 | 1236 | 1.42 | 1.21–1.66 | 1.45 | 1.22–1.74 | |||||||
11–14 years | 30.4 | 1032 | 1.17 | 0.99–1.39 | 1.10 | 0.91–1.32 | |||||||
15–17 years | 27.9 | 1056 | 1.04 | 0.88–1.24 | 1.01 | 0.84–1.23 | |||||||
Cause of death | Cancer | 20.3 | 128 | 1 | 1 | 29.4 | 2611 | 1 | 1 | ||||
Neuromuscular | 15.7 | 898 | 0.72 | 0.46–1.14 | 0.95 | 0.56–1.59 | 39.2 | 1218 | 1.61 | 1.40–1.86 | 1.70 | 1.45–2.00 | |
Cardiovascular | 11.0 | 1943 | 0.47 | 0.30–0.74 | 0.59 | 0.36–0.98 | 19.0 | 626 | 0.58 | 0.46–0.72 | 0.50 | 0.39–0.63 | |
Respiratory | 3.3 | 330 | 0.13 | 0.06–0.28 | 0.19 | 0.09–0.42 | 11.4 | 88 | 0.32 | 0.17–0.62 | 0.31 | 0.15–0.62 | |
Renal | 6.4 | 157 | 0.26 | 0.12–0.57 | 0.88 | 0.37–2.04 | 36.8 | 38 | 1.46 | 0.75–2.83 | 1.13 | 0.55–2.33 | |
Gastrointestinal | 5.2 | 172 | 0.21 | 0.09–0.46 | 0.19 | 0.08–0.45 | 21.5 | 65 | 0.66 | 0.36–1.19 | 0.56 | 0.30–1.08 | |
Haem. & Imunn. | 7.5 | 67 | 0.31 | 0.11–0.85 | 0.42 | 0.14–1.24 | 14.2 | 113 | 0.41 | 0.24–0.70 | 0.60 | 0.33–1.06 | |
Metabolic | 7.0 | 129 | 0.29 | 0.13–0.64 | 0.39 | 0.16–0.93 | 29.9 | 154 | 1.05 | 0.74–1.50 | 1.09 | 0.74–1.61 | |
Other | 6.0 | 1474 | 0.24 | 0.15–0.39 | 0.52 | 0.30–0.89 | 30.6 | 229 | 1.10 | 0.82–1.47 | 1.17 | 0.85–1.62 | |
Semester of death | April–September | 8.3 | 2592 | 1 | 1 | ||||||||
October–March | 11.0 | 2706 | 1.36 | 1.13–1.63 | 1.41 | 1.15–1.74 | |||||||
Population density | 5th quintile | 6.1 | 2654 | 1 | 1 | ||||||||
4th quintile | 13.3 | 1079 | 2.37 | 1.87–3.00 | 1.76 | 1.33–2.33 | |||||||
3rd quintile | 10.4 | 857 | 1.78 | 1.36–2.34 | 1.60 | 1.18–2.18 | |||||||
2nd quintile | 21.3 | 446 | 4.16 | 3.16–5.49 | 3.15 | 2.26–4.39 | |||||||
1st quintile | 8.4 | 262 | 1.41 | 0.89–2.24 | 1.10 | 0.66–1.85 | |||||||
Bed Ratio | Above average | 3.5 | 1664 | 1 | 1 | ||||||||
Below average | 12.5 | 3634 | 3.87 | 2.93–5.12 | 2.99 | 2.17–4.13 | |||||||
Sub-region | Greater Lisbon | 14.6 | 954 | 1 | 1 | ||||||||
Minho-Lima | 42.0 | 112 | 4.24 | 2.80–6.43 | 3.98 | 2.56–6.17 | |||||||
Cávado | 37.0 | 211 | 3.44 | 2.47–4.79 | 3.62 | 2.54–5.15 | |||||||
Ave | 32.1 | 262 | 2.77 | 2.02–3.79 | 2.76 | 1.98–3.85 | |||||||
Greater Porto | 33.2 | 555 | 2.91 | 2.26–3.74 | 3.06 | 2.35–3.99 | |||||||
Tâmega | 41.5 | 325 | 4.17 | 3.13–5.54 | 4.68 | 3.46–6.34 | |||||||
Entre Douro e Vouga | 42.6 | 129 | 4.36 | 2.94–6.45 | 5.03 | 3.32–7.62 | |||||||
Douro | 48.6 | 138 | 5.53 | 3.79–8.08 | 5.19 | 3.47–7.76 | |||||||
Alto Trás os Montes | 50.8 | 122 | 6.06 | 4.07–9.02 | 5.49 | 3.59–8.41 | |||||||
Baixo Vouga | 41.5 | 195 | 4.17 | 2.96–5.84 | 4.05 | 2.84–5.78 | |||||||
Baixo Mondego | 42.6 | 148 | 4.35 | 3.00–6.31 | 4.26 | 2.87–6.32 | |||||||
Pinhal Litoral | 41.8 | 122 | 4.21 | 2.82–6.30 | 4.53 | 2.96–6.94 | |||||||
Pinhal Interior Norte | 58.8 | 68 | 8.38 | 5.00–14.02 | 9.60 | 5.50–16.77 | |||||||
Dão-Lafões | 42.3 | 149 | 4.30 | 2.96–6.23 | 4.15 | 2.80–6.16 | |||||||
Pinhal Interior Sul | 31.8 | 22 | 2.74 | 1.10–6.83 | 3.05 | 1.16–7.97 | |||||||
Serra da Estrela | 76.9 | 26 | 19.54 | 7.71–49.63 | 18.44 | 6.95–48.91 | |||||||
Beira Interior Norte | 50.0 | 58 | 5.86 | 3.40–10.11 | 6.24 | 3.48–11.18 | |||||||
Beira Interior Sul | 41.9 | 31 | 4.24 | 2.03–8.84 | 3.69 | 1.68–8.10 | |||||||
Cova da Beira | 42.9 | 35 | 4.40 | 2.20–8.80 | 3.62 | 1.73–7.60 | |||||||
Oeste | 21.8 | 147 | 1.63 | 1.06–2.51 | 1.60 | 1.02–2.51 | |||||||
Médio Tejo | 37.8 | 143 | 3.56 | 2.43–5.28 | 3.43 | 2.29–5.13 | |||||||
Península de Setúbal | 15.9 | 328 | 1.11 | 0.78–1.56 | 1.07 | 0.74–1.53 | |||||||
Lezíria do Tejo | 17.2 | 87 | 1.22 | 0.68–2.19 | 1.21 | 0.66–2.23 | |||||||
Alentejo Litoral | 12.1 | 33 | 0.81 | 0.28–2.34 | 0.72 | 0.24–2.16 | |||||||
Alto Alentejo | 19.7 | 61 | 1.44 | 0.75–2.77 | 1.18 | 0.60–2.33 | |||||||
Alentejo Central | 27.5 | 69 | 2.23 | 1.28–3.89 | 2.14 | 1.19–3.86 | |||||||
Baixo Alentejo | 23.6 | 72 | 1.81 | 1.02–3.21 | 1.73 | 0.95–3.15 | |||||||
Algarve | 9.9 | 171 | 0.65 | 0.38–1.10 | 0.64 | 0.37–1.10 | |||||||
Azores | 24.1 | 191 | 1.86 | 1.28–2.71 | 1.72 | 1.16–2.57 | |||||||
Madeira | 18.5 | 178 | 1.33 | 0.88–2.03 | 1.22 | 0.79–1.89 |