对2022年1月至12月期间特立尼达圣帕特里克县社区死亡进行回顾性横断面分析

IF 1.2 4区医学 Q3 MEDICINE, LEGAL

Journal of forensic and legal medicine Pub Date : 2025-03-27 DOI:10.1016/j.jflm.2025.102850

Sara Archee , Cherisse Ratiram , Nalini D. Maharaj

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引用次数: 0

摘要

方法从圣帕特里克县社区死亡登记处获取社区死亡数据，并对 2022 年 1 月至 12 月的一年内的数据进行分析，以研究人口特征、死亡方式以及传染病和非传染病的流行趋势。社区死亡病例的年龄和性别分布与全国死亡率数据相似，男性（59.1%）和60岁及以上者（77.2%）死亡较多。30.5%的社区死亡病例要求进行尸检，这与以往的地区尸检率相当。大多数社区死亡（91.5%）的死亡方式被归类为自然死亡。非自然死亡的比例（8.5%）与以往的全国死亡率数据一致。传染病的流行趋势与特立尼达和多巴哥与 COVID-19 相关的全国死亡趋势一致，2022 年 1 月的死亡人数最多，随着时间的推移，死亡人数逐渐减少。与 25.8% 和 11.7% 的全国发病率相比，非传染性疾病的发病率有所上升，特别是高血压（44.4%）和糖尿病（32.5%）。然而，我们的研究结果表明，特立尼达和多巴哥的凶杀率不断上升、非传染性疾病（尤其是高血压和糖尿病）发病率增加以及 COVID-19 死亡人数呈下降趋势，都对社区死亡人数产生了影响。建议包括改进社区死亡报告，加强公共医疗保健系统中的生命终结/姑息治疗服务，以及改进非传染性疾病的预防和控制。

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A retrospective cross-sectional analysis of community deaths in County St. Patrick Trinidad over a one-year period from January to December 2022

Objective

To analyse the trends in community deaths in County St. Patrick in South-West Trinidad for a period of one year from January 1, 2022–December 31, 2022.

Methods

The community deaths were obtained from the County St. Patrick Community Mortality Registry and analysed for a period of one year from January to December 2022 to examine trends in demographic characteristics, manner of death and prevalence of communicable and non-communicable diseases.

Results

There were 597 community deaths recorded for the period January to December 2022 in County St. Patrick Trinidad. The age and sex distribution of community deaths followed a similar distribution to national mortality data with more deaths occurring in males (59.1 %) and persons aged 60 years and older (77.2 %). Post-mortem examinations were requested in 30.5 % of community deaths which is comparable to previous regional post-mortem rates. The majority (91.5 %) of community deaths were classified by manner of death as natural. The proportion of unnatural deaths (8.5 %) was consistent with previous national mortality data. The trend of the prevalence of communicable diseases followed the national mortality trend of COVID-19 related deaths in Trinidad and Tobago, with the highest number of deaths occurring in January 2022 and decreased as the year progressed. There was an increased prevalence of non-communicable diseases particularly hypertension (44.4 %) and diabetes (32.5 %) in community deaths when compared to the national prevalence of 25.8 % and 11.7 % respectively.

Conclusion

The community deaths in County St. Patrick over a one-year period from January to December 2022 followed similar national and global trends such as age and gender. However, our results revealed the impact of the increasing homicide rate in Trinidad and Tobago, increased prevalence of NCDs specifically hypertension and diabetes, and decreasing trend in COVID-19 deaths. Recommendations include to improve the reporting of community deaths, strengthen end of life/palliative care services in the public health care system and improving the prevention and control of NCDs.

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来源期刊

Journal of forensic and legal medicine MEDICINE, LEGAL-

CiteScore

2.70

自引率

6.70%

发文量

106

审稿时长

57 days

期刊介绍： The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.