32. From Death Certificates to Mortality Statistics Flashcards
A 59 year male presented to the ED for sharp substernal chest pain radiating to his neck beginning suddenly while eating dinner. He is a frequent patron of Captain Mamocita’s pizza and was just finishing his 3rd X-large pizza of the day. He has a significant history of hypertension but has not seen a doctor in over 10 years. The patient weighs 450 lbs and does not work due to his large size. EKG showed he was actively having a STEMI. Upon entrance to the hospital he was given nitroglycerin and percocet with little relief of pain. Within a few minutes he was in asystole. He was given vasopressin, 3 doses of epinephrine, and died. Which of the following is the immediate cause of death?
A. Cardiac Arrest B. Extreme Love for Pizza C. Hypertension D. STEMI E. Cardiac Artery Disease
SZ
Ans D STEMI
Although extreme love for pizza is probably the cause of this poor man’s fate the immediate cause of death is ST elevated Myocardial Infarct. Cardiac arrest is not be used as a “Cause of Death.”
A hospital’s yearly census reports that in 2017: 45 infants died 25 days after birth, 60 infants died 45 days after birth, and 100 children died before the age of 5. Calculate the Neonatal Mortality Rate for this hospital (assuming 1,000 total births for the year).
A. 0.045
B. 0.06
C. 0.105
D. 0.1
SZ
Ans. A 0.045
Neonatal Mortality Rate is the number of deaths during the first 28 days of life.
45 infants/1,000 total= 0.045
You are looking at the childhood mortality rates of your state. You find that out of the 20,000 children born this past year, 50 have passed away within the year and 20 of those children died under 28 days of life. What is the infant mortality rate for the state? (MG)
A. 50/1000 B. 50/20,000 C. 20/1000 D. 20/20,000 E. 20/50
A. 50/1000
50 deaths in first year of life/1000 live births
You are looking at the childhood mortality rates of your state. You find that out of the 20,000 children born this past year, 50 have passed away within the year and 20 of those children died under 28 days of life. What is the neonatal mortality rate for the state? (MG)
A. 50/1000 B. 50/20,000 C. 20/1000 D. 20/20,000 E. 20/50
C. 20/1000
20 deaths under 28 days of life/1000 live births
Wayne Indiana civic union is auditing their population on trying to improve health and wellness in the population. In their research they find that 540 died from health related causes, 120 died from old age 24 died from car accidents, 6 were murdered, 2 people died from suicide. The census of the population in Jan was 21,000, in June 23,500, and in December 22,700. What was is the Crude death rate for Wayne.
A. 32.95
B.2.94
C.30.48
D. 29.46
RFA
ANS. D 29.45 ,692 people died in total and use the mid year population. 692/23500 x1000= 29.45
A. You used 21,000 Jan pop instead of the mid year pop.
B. You multipled by 100 not 1000
C.You used 22,700 the December Pop not the mid year pop.
Wayne Indiana civic union is auditing their population on trying to improve health and wellness in the population. In their research they find that 540 died from health related causes, 120 died from old age 24 died from car accidents, 6 were murdered, 2 people died from suicide. The census of the population in Jan was 21,000, in June 23,500, and in December 22,700. What is the Proportionate mortality rate for car crashes in Wayne?
A. 1.02
B. 34.68
C. 3.47
D.0.10
RFA
Ans. C 24(car deaths)/ 692(all death) x100= 3.47
A and D you used the total population as the denominator
B. you multiplied by 1000 instead of 100
