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. 2024 Nov 19;14(11):e084009. doi: 10.1136/bmjopen-2024-084009

Table 2. Characteristics of patients who died categorised by postdisaster period.

All (n=518*) ≤1 month (n=90) 1–3 months (n=122) 3–6 months (n=110) 6–12 months (n=104) ≥12 months (n=92)
Age 82.69 (14–105; 141.8) 83.60 (55–102; 10.085) 84.69 (41–104; 10.53) 81.63 (14–105; 12.799) 84.34 (49–105; 9.55) 77.40 (14–99; 15.559)
Sex, n (%) male 267 (51.5) 40 (44.0) 54 (44.3) 24 (49.1) 54 (51.9) 65 (70.7)
Number of times evacuated 2.03(0–10; 2.233) 1.03
(0–5; 0.854)
1.82
(0–6; 1.206)
2.41
(0–10; 1.595)
2.38
(0–7; 1.233)
2.90(0–10; 1.862)
Number of times relocated 3.03(0–15; 5.223) 1.34(0–6; 1.232) 2.52(0–8; 1.517) 3.74(0–15; 2.457) 3.91(1–10; 2.039) 4.68(0–15; 2.924)
Post-disaster period (days) 230.6(0–2285; 96236.69) 15.0(0–31; 9.009) 60.16(32–89; 16.546) 362.66(95–2285; 346.88) 257.87(186–364; 52.223) 751(373–2285; 415.224)
Changes after the disaster
 Increased alcohol consumption 5 (1.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (1.0) 4 (4.3)
 Increased disorders such as insomnia 105 (20.3) 3 (3.3) 11 (9.0) 19 (17.3) 32 (30.8) 40 (43.5)
 Worsened mood or depression 243 (46.9) 20 (22.0) 38 (31.1) 53 (48.2) 66 (63.5) 66 (71.7)
 Onset or increased severity of dementia 100 (19.3) 10 (11.0) 15 (12.3) 16 (14.5) 33 (31.7) 26 (28.3)
 Decreased social activities 298 (57.5) 31 (34.1) 58 (47.5) 64 (58.2) 72 (69.2) 73 (79.3)
 Decreased communication skills 207 (40.0) 13 (14.3) 34 (27.9) 40 (36.4) 56 (53.8) 64 (69.6)
Place of death
 Hospital 435 (84.0) 70 (76.9) 105 (86.1) 94 (85.5) 94 (90.4) 72 (78.3)
 Home 30 (5.8) 10 (11.0) 3 (2.5) 4 (3.6) 3 (2.9) 10 (10.9)
 Evacuation destination 7 (1.4) 1 (1.1) 1 (0.8) 3 (2.7) 0 (0.0) 2 (2.2)
 Care facility 36 (6.9) 7 (7.7) 12 (9.8) 6 (5.5) 6 (5.8) 5 (5.4)
 Other 11 (2.1) 3 (3.3) 1 (0.8) 3 (2.7) 1 (1.0) 3 (3.3)
Residential status at the time of the disaster
 Hospital 148 (28.6) 37 (40.7) 38 (31.1) 39 (35.5) 22 (21.2) 12 (13.0)
 Care facility 119 (23.0) 26 (28.6) 42 (34.4) 17 (15.5) 21 (20.2) 13 (14.1)
 Home 252 (48.6) 28 (30.8) 42 (34.4) 54 (49.1) 61 (58.7) 67 (72.8)
Evacuation after the disaster
 Presence 493 (95.2) 75 (82.4) 118 (96.7) 105 (95.5) 103 (99.0) 24 (26.1)
Certified disability at the time of the disaster
 Presence 55 (10.6) 8 (8.8) 9 (7.4) 5 (4.5) 10 (9.6) 23 (25.0)
Certified nursing care at the time of the disaster
 Presence 271 (52.3) 53 (58.2) 76 (62.3) 62 (56.4) 48 (46.2) 32 (34.8)
 Absence 200 (38.6) 30 (33.0) 35 (28.7) 34 (30.9) 48 (46.2) 53 (57.6)
 In the process of applying 1 (0.2) 0 (0.0) 0 (0.0) 0 (0.0) 1 (1.0) 0 (0.0)
 Unknown
Cause of death
 A00–B99 (infectious and parasitic) 10 (1.9) 2 (2.2) 4 (3.3) 1 (0.9) 0 (0.0) 3 (3.3)
 C00–D48 (neoplasms) 80 (15.4) 9 (9.9) 15 (12.3) 18 (16.4) 21 (20.2) 17 (18.5)
 D50–D89 (blood and immune system) 1 (0.2) 0 (0.0) 0 (0.0) 0 (0.0) 1 (1.0) 0 (0.0)
 E00–E90 (endocrine, nutritional and metabolic) 6 (1.2) 0 (0.0) 2 (1.6) 0 (0.0) 3 (2.9) 1 (1.1)
 F00–F99 (mental health and behavioural) 3 (0.6) 1 (1.1) 1 (0.8) 0 (0.0) 1 (1.0) 0 (0.0)
 G00–G99 (nervous system) 3 (0.6) 0 (0.0) 1 (0.8) 1 (0.9) 1 (1.0) 0 (0.0)
 I00–I99 (circulatory system) 144 (27.8) 30 (33.3) 36 (29.5) 28 (25.5) 29 (27.9) 21 (22.8)
 J00–J99 (respiratory system) 130 (25.1) 21 (23.1) 33 (27.0) 34 (30.9) 24 (23.1) 18 (19.6)
 K00–K93 (digestive system) 15 (2.9) 3 (3.3) 6 (4.9) 1 (0.9) 1 (1.0) 4 (4.3)
 L00–L99 (skin and subcutaneous tissue) 1 (0.2) 1 (1.1) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
 M00–M99 (musculoskeletal system and connective tissue) 7 (1.4) 1 (1.1) 3 (2.5) 1 (0.9) 1 (1.0) 1 (1.1)
 N00–N99 (urogenital system) 21 (4.1) 3 (3.3) 5 (4.1) 7 (6.4) 2 (1.9) 4 (4.3)
 R00–R99 (symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified) 69 (13.3) 16 (12.1) 13 (10.7) 14 (12.7) 17 (16.3) 10 (10.9)
 S00–T98 (injury, poisoning and other effects of external causes) 7 (1.4) 1 (1.1) 2 (1.6) 1 (0.9) 1 (1.0) 2 (2.2)
 V01–Y98 (external causes of injury, illness and death) 20 (3.9) 2 (2.2) 1 (0.8) 4 (3.6) 2 (1.9) 11 (12.0)
 X70 (suicide by hanging) 16 (3.1) 1 (1.1) 1 (0.8) 4 (3.6) 1 (1.0) 9 (9.8)
 Disappearance 1 (0.2) 1 (1.1) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Medical history
 A00–B99 (infectious and parasitic) 19 (3.7) 5 (5.5) 2 (1.6) 2 (1.8) 6 (5.8) 4 (4.3)
 C00–D48 (neoplasms) 84 (16.2) 16 (17.6) 19 (15.6) 18 (16.4) 19 (18.3) 12 (13.0)
 D50–D89 (blood and immune system) 21 (4.1) 3 (3.3) 5 (4.1) 7 (6.4) 3 (2.9) 3 (3.3)
 E00–E90 (endocrine, nutritional and metabolic) 104 (20.1) 22 (24.2) 26 (21.3) 18 (16.4) 22 (21.2) 16 (17.4)
 F00–F99 (mental health and behavioural) 140 (27.0) 26 (28.6) 37 (30.3) 21 (19.1) 24 (23.1) 33 (35.9)
 G00–G99 (nervous system) 50 (9.7) 10 (11.0) 12 (9.8) 13 (11.8) 9 (8.7) 6 (6.5)
 H00–H59 (the eye and adnexa) 24 (4.6) 5 (5.5) 8 (6.6) 2 (1.8) 3 (2.9) 7 (7.6)
 H60–H95 (the ear and mastoid process) 3 (0.6) 0 (0.0) 1 (0.8) 1 (0.9) 1 (1.0) 0 (0.0)
 I00–I99 (circulatory system) 305 (58.9) 52 (57.1) 69 (56.6) 66 (60.0) 67 (64.4) 51 (55.4)
 J00–J99 (respiratory system) 76 (14.7) 15 (16.5) 15 (12.3) 20 (18.2) 13 (12.5) 14 (15.2)
 K00–K93 (digestive system) 86 (16.6) 17 (18.7) 14 (11.5) 17 (15.5) 17 (16.3) 21 (22.8)
 L00–L99 (skin and subcutaneous tissue) 5 (1.0) 1 (1.1) 1 (0.8) 3 (2.7) 0 (0.0) 0 (0.0)
 M00–M99 (musculoskeletal system and connective tissue) 47 (9.1) 6 (6.6) 8 (6.6) 6 (5.5) 12 (11.5) 15 (16.3)
 N00–N99 (urogenital system) 72 (13.9) 12 (13.2) 14 (11.5) 22 (20.0) 10 (9.6) 14 (15.2)
 Q00–Q99 (congenital malformations, deformations, and chromosomal abnormalities) 1 (0.2) 0 (0.0) 1 (0.8) 0 (0.0) 0 (0.0) 0 (0.0)
 R00–R99 (symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified) 20 (3.9) 5 (5.5) 1 (0.8) 6 (5.5) 2 (1.9) 6 (6.5)
 S00–T98 (injury, poisoning and other effects of external causes) 51 (9.8) 7 (7.7) 10 (8.2) 10 (9.1) 9 (8.7) 15 (16.3)
 Z00–Z99 (factors influencing health status and contact with health services) 37 (7.1) 6 (6.6) 9 (7.4) 6 (5.5) 6 (5.8) 10 (10.9)
 Excluded 2 (0.4) 1 (1.1) 0 (0.0) 1 (0.9) 0 (0.0) 0 (0.0)

N (%) mean (range; variance).

*

Excluded two individuals, one due to missing data on the interval between the disaster and death and the other due to a lack of essential information.

Excluded two individuals with questionable medical histories.