Table 5.
Number of deaths and cause specific standardised mortality ratios (SMRs) at one year after hospital admission for all admissions for liver cirrhoses and for alcoholic liver cirrhosis as the principal diagnosis, 1979–98
| Cause of death | ICD-9 code | All admissions for liver cirrhoses | Alcoholic liver cirrhoses as the principal diagnosis* | |||||||
| Alcoholic liver cirrhosis | Other and unspecified alcoholic liver cirrhosis and disease | |||||||||
| No of deaths | SMR | (95% CI) | No of deaths | SMR | (95% CI) | No of deaths | SMR | (95% CI) | ||
| Liver cirrhosis | 571 | 1147 | 1577 | (1488, 1670) | 173 | 2489 | (2132, 2874) | 245 | 1832 | (1608, 2069) |
| All causes except liver cirrhosis | 001–570, 572–999 | 1106 | 8.0 | (7.5, 8.5) | 83 | 8.6 | (6.9, 10.6) | 118 | 7.0 | (5.8, 8.3) |
| Other digestive diseases | 520–570, 572–579 | 177 | 49.8 | (42.7, 57.4) | 24 | 106.3 | (68.0, 153) | 22 | 54.7 | (34.2, 79.9) |
| Infectious diseases | 001–139 | 28 | 51.7 | (34.4, 72.7) | 2 | 48.0 | (4.5, 138) | 3 | 39.2 | (7.4, 96.2) |
| Neoplasms | 140–239 | 280 | 7.9 | (7.0, 8.8) | 9 | 3.2 | (1.5, 5.6) | 16 | 3.2 | (1.8, 4.9) |
| Endocrine disorders | 240–279 | 38 | 20.0 | (14.2, 26.9) | 1 | 7.8 | (0.0, 30.7) | 4 | 17.6 | (4.6, 39.1) |
| Mental disorders | 290–319 | 21 | 10.9 | (6.7, 16.0) | 2 | 21.5 | (2.0, 61.6) | 8 | 47.6 | (20.3, 86.3) |
| Diseases of the circulatory system | 390–459 | 313 | 5.4 | (4.8, 6.0) | 26 | 6.8 | (4.5, 9.7) | 30 | 4.5 | (3.0, 6.2) |
| Ischaemic heart disease | 410–414 | 120 | 4.2 | (3.5, 5.0) | 9 | 4.3 | (1.9, 7.5) | 13 | 3.5 | (1.9, 5.7) |
| Cerebrovascular disease | 430–438 | 98 | 7.2 | (5.8, 8.7) | 10 | 12.4 | (5.9, 21.4) | 7 | 5.0 | (2.0, 9.3) |
| Respiratory diseases | 460–519 | 149 | 9.0 | (7.6, 10.5) | 10 | 10.6 | (5.1, 18.2) | 24 | 14.3 | (9.2, 20.6) |
| Renal diseases | 580–629 | 20 | 12.1 | (7.4, 18.0) | 2 | 21.5 | (2.0, 61.6) | 3 | 18.3 | (3.4, 44.4) |
| Accidents† | 22 | 16.9 | (10.6, 24.7) | 2 | 18.7 | (1.8, 53.5) | 2 | 9.4 | (0.9, 26.9) | |
| Suicide† | 10 | 9.0 | (4.1, 15.8) | 3 | 20.7 | (1.9, 59.2) | 2 | 10.0 | (0.9, 28.6) | |
*A further 59 deaths occurred within one year of hospital admission for alcoholic hepatitis. The SMR for liver cirrhosis as the certified underlying cause of death was 1378 (based on 21 cases), for all causes except liver cirrhosis the SMR was 6.8 (based on 21 cases), for mental disorders the SMR was 60.9 (based on two cases), for accidents the SMR was 36.6 (based on two cases), for cerebrovascular disease the SMR was 3.9 (based on one case), for respiratory diseases the SMR was 10.9 (based on three cases), for neoplasms the SMR was 3.3 (based on three cases), for renal diseases the SMR was 66.1 (based on two cases). There were no deaths from suicide, ischaemic heart disease, or infectious diseases.
†Accidents were determined by coroners’ verdicts of “accidental death”, and suicides by verdicts of “suicide” or “open verdict”.
95% CI, 95% confidence interval.