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. 2020 Jun 5;69(22):670–679. doi: 10.15585/mmwr.mm6922a3

FIGURE.

The figure is a histogram, an epidemiologic curve that shows the number of asthma-COPD overlap deaths and age-adjusted asthma-COPD overlap death rates among decedents aged ≥25 years, by sex, in the United states during 1999–2016.

Number of asthma and chronic obstructive pulmonary disease (COPD) overlap deaths* and age-adjusted asthma-COPD overlap death rates among decedents aged ≥25 years, by sex — United States, 1999–2016

* Decedents with International Classification of Diseases, Tenth Revision codes for asthma: J45.0 (predominantly allergic asthma), J45.1 (nonallergic asthma), J45.8 (mixed asthma), J45.9 (asthma, unspecified), J46 (status asthmaticus); and COPD: J40 (bronchitis, not specified as acute or chronic), J41.0 (simple chronic bronchitis), J41.1 (mucopurulent chronic bronchitis), J41.8 (mixed simple and mucopurulent chronic bronchitis), J42 (unspecified chronic bronchitis), J43.0 (MacLeod's syndrome), J43.1 (panlobular emphysema), J43.2 (centrilobular emphysema), J43.8 (other emphysema), J43.9 (emphysema, unspecified), J44.0 (chronic obstructive pulmonary disease with acute lower respiratory infection), J44.1 (chronic obstructive pulmonary disease with acute exacerbation, unspecified), J44.8 (other specified chronic obstructive pulmonary disease), J44.9 (chronic obstructive pulmonary disease, unspecified) assigned as the underlying cause of death (i.e., the disease or injury which initiated the chain of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury) or as a contributing cause of death.

Age-adjusted death rates per million persons were calculated by applying age-specific death rates to the 2000 U.S. Census standard population age distribution. https://wonder.cdc.gov/wonder/help/mcd.html#Age-AdjustedRates.