Top Causes of Mortality in Over 65 Year Olds Theme: Health and Wellbeing Status Background Information The leading causes of death in the 65 and over population are similar to those in the population as a whole. This information is therefore important in the planning and delivering of health services. Furthermore, many of these conditions are preventable with lifestyle changes and thus by improving knowledge and service provision, health can be improved and life prolonged. Data Mortality data in the 65 and over population was taken from Cumbria PCT’s mortality files for 2008. Cumbria In 2008, there were 2,024 deaths from all causes in the Cumbrian male population aged 65 and over. The greatest number of deaths were due to diseases of the circulatory system (ICD 10 I00X to I99X) accounting for 38.9% of all deaths in this age group. Within this, Ischaemic heart disease (I20-I25) and Cerebrovascular diseases (stroke) (I60-I69) were the biggest killers accounting for 19.0% and 8.7% of all deaths respectively. Circulatory diseases were also the top cause of death in the female population accounting for 40.5% of all deaths (1,033 out of 2,552). Ischaemic heart disease and Cerebrovascular disease (stroke) were also the top circulatory diseases accounting for 14.6% and 13.6% respectively. Districts within Cumbria The same pattern was repeated at district council level with a high level of agreement in the causes of mortality in the over 65 population for 2008 for both males and females. For the male population (Figure 1), over 30% of all deaths in 2008 (in all district councils) were the result of cardiovascular diseases. This varied between districts from 31% in Copeland to 42% in Eden. Copeland is the only district where cardiovascular diseases are not the leading cause of death; neoplasms accounted for 40% of deaths here compared to only 31% for cardiovascular diseases. Circulatory diseases have a higher proportion of all deaths in females than males. They are the leading cause of death in over 65 year olds in all districts, accounting for over 35% of deaths (ranging from 37% in Allerdale to 44% in Eden). Neoplasms account for a smaller proportion of deaths in over 65 year old females (22% Cumbria average) than males (33% Cumbria average). 18 February 2010 1 Figure 1: 2008 Top Group Causes of Mortality in the 65 and Over Male Population 2008 Top Five Group Causes of Mortaliity in the 65 and over Male Population: Percentage of All Causes (Source: Cumbria PCT Deaths Database) 100 90 1.26 5.54 1.93 5.41 4.06 3.82 80 10.83 14.67 32.75 34.36 33.65 35.14 34.37 11.93 2.42 3.63 5.04 3.78 3.02 3.46 2.92 4.25 12.10 11.34 13.17 12.30 30.25 28.73 Percent of all deaths 70 60 50 32.76 39.52 40 30 20 37.28 41.60 41.25 Eden South Lakeland 37.01 30.65 10 0 Allerdale Barrow-in-Furness Diseases of Circulatory System Carlisle Neoplasms Copeland Diseases of Respiratory System Diseases of Digestive System Cumbria Diseases of Nervous System Figure 2: 2008 Top Group Causes of Mortality in the 65 and Over Female Population 2008 Top Five Group Causes of Mortaliity in the 65 and over Female Population: Percentage of All Causes (Source: Cumbria PCT Deaths Database) 100 90 80 4.78 4.60 2.22 5.83 6.37 Percent of all deaths 70 2.86 4.00 5.75 5.96 7.23 11.06 14.56 20.00 21.46 40.28 40.23 42.00 Barrow-in-Furness Carlisle Copeland 5.41 4.12 12.86 16.39 4.39 5.49 10.46 12.66 22.13 22.10 43.83 41.68 40.48 Eden South Lakeland Cumbria 11.16 60 25.14 50 22.51 21.28 40 30 20 36.85 10 0 Allerdale Diseases of Circulatory System 18 February 2010 Neoplasms Diseases of Respiratory System Diseases of Digestive System Diseases of Nervous System 2