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Years of Life and Productivity Loss Because of Adult Sudden Unexpected Death in the United States

Bibliographic Data

ID9099132
AuthorsMojtaba Mirzaei (0000-0003-2592-9572, Department of Medicine, Division of Cardiology, corresponding author), Golsa Joodi (0000-0002-6371-433X, Department of Medicine, Division of Cardiology, corresponding author), Brittany Bogle (University of North Carolina at Chapel Hill), Brittany M Bogle (0000-0002-0778-6339, University of North Carolina at Chapel Hill), Sarah Chen (0000-0002-9416-8191, Department of Medicine, Division of Cardiology, corresponding author), Ross J Simpson (0000-0001-6938-8435, Department of Medicine, Division of Cardiology, corresponding author)
Year2019
Volume57
Issue7
Pages498-502
Publication date2019-07-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001129
PMID31107395
OpenAlexW2945355240
LanguageEN
Citations received3
References cited21

BACKGROUND: Few studies have evaluated the years of life lost (YLL) and productivity loss due to sudden unexpected death (SUD). The burden of SUD on society is undetermined because of lack of population-based studies and comprehensive adjudication methods. OBJECTIVE: We estimated YLL and productivity loss from SUD in working-age adults and compared it with the leading causes of death in the United States. METHODS: We screened all out of hospital deaths among people aged 20-64 in Wake County, NC from 2013 to 2015 to adjudicate SUDs. We extrapolated Wake County incidence to estimate the age-standardized and sex-standardized rate of SUD in the United States. YLL was calculated based on the remaining life expectancy of the victims. Incorporating market and housekeeping value estimated the present value of lifetime productivity loss because of SUD. RESULTS: SUD incidence rates in the US adults aged 20-64 were 49.3 (95% confidence interval, 41.2-58.3) and 21.7 (95% confidence interval, 16.5-27.8) per 100,000 among men and women, respectively. SUD resulted in the loss of 2 million years of life, accounting for 10.0% of YLL from all causes of death. Among natural causes of death, YLL from SUD was only lower than that from all cancers combined and heart disease. Lifetime productivity loss because of SUD was ~$51 billion, exceeding productivity loss from any individual cancer. CONCLUSION: SUD is an important source of YLL and productivity loss among adults aged 20-64. Such a high burden on society justifies prioritizing health policies and interventions toward preventing SUD

Confidence interval · Environmental health · Incidence (geometry) · Life expectancy · Population · Productivity · Years of potential life lost · Demography · Frailty in Older Adults · Health disparities and outcomes · Insurance, Mortality, Demography, Risk Management · Internal Medicine · Medicine · Gerontology

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Citations per year1
Citation span2023 - 2026 (4)
Highly citedNo

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