P3413Preventable premature CVD mortality and mortality trends in eight Northern Dimension partnership countries

Abstract

Abstract Background In 2016 an EU-funded international study of premature deaths and their causes in eight Northern Dimension (ND) partnership and associated countries (Belarus, Estonia, Germany, Finland, Latvia, Lithuania, Poland and Sweden) was conducted. Purpose The aim of the study was to examine the present situation and 10-year trends of preventable premature loss of life in countries sharing the same geographical area, but having considerable differences in history and social and economic development. Methods Potential Years of Life Lost (PYLL) is a method to examine premature avoidable mortality which combines the number of deaths with the age of dying. Based on the WHO definition on premature mortality, CVD deaths (ICD codes I00-I425, I427-I99) before the age of 70 years were considered premature. Age-standardized PYLL-rates per 100,000 person years were calculated in 2003, 2009 and 2013 based on the official mortality statistics of each country. Results Premature CVD mortality and mortality trends varied largely between the participating countries. In 2013, premature CVD mortality was highest in Belarus and lowest in Sweden. Largest relative decrease from 2003 to 2013 was observed in Estonia and smallest in Lithuania. Years of life lost due to premature CVD mortality per 100,000. Country Men 2013 Women 2013 Men and women 2003 Men and women 2013 Relative reduction 2003–2013 Belarus 3235 922 2884 1978 −31% Estonia 1509 444 1607 939 −42% Finland 716 220 681 467 −31% Germany 618 254 638 435 −32% Latvia 2532 633 2158 1512 −30% Lithuania 2442 649 1616 1477 −9% Poland 1482 436 1182 945 −20% Sweden 485 202 462 345 −25% Conclusions Enormous health gain can be achieved by effectively applying evidence-based CVD prevention in Europe. Acknowledgement/Funding European union