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Rural Health
Resources by Topic: Mortality

Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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The Growing Rural-Urban Divide in US Life Expectancy: Contribution of Cardiovascular Disease and Other Major Causes of Death
Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Sponsoring organization: National Quality Forum
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Stroke‐Related Mortality in the United States–Mexico Border Area of the United States, 1999 to 2018
Used the Center for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research - Multiple Cause of Death database to examine death certificates from 1999 to 2018 listing natural death attributed to stroke as the cause. Compares death certificates between U.S.-Mexico Border counties and non-border counties in Arizona, California, New Mexico, and Texas. Data are further examined for disparities in states, age, sex, race and ethnicity, and location of death.
Author(s): Safi U. Khan, Ankur Kalra, Siva H. Yedlapati, et al
Citation: Journal of the American Heart Association 10(13)
Date: 07/2021
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The Synchronicity of COVID-19 Disparities: Statewide Epidemiologic Trends in SARS-CoV-2 Morbidity, Hospitalization, and Mortality among Racial Minorities and in Rural America
Presents a study of patterns in COVID-19 infection, hospitalization, and mortality among all adults tested for COVID-19 infection in Indiana between March 1 and December 31, 2020. Analyzes data by sex, age, rural/urban location, and other demographic factors. Discusses disparities among rural and minority populations during the fall 2020 surge.
Author(s): Brian E. Dixon, Shaun J. Grannis, Lauren R. Lembcke, et al.
Citation: PLoS One, 16(7), e0255063
Date: 07/2021
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Evolving Roles of Rural Hospitals: Evidence from Pandemic Experiences
Slides presented at the 2021 Southern Legislative Conference annual meeting. Presents data on the spread of COVID-19 in rural communities over time and compares confirmed COVID-19 cases and COVID-19 deaths in urban and rural counties in the southern states. Highlights how state policies can invest in and support rural hospitals.
Date: 07/2021
Sponsoring organization: Rural Policy Research Institute
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Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020
Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Unintentional Drowning Deaths Among Children Aged 0-17 Years: United States, 1999-2019
Reports on accidental drowning deaths using National Vital Statistics System data. Includes comparison of deaths by rural or urban status among other demographic factors.
Author(s): Merianne Rose Spencer, Holly Hedegaard, Margaret Warner
Date: 07/2021
Sponsoring organization: National Center for Health Statistics
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Urban–Rural Mortality Disparities from Chronic Lower Respiratory Diseases in the United States, 1999–2019
Letter to the editor presenting data on chronic lower respiratory disease mortality between 1999 and 2019, including a population breakdown by 6 levels of metro and nonmetro status, using the CDC WONDER database. Discusses rural disparities in mortality and charts mortality trends over time.
Author(s): Paul A. Reyfman, Basil Khuder, Jacob B. Pierce, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 203(11), 1435-1437
Date: 06/2021
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Still Stealing Rural America's Breath: An Update on Chronic Obstructive Pulmonary Disease
Discusses rural research efforts focused on chronic obstructive pulmonary disease (COPD), with insights from researchers, philanthropists, and healthcare providers. Explores the impact of COVID-19 on COPD. Also covers the importance of pulmonary rehabilitation and new research findings on the impact of this treatment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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