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Table 4 Underlying and Direct Causes of Death in Autopsied Participants of the MEDALZ-2005 Study

From: Causes of death in a nationwide cohort of community-dwellers with Alzheimer’s disease

Category

All autopsies (N = 3889)

Medical autopsies (N = 1445)

Forensic autopsies (N = 2444)

No AD(n = 1804)

AD (n = 2085)

OR (95%CI

No AD (n = 594)

AD (n = 851)

OR (95%CI

No AD (n = 1210)

AD (n = 1234)

OR (95%CI

Diseases of the circulatory system

1131 (62.7)

1099 (52.7)

0.66 (0.58, 0.75)

361 (60.8)

447 (52.5)

0.71 (0.58, 0.88)

770 (63.6)

652 (52.8)

0.64 (0.54, 0.75)

External causes of morbidity and mortality

257 (14.2)

331 (15.9)

1.14 (0.95, 1.36)

0 (0.0)

5 (0.6)

N.A

257 (21.2)

326 (26.4)

1.33 (1.10, 1.61)

Neoplasms

171 (9.5)

150 (7.2)

0.74 (0.59, 0.93)

109 (18.4)

102 (12.0)

0.61 (0.45, 0.81)

62 (5.1)

48 (3.9)

0.75 (0.51, 1.10)

Diseases of the digestive system

122 (6.8)

148 (7.1)

1.05 (0.82, 1.35)

61 (10.3)

95 (11.2)

1.10 (0.78, 1.54)

61 (5.0)

53 (4.3)

0.85 (0.58, 1.23)

Diseases of the nervous system

7 (0.4)

259 (12.4)

36.41 (17.14, 77.36)

4 (0.7)

152 (17.9)

32.07 (11.81, 87.08)

3 (0.2)

107 (8.7)

38.20 (12.09, 120.66)

Diseases of the respiratory system

60 (3.3)

51 (2.4)

0.73 (0.50, 1.06)

23 (3.9)

21 (2.5)

0.63 (0.34, 1.15)

37 (3.1)

30 (2.4)

0.79 (0.49, 1.29)

Endocrine, nutritional and metabolic diseases

12 (0.7)

10 (0.5)

0.72 (0.31, 1.67)

7 (1.2)

5 (0.6)

0.50 (0.16, 1.56)

5 (0.4)

5 (0.4)

0.98 (0.28, 3.40)

Diseases of the genitourinary system

11 (0.6)

11 (0.5)

0.86 (0.37, 2.00)

8 (1.3)

9 (1.1)

0.78 (0.30, 2.04)

3 (0.2)

2 (0.2)

0.65 (0.11, 3.92)

Certain infectious and parasitic diseases

12 (0.7)

8 (0.4)

0.58 (0.24, 1.41)

10 (1.7)

6 (0.7)

0.41 (0.15, 1.15)

2 (0.2)

2 (0.2)

0.98 (0.14, 6.97)

Mental and behavioral disorders

9 (0.5)

11 (0.5)

1.06 (0.44, 2.56)

7 (1.2)

9 (1.1)

0.90 (0.33, 2.42)

2 (0.2)

2 (0.2)

0.98 (0.14, 6.97)

Musculoskeletal system/ connective tissue diseases

7 (0.4)

1 (< 0.1)

0.12 (0.02, 1.00)

3 (0.5)

0 (0.0)

NA

4 (0.3)

1 (0.1)

0.24 (0.03, 2.19)

Symptoms, signs, abnormal clinical/laboratory findings

3 (0.2)

4 (0.2)

1.15 (0.26, 5.16)

0 (0.0)

0 (0.0)

NA

3 (0.2)

4 (0.3)

1.31 (0.30, 5.86)

Congenital malformations, deformations and chromosomal abnormalities

2 (0.1)

1 (< 0.1)

0.43 (0.04, 4.77)

1 (0.2)

0 (0.0)

NA

1 (0.1)

1 (0.1)

0.98 (0.06, 15.69)

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

0 (0.0)

1 (< 0.1)

NA

0 (0.0)

0 (0.0)

NA

0 (0.0)

1 (0.1)

N.A