Mortality rate in the context of Perinatal mortality


Mortality rate in the context of Perinatal mortality

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⭐ Core Definition: Mortality rate

Mortality rate, or death rate, is a measure of the number of deaths (in general, or due to a specific cause) in a particular population, scaled to the size of that population, per unit of time. Mortality rate is typically expressed in units of deaths per 1,000 individuals per year; thus, a mortality rate of 9.5 (out of 1,000) in a population of 1,000 would mean 9.5 deaths per year in that entire population, or 0.95% out of the total. It is distinct from "morbidity", which is either the prevalence or incidence of a disease, and also from the incidence rate (the number of newly appearing cases of the disease per unit of time).

An important specific mortality rate measure is the crude death rate, which looks at mortality from all causes in a given time interval for a given population. As of 2020, for instance, the CIA estimates that the crude death rate globally will be 7.7 deaths per 1,000 people in a population per year. As of 2024, the global crude death rate stood at 7.76, marking a 2.35% rise compared to 2023. In a generic form, mortality rates can be seen as calculated using , where d represents the deaths from whatever cause of interest is specified that occur within a given time period, p represents the size of the population in which the deaths occur (however this population is defined or limited), and is the conversion factor from the resulting fraction to another unit (e.g., multiplying by to get mortality rate per 1,000 individuals).

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Mortality rate in the context of World population

In world demographics, the world population is the total number of humans currently alive. It was estimated by the United Nations to have exceeded eight billion in mid-November 2022. It took around 300,000 years of human prehistory and history for the human population to reach a billion and only 218 more years from there to reach 8 billion.

The human population has experienced continuous growth following the Great Famine of 1315–1317 and the end of the Black Death in 1350, when it was nearly 370,000,000. The highest global population growth rates, with increases of over 1.8% per year, occurred between 1955 and 1975, peaking at 2.1% between 1965 and 1970. The growth rate declined to 1.1% between 2015 and 2020 and is projected to decline further in the 21st century. The global population is still increasing, but there is significant uncertainty about its long-term trajectory due to changing fertility and mortality rates. The UN Department of Economics and Social Affairs projects between 9 and 10 billion people by 2050 and gives an 80% confidence interval of 10–12 billion by the end of the 21st century, with a growth rate by then of zero. Other demographers predict that the human population will begin to decline in the second half of the 21st century.

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Mortality rate in the context of Sub-replacement fertility

Sub-replacement fertility is a total fertility rate (TFR) that (if sustained) leads to each new generation being less populous than the older, previous one in a given area. The United Nations Population Division defines sub-replacement fertility as any rate below approximately 2.1 children born per woman of childbearing age, but the threshold can be as high as 3.4 in some developing countries because of higher mortality rates. Taken globally, the total fertility rate at replacement was 2.33 children per woman in 2003. This can be "translated" as 2 children per woman to replace the parents, plus a "third of a child" to make up for the higher probability of males born and mortality prior to the end of a person's fertile life. In 2023, the global average fertility rate was around 2.2 children born per woman.

Replacement-level fertility in terms of the net reproduction rate (NRR) is exactly one, because the NRR takes both mortality rates and sex ratios at birth into account.

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Mortality rate in the context of Life expectancy

Human life expectancy is a statistical measure of the estimate of the average remaining years of life at a given age. The most commonly used measure is life expectancy at birth (LEB, or in demographic notation e0, where ex denotes the average life remaining at age x). This can be defined in two ways. Cohort LEB is the mean length of life of a birth cohort (in this case, all individuals born in a given year) and can be computed only for cohorts born so long ago that all their members have died. Period LEB is the mean length of life of a hypothetical cohort assumed to be exposed, from birth through death, to the mortality rates observed at a given year. National LEB figures reported by national agencies and international organizations for human populations are estimates of period LEB.

Human remains from the early Bronze Age indicate an LEB of 24. In 2019, world LEB was 73.3. A combination of high infant mortality and deaths in young adulthood from accidents, epidemics, plagues, wars, and childbirth, before modern medicine was widely available, significantly lowers LEB. For example, a society with a LEB of 40 would have relatively few people dying at exactly 40: most will die before 30 or after 55. In populations with high infant mortality rates, LEB is highly sensitive to the rate of death in the first few years of life. Because of this sensitivity, LEB can be grossly misinterpreted, leading to the belief that a population with a low LEB would have a small proportion of older people. A different measure, such as life expectancy at age 5 (e5), can be used to exclude the effect of infant mortality to provide a simple measure of overall mortality rates other than in early childhood. For instance, in a society with a life expectancy of 30, it may nevertheless be common to have a 40-year remaining timespan at age 5 (but not a 60-year one).

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Mortality rate in the context of Birth rate

Birth rate, also known as natality and the crude birth rate, is the total number of live human births per 1,000 population for a given period divided by the length of the period in years. The number of live births is normally taken from a universal registration system for births; population counts from a census. The birth rate (along with mortality and migration rates) is used to calculate population growth. The estimated average population may be taken as the mid-year population.

When the crude death rate is subtracted from the crude birth rate (CBR), the result is the rate of natural increase (RNI). This is equal to the rate of population change (excluding migration).

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Mortality rate in the context of Ageing of Europe

The ageing of Europe, also known as the greying of Europe, is a demographic phenomenon in Europe characterised by a decrease in fertility, a decrease in mortality rate, and a higher life expectancy among European populations. Low birth rates and higher life expectancy contribute to the transformation of Europe's population pyramid shape. The most significant change is the transition towards a much older population structure, resulting in a decrease in the proportion of the working age while the number of the retired population increases. The total number of the older population is projected to increase greatly within the coming decades, with rising proportions of the post-war baby-boom generations reaching retirement. This will cause a high burden on the working age population as they provide for the increasing number of the older population.

Throughout history many states have worked to keep high birth rates in order to have moderate taxes, more economic activity and more troops for their military.

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Mortality rate in the context of Demographic transition

Demographic transition is a phenomenon and theory in the social sciences (especially demography) referring to the historical shift from high to low rates of birth and death, as societies attain several attributes: more technology, education (especially for women), and economic development. The demographic transition has occurred in most of the world over the past two centuries, bringing the unprecedented population growth of the post-Malthusian period, and then reducing birth rates and population growth significantly in all regions of the world. The demographic transition strengthens the economic growth process through three changes: reduced dilution of capital and land stock; increased investment in human capital; and increased size of the labor force relative to the total population, along with a changed distribution of population age. Although this shift has occurred in many industrialized countries, the theory and model are often imprecise when applied to individual countries, because of specific social, political, and economic factors that affect particular populations.

Nevertheless, the existence of some type of demographic transition is widely accepted because of the well-established historical correlation between two factors: dropping fertility rates, and social and economic development. Scholars debate whether industrialization and higher incomes lead to lower population, or vice versa. Scholars also debate to what extent various proposed and sometimes interrelated factors are involved—factors such as higher per capita income, lower mortality, old-age security, and increased demand for human capital. Human capital gradually increased during the second stage of the Industrial Revolution, which coincided with the demographic transition. The increasing role of human capital in the production process led families to invest this capital in children, which may have been the beginning of the demographic transition.

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Mortality rate in the context of Demographics of the United Kingdom

The population of the United Kingdom was estimated at 69.3 million in 2024. It is the 21st most populated country in the world and has a population density of 285 people per square kilometre (740 people/sq mi), with England having significantly greater density than Wales, Scotland, and Northern Ireland. Almost a third of the population lives in south east England, which is predominantly urban and suburban, with 9,089,736 people in the capital city, London, whose population density was 5,782 inhabitants per square kilometre (14,980/sq mi) in 2024.

The population of the UK has undergone demographic transition— from a typically pre-industrial population, with high birth and mortality rates and slow population growth, through a stage of falling mortality and faster rates of population growth, to a stage of low birth and mortality rates with, again, lower rates of growth. This growth through 'natural change' has been accompanied in the past three decades by growth through net immigration into the United Kingdom, which since 1999 has exceeded natural change.

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Mortality rate in the context of Human population projections

Human population projections are attempts to extrapolate how human populations will change in the future. These projections are an important input to forecasts of the population's impact on this planet and humanity's future well-being. Models of population growth take trends in human development and apply projections into the future. These models use trend-based-assumptions about how populations will respond to economic, social and technological forces to understand how they will affect fertility and mortality, and thus population growth.

The 2022 projections from the United Nations Population Division (chart #1) show that annual world population growth peaked at 2.3% per year in 1963, has since dropped to 0.9% in 2023, equivalent to about 74 million people each year, and could drop even further to minus 0.1% by 2100. Based on this, the UN projected that the world population, 8 billion as of 2023, would peak around the year 2084 at about 10.3 billion, and then start a slow decline, assuming a continuing decrease in the global average fertility rate from 2.5 births per woman during the 2015–2020 period to 1.8 by the year 2100 (the medium-variant projection).

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Mortality rate in the context of Intelligence quotient

An intelligence quotient (IQ) is a total score derived from a set of standardized tests or subtests designed to assess human intelligence. Originally, IQ was a score obtained by dividing a person's estimated mental age, obtained by administering an intelligence test, by the person's chronological age. The resulting fraction (quotient) was multiplied by 100 to obtain the IQ score. For modern IQ tests, the raw score is transformed to a normal distribution with mean 100 and standard deviation 15. This results in approximately two-thirds of the population scoring between IQ 85 and IQ 115 and about 2 percent each above 130 and below 70.

Scores from intelligence tests are estimates of intelligence. Unlike quantities such as distance and mass, a concrete measure of intelligence cannot be achieved given the abstract nature of the concept of "intelligence". IQ scores have been shown to be associated with factors such as nutrition, parental socioeconomic status, morbidity and mortality, parental social status, and perinatal environment. While the heritability of IQ has been studied for nearly a century, there is still debate over the significance of heritability estimates and the mechanisms of inheritance. The best estimates for heritability range from 40 to 60% of the variance between individuals in IQ being explained by genetics.

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Mortality rate in the context of World Population Prospects

The United Nations World Population Prospects (WPP) is the official series of global population estimates and projections produced by the Population Division of United Nations Department of Economic and Social Affairs (UNDESA). Each new revision presents updated data on population size by country and region, covering past estimates (from 1950 onward) and future forecasts (typically through 2100). For example, the 2024 Revision – the 28th edition since the first 1951 projection – reports annual population counts up to 2023 for 237 countries and territories, drawing on over 1,900 national censuses (1950–2023) and thousands of surveys, and generates multi-variant projections (medium, low, high, etc.) into the future. These data include age‐ and sex‐specific breakdowns of fertility, mortality and migration, allowing calculation of detailed demographic indicators. Statistics from the WPP are often cited in academia and by the media.

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Mortality rate in the context of Altered level of consciousness

An altered level of consciousness is any measure of arousal other than normal. Level of consciousness (LOC) is a measurement of a person's arousability and responsiveness to stimuli from the environment. A mildly depressed level of consciousness or alertness may be classed as lethargy; someone in this state can be aroused with little difficulty. People who are obtunded have a more depressed level of consciousness and cannot be fully aroused. Those who are not able to be aroused from a sleep-like state are said to be stuporous. Coma is the inability to make any purposeful response. Scales such as the Glasgow coma scale have been designed to measure the level of consciousness.

An altered level of consciousness can result from a variety of factors, including alterations in the chemical environment of the brain (e.g. exposure to poisons or intoxicants), insufficient oxygen or blood flow in the brain, and excessive pressure within the skull. Prolonged unconsciousness is understood to be a sign of a medical emergency. A deficit in the level of consciousness suggests that both of the cerebral hemispheres or the reticular activating system have been injured. A decreased level of consciousness correlates to increased morbidity (sickness) and mortality (death). Thus it is a valuable measure of a patient's medical and neurological status. In fact, some sources consider level of consciousness to be one of the vital signs.

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Mortality rate in the context of Acute (medicine)

In medicine, describing a disease as acute denotes that it is of recent onset; it occasionally denotes a short duration. The quantification of how much time constitutes "short" and "recent" varies by disease and by context, but the core denotation of "acute" is always qualitatively in contrast with "chronic", which denotes long-lasting disease (for example, in acute leukaemia and chronic leukaemia).

In the context of the mass noun "acute disease", it refers to the acute phase (that is, a short course) of any disease entity. For example, in an article on ulcerative enteritis in poultry, the author says, "in acute disease there may be increased mortality without any obvious signs", referring to the acute form or phase of ulcerative enteritis.

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Mortality rate in the context of Overpopulation

Overpopulation or overabundance is a state in which the population of a species is larger than the carrying capacity of its environment. This may be caused by increased birth rates, lowered mortality rates, reduced predation or large scale migration, leading to an overabundant species and other animals in the ecosystem competing for food, space, and resources. The animals in an overpopulated area may then be forced to migrate to areas not typically inhabited, or die off without access to necessary resources.

Judgements regarding overpopulation always involve both facts and values. Animals are often judged overpopulated when their numbers cause impacts that people find dangerous, damaging, expensive, or otherwise harmful. Societies may be judged overpopulated when their human numbers cause impacts that degrade ecosystem services, decrease human health and well-being, or crowd other species out of existence.

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Mortality rate in the context of Bariatric surgery

Bariatric surgery (also known as metabolic surgery or weight loss surgery) is a surgical procedure used to manage obesity and obesity-related conditions. Long term weight loss with bariatric surgery may be achieved through alteration of gut hormones, physical reduction of stomach size (stomach reduction surgery), reduction of nutrient absorption, or a combination of these. Standard of care procedures include Roux en-Y bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch, from which weight loss is largely achieved by altering gut hormone levels responsible for hunger and satiety, leading to a new hormonal weight set point.

In morbidly obese people, bariatric surgery is the most effective treatment for weight loss and reducing complications. A 2021 meta-analysis found that bariatric surgery was associated with reduction in all-cause mortality among obese adults with or without type 2 diabetes. This meta-analysis also found that median life-expectancy was 9.3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine (non-surgical) care, whereas the life expectancy gain was 5.1 years longer for obese adults without diabetes. The risk of death in the period following surgery is less than 1 in 1,000. Bariatric surgery may also lower disease risk, including improvement in cardiovascular disease risk factors, fatty liver disease, and diabetes management.

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Mortality rate in the context of Gastric bypass

Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch, where the small intestine is rearranged to connect to both. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass procedures (GBP). Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

The operation is prescribed to treat severe obesity (defined as a body mass index greater than 40), type 2 diabetes, hypertension, obstructive sleep apnea, and other comorbid conditions. Bariatric surgery is the term encompassing all of the surgical treatments for severe obesity, not just gastric bypasses, which make up only one class of such operations. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has been shown to be reduced by up to 40%. As with all surgery, complications may occur. A study from 2005 to 2006 revealed that 15% of patients experienced complications as a result of gastric bypass, and 0.5% of patients died within six months of surgery due to complications. A meta-analysis of 174,772 participants published in The Lancet in 2021 found that bariatric surgery was associated with 59% and 30% reduction in all-cause mortality among obese adults with or without type 2 diabetes respectively. This meta-analysis also found that median life-expectancy was 9.3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine (non-surgical) care, whereas the life expectancy gain was 5.1 years longer for obese adults without diabetes.

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Mortality rate in the context of Rate of natural increase

In demography and population dynamics, the rate of natural increase (RNI), also known as natural population change, is defined as the birth rate minus the death rate of a particular population, over a particular time period. It is typically expressed either as a number per 1,000 individuals in the population or as a percentage. RNI can be either positive or negative. It contrasts to total population change by ignoring net migration.

This RNI gives demographers an insight into how a region's population is evolving, and these analyses can inform government attempts to shape RNI.

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