Accidental alcohol poisoning mortality in the United States, 1996-1998 - NIAAA'S Epidemiological Bulletin No.40

Alcohol Research & Health, Wntr, 2003 by Young-Hee Yoon, Frederick S. Stinson, Hsiao-Ye Yi, Mary C. Dufour

Table 1 Number and Percent Distribution of Deaths for Which Accidental
Alcohol Poisoning Was Coded as the Underlying Cause (ICD-9 Code: E860),
United States, 1996-1998

                 ICD-9 Code                         1996  1997  1998

E860 - Accidental poisoning by alcohol, nots
       elsewhere classified

E860.0 - Alcoholic beverages                           6     8     6

E860.1 - Other and unspecified ethyl                 140   164   146
         alcohol and its products

E860.2 - Methyl alcohol                               12    24    10

E860.3 - Isopropyl alcohol                            17    17    12

E860.4 - Fusel oil                                     -     -     -

E860.8 - Other specified alcohol                       2     2     1

E860.9 - Unspecified alcohol                         131   127   125

                                             Total   308   342   300

                                                               Annual
              ICD-9 Code                        3-year Total  Average

E860 - Accidental poisoning by alcohol,
       not elsewhere classified

E860.0 - Alcoholic beverages                          20          7

E860.1 - Other and unspecified ethyl                 450        150
         alcohol and its products

E860.2 - Methyl alcohol                               46         15

E860.3 - Isopropyl alcohol                            46         15

E860.4 - Fusel oil                                     -          -

E860.8 - Other specified alcohol                       5          2

E860.9 - Unspecified alcohol                         383        128

                                         Total       950        317

                                                      Percent
                                                    Distribution
                 ICD-9 Code                         of Average *

E860 - Accidental poisoning by alcohol, not
       elsewhere classified

E860.0 - Alcoholic beverages                             2.2

E860.1 - Other and unspecified ethyl                    47.3
         alcohol and its products

E860.2 - Methyl alcohol                                  4.7

E860.3 - Isopropyl alcohol                               4.7

E860.4 - Fusel oil                                         -

E860.8 - Other specified alcohol                         0.6

E860.9 - Unspecified alcohol                            40.4

                                             Total     100.0

* Percentages do not total 100 because of rounding.

Table 2 Top 10 Underlying Causes of Deaths for Which Accidental Alcohol
Poisoning Was Coded as a Contributing Cause (ICD-9 Code: E860), United
States, 1996-1998

Rank  ICD-9 Code

 1    Accidental poisoning by other drugs
      (E858)

 2    Accidental poisoning by analgesics,
      antipyretics, and antirheumatics
      (E850)

 3    Accidental poisoning by other drugs
      acting on central and autonomic
      nervous system (E855)

 4    Accidental poisoning by
      tranquilizers (E853)

 5    Accidental poisoning by other
      psychotropic agents (E854)

 6    Diseases of the circulatory system
      (390-459)

 7    Suicide and self-inflicted injury
      (E950-E959)

 8    Accidental drowning and submersion
      (E910)

 9    Motor vehicle traffic and nontraffic
      accidents (E810-E825)

10    Other external causes of accidents,
      injuries, and poisoning

                                Subtotal *

                                   Total *

Rank  Number of Deaths   Yearly Average   Percent
         1996-1998      Number of Deaths
                           1996-1998

 1         1,258              419           39.0

 2         1,154              385           35.7

 3           310              103            9.6

 4            76               25            2.4

 5            70               23            2.2

 6            57               19            1.8

 7            47               16            1.5

 8            45               15            1.4

 9            38               13            1.2

10            28                9            0.9

           3,083            1,027           95.7

           3,229             1,076         100.0

* Subtotal figures are totals for the top 10 underlying causes of death
for which alcohol poisoning was coded as the contributing cause of
death. Total figures include all deaths in which alcohol poisoning was
given as the contributing cause.

Table 3 Mortality from Accidental Alcohol Poisoning Coded as the
Underlying or Contributing Cause (ICD-9 Code: E860), by Sex, United
States, 1996-1998

                  All Races, Both Sexes         All Races, Male

                             Age-Adjusted   Number of   Age-Adjusted
                              Deaths per     Deaths      Deaths per
                 Number of     100,000                    100,000
                  Deaths      Population                 Population

Accidental alcohol poisoning deaths according to underlying cause

1998                300          0.10          245          0.17
1997                342          0.12          266          0.19
1996                308          0.11          246          0.18
Annual average      317          0.11          252          0.18

Accidental alcohol poisoning deaths according to contributing cause

1998              1,158          0.40          965          0.68
1997              1,104          0.39          931          0.66
1996                967          0.34          799          0.57
Annual average    1,076          0.38          898          0.64

Accidental alcohol poisoning deaths according to multiple cause

1998              1,458          0.50        1,210          0.85
1997              1,446          0.51        1,197          0.85
1996              1,275          0.45        1,045          0.75
Annual average    1,393          0.49        1,151          0.82

                    All Races, Female

                             Age-Adjusted
                              Deaths per
                 Number of     100,000
                  Deaths      Population

Accidental alcohol poisoning deaths according to underlying cause

1998                 55          0.04
1997                 76          0.05
1996                 62          0.04
Annual average       64          0.04

Accidental alcohol poisoning deaths according to contributing cause

1998                193          0.13
1997                173          0.12
1996                168          0.12
Annual average      178          0.12

Accidental alcohol poisoning deaths according to multiple cause

1998                248          0.17
1997                249          0.17
1996                230          0.16
Annual average      242          0.16

Rate per 100,000 population

Figure 1 Annual average age-specific death rates of accidental alcohol
poisoning (ICD-9 code: E860), United States, 1996-1998.

Age Group  Coded as          Coded as
           underlying cause  contributing cause

15-24           0.06               0.13
25-34           0.13               0.61
35-44           0.22               1.11
45-54           0.25               0.69
55-64           0.16               0.19
65-74           0.10               0.06
74-84           0.04               0.05
85              0.00               0.04

Note: Table made from bar graph.

Rate per 100,000 Population

Figure 2 Annual average age-adjusted death rates of accidental alcohol
poisoning (ICD-9 code: E860) by Sex and race/ethnicity, United States,
1996-1998.

              Coded as          Coded as
              underlying cause  contributing cause

Non-Hispanic
White Male          0.15               0.54

Non-Hispanic
Black Male          0.30               0.82

Hispanic
Male                0.22               1.20

Non-Hispanic
White Female        0.04               0.11

Non-Hispanic
Black Female        0.05               0.18

Hispanic
Female              0.02               0.13

Note: Table made from bar graph.

Rate per 100,000 Population

Figure 3 Annual average age-adjusted death rate of accidental alcohol
Poisoning (ICD-9 code: E860), by Sex and Marital Status, for ages 25
years and over, United States, 1996-1998.

                     Male

          Coded as          Coded as
          underlying cause  contributing cause

Married         0.11               0.34

Never
Married         0.67               2.56

Divorced        0.82               2.72

Widowed         1.45               3.42

                     Female

          Coded as          Coded as
          underlying cause  contributing cause

Married         0.04               0.09

Never
Married         0.07               0.41

Divorced        0.17               0.48

Widowed         0.28               0.50

Note: Table made from bar graph.

Rate per 100,000 Population

Figure 4 Annual average age-adjusted death rates of accidental alcohol
poisoning (ICD-9 code: E860), by Sex and educational attaintment, among
population ages 25-64 years, United States, 1996-1998.

                           Male

              Coded as          Coded as
              underlying cause  contributing cause

<12years            0.69               2.20

High School         0.40               1.88
Graduate

Some College        0.12               0.44

                         Female

              Coded as          Coded as
              underlying cause  contributing cause

<12years            0.16               0.53

High School         0.09               0.29
Graduate

Some College        0.05               0.11

Note: Table made from bar graph.