国际上可能认为日本卫生统计的精确度很高, 但作为死因根据的死亡诊断书的实际情况如何,作者以“心衰”为例,进行了考察。在医疗现场写在死亡诊断书上的“心衰”,和临床“心衰”的严格概念不同,对一些原因不明的内因突然死亡者,以及在某种情况下,为了医疗上的方便,常把其死因定为“心衰”。同“衰老”一样,如使用过多,将给死因统计带来偏差。从人口动态统计中心脏病死亡率的逐年变化 Internationally, it may be considered that the accuracy of Japanese health statistics is very high. However, the actual situation of the death certificate based on the cause of death is the case. The author took heart failure as an example and conducted an inspection. The “heart failure” written on the death certificate at the medical site is different from the strict concept of “heart failure” in the clinic. It is often caused by the sudden death of internal causes of unknown causes and, in some cases, for medical convenience. The cause of death was defined as “heart failure.” Like “aging”, if you use too much, there will be deviations in the cause statistics. Annual changes in heart disease mortality from vital statistics