title: [Trends in mortality in a Spanish prison from 1994-2004].
abstract: BACKGROUND
  [corrected] Few works have focused on studying mortaty in prisons. The objective here is to study the causes and incidences of mortality in a Spanish prison.
  
  
  METHODS
  Descriptive study of the deaths in a prison between 01-01-1994 and 31-12-2004. The following variables were recorded: sex, date of death, HIV serology, number of CD4+ where relevant, and cause of death according to the following classification: death by HIV, by non-HIV disease, suicide, drug overdose and accidents. After indirect standardisation of incidence, we compared mortality in the Centre with the other Spanish prisons. We established mortaality rate tendencies by a linear regression model.
  
  
  RESULTS
  42 deaths, 41 men, 1 woman. Median age 33.10 years (27.72-36.12; IQR: 8.40). 30 (71.4%) HIV+, with a median of 177 CD4+ lymphocytes/microl. Twenty patients (45.24%) died from HIV, 15 (38.10%) from non-HIV diseases, 3 (7.14%) from suicide, 3 (7.14%) from drug overdose and 1 (2.38%) accidentally. Crude mortality rates corresponded to 12.605% per hundred of inmates/year in 1997 and 1.758%, inmates/year in 2003, with a decreasing trend of 0.976 deaths % per hundred, inmates/year (CI 95%: 0.399-1.552; p = 0.004). After standardising rates, we obtain 28.6 expected deaths daring the period, with an SMR of 1.4679.
  
  
  CONCLUSIONS
  Although it follows a decreasing trend, the mortality rate obtained during the study period was higher than expected. The main cause of mortality was acquired immunodeficiency syndrome.
authors.affiliation: Centro Penitenciario de Castellón. enriquevera@ono.com
authors.forename: Enrique Jesús Vera
authors.initials: EJ
authors.lastname: Remartinez
authors.forename: Manuel Vicente
authors.initials: MV
authors.lastname: Planelles Ramos
authors.forename: Julio
authors.initials: J
authors.lastname: García Guerrero
mesh_terms: D000059:Accidents / Q000401:mortality; D000328:Adult; D002423:Cause of Death; D016009:Chi-Square Distribution; D003627:Data Interpretation, Statistical; D062787:Drug Overdose / Q000401:mortality; D005260:Female; D015658:HIV Infections / Q000401:mortality; D006801:Humans; D016014:Linear Models; D008297:Male; D009026:Mortality / Q000639:trends*; D011330:Prisons; D013030:Spain; D013405:Suicide