If Christmas doesn’t kill you, New Year’s Eve just might


The intrepid researchers at NCBI ROFL report on a paper that deals with Christmas and New Year as risk factors for death.


Here's the abstract:

This paper poses three questions: (1) Does mortality from natural causes spike around Christmas and New Year? (2) If so, does this spike exist for all major disease groups or only specialized groups? (3) If twin holiday spikes exist, need this imply that Christmas and New Year are risk factors for death? To answer these questions, we used all official U.S. death certificates, 1979-2004 (n = 57,451,944) in various hospital settings to examine daily mortality levels around Christmas and New Year. We measured the Christmas increase by comparing observed deaths with expected deaths in the week starting on Christmas. The New Year increase was measured similarly. The expected number of deaths was determined by locally weighted regression, given the null hypothesis that mortality is affected by seasons and trend but not by holidays. On Christmas and New Year, mortality from natural causes spikes in dead-on-arrival (DOA) and emergency department (ED) settings. There are more DOA/ED deaths on 12/25, 12/26, and 1/1 than on any other day. In contrast, deaths in non-DOA/ED settings display no holiday spikes. For DOA/ED settings, there are holiday spikes for each of the top five disease groups (circulatory diseases; neoplasms; respiratory diseases; endocrine/nutritional/metabolic diseases; digestive diseases). For all settings combined, there are holiday spikes for most major disease groups and for all demographic groups, except children. In the two weeks starting with Christmas, there is an excess of 42,325 deaths from natural causes above and beyond the normal winter increase. Christmas and New Year appear to be risk factors for deaths from many diseases. We tested nine possible explanations for these risk factors, but further research is needed.

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As a paramedic (I'm commenting via my iPhone on Christmas Eve) I can tell you, it's a busy time for us. I can also tell you that a big university study isn't needed to figure out why.

-higher stress

-higher traffic

-higher alcohol consumption(combine that with high traffic)

-higher rates of suicide attempts

-cold and flu season (which can be deadly for those with lung disease)

-snow shoveling is hell on those with heart problems.

It's damn near a perfect storm really.