Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México
OBJECTIVES: This study evaluates the quality (completeness and accuracy) of cause-of-death (COD) statements in infant death certificates as entered into a vital records system and as sesses its impact on infant mortality statistics in Hermosillo, Sonora, Mexico. METHODS: COD statements in a systemat...
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Pan American Health Organization
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ftdoajarticles:oai:doaj.org/article:59120799276d4b97a700f2d30321420f 2023-05-15T15:18:11+02:00 Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México Gerardo Álvarez Siobán D. Harlow Catalina Denman Mary J. Hofmeister 2009-02-01T00:00:00Z https://doaj.org/article/59120799276d4b97a700f2d30321420f EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000200004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/59120799276d4b97a700f2d30321420f Revista Panamericana de Salud Pública, Vol 25, Iss 2, Pp 120-127 (2009) Causas de muerte mortalidad infantil análisis de datos registros de mortalidad México Cause of death infant mortality data analysis mortality registries Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2009 ftdoajarticles 2022-12-31T02:10:46Z OBJECTIVES: This study evaluates the quality (completeness and accuracy) of cause-of-death (COD) statements in infant death certificates as entered into a vital records system and as sesses its impact on infant mortality statistics in Hermosillo, Sonora, Mexico. METHODS: COD statements in a systematic random sample of 200 infant death certificates were compared to their corresponding medical charts. The underlying CODs (UCODs) orig inally recorded in each death certificate were contrasted with those assigned by an expert re viewer. Coding for the original and "new" UCODs was based on the three-digit category of the International Classification of Diseases, 10th Revision. Measurements of agreement be tween the two sets of UCODs were calculated and logistic regression was performed to deter mine factors associated with agreement. RESULTS: Overall agreement between the original and new UCODs was 52%. Agreement was excellent for the group of deaths due to congenital malformations, deformations, and chro mosomal abnormalities (kappa = 0.77); substantial for conditions originating in the perinatal period (kappa = 0.74); and poor for certain infectious and parasitic diseases, and respiratory diseases (kappa = 0.35). Overestimation (false-positive reporting) was highest (13%) for peri natal conditions, while underestimation (false-negative reporting) was highest (71%) for cer tain infectious and parasitic diseases, and respiratory diseases. Agreement was associated with type of UCOD (endogenous versus exogenous) and time of death. CONCLUSION: More than half (53%) of COD statements in infant death certificates in Her mosillo were inaccurately completed, which may lead to inaccurate interpretation of causes of infant mortality. Systematic assessments of the quality of COD statements may improve the quality of mortality statistics. OBJETIVOS: Evaluar la calidad (grado de compleción y exactitud) de la consignación de la causa de muerte (CM) en los certificados de defunción de niños menores de 1 año, según los sistemas de ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Causas de muerte mortalidad infantil análisis de datos registros de mortalidad México Cause of death infant mortality data analysis mortality registries Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Causas de muerte mortalidad infantil análisis de datos registros de mortalidad México Cause of death infant mortality data analysis mortality registries Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gerardo Álvarez Siobán D. Harlow Catalina Denman Mary J. Hofmeister Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
topic_facet |
Causas de muerte mortalidad infantil análisis de datos registros de mortalidad México Cause of death infant mortality data analysis mortality registries Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: This study evaluates the quality (completeness and accuracy) of cause-of-death (COD) statements in infant death certificates as entered into a vital records system and as sesses its impact on infant mortality statistics in Hermosillo, Sonora, Mexico. METHODS: COD statements in a systematic random sample of 200 infant death certificates were compared to their corresponding medical charts. The underlying CODs (UCODs) orig inally recorded in each death certificate were contrasted with those assigned by an expert re viewer. Coding for the original and "new" UCODs was based on the three-digit category of the International Classification of Diseases, 10th Revision. Measurements of agreement be tween the two sets of UCODs were calculated and logistic regression was performed to deter mine factors associated with agreement. RESULTS: Overall agreement between the original and new UCODs was 52%. Agreement was excellent for the group of deaths due to congenital malformations, deformations, and chro mosomal abnormalities (kappa = 0.77); substantial for conditions originating in the perinatal period (kappa = 0.74); and poor for certain infectious and parasitic diseases, and respiratory diseases (kappa = 0.35). Overestimation (false-positive reporting) was highest (13%) for peri natal conditions, while underestimation (false-negative reporting) was highest (71%) for cer tain infectious and parasitic diseases, and respiratory diseases. Agreement was associated with type of UCOD (endogenous versus exogenous) and time of death. CONCLUSION: More than half (53%) of COD statements in infant death certificates in Her mosillo were inaccurately completed, which may lead to inaccurate interpretation of causes of infant mortality. Systematic assessments of the quality of COD statements may improve the quality of mortality statistics. OBJETIVOS: Evaluar la calidad (grado de compleción y exactitud) de la consignación de la causa de muerte (CM) en los certificados de defunción de niños menores de 1 año, según los sistemas de ... |
format |
Article in Journal/Newspaper |
author |
Gerardo Álvarez Siobán D. Harlow Catalina Denman Mary J. Hofmeister |
author_facet |
Gerardo Álvarez Siobán D. Harlow Catalina Denman Mary J. Hofmeister |
author_sort |
Gerardo Álvarez |
title |
Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
title_short |
Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
title_full |
Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
title_fullStr |
Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
title_full_unstemmed |
Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico Calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en Hermosillo, México |
title_sort |
quality of cause-of-death statements and its impact on infant mortality statistics in hermosillo, mexico calidad de la consignación de la causa de muerte y su impacto en las estadísticas de mortalidad infantil en hermosillo, méxico |
publisher |
Pan American Health Organization |
publishDate |
2009 |
url |
https://doaj.org/article/59120799276d4b97a700f2d30321420f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 25, Iss 2, Pp 120-127 (2009) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000200004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/59120799276d4b97a700f2d30321420f |
_version_ |
1766348406581624832 |