Áreiðanleiki dánarvottorða

• Main Authors: Jóhannes Björnsson, Jón Gunnlaugur Jónasson, Gunnlaugur P. Nielsen
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Skráning gagna; Dánarmein; Death Certificates; Iceland; Autopsy; Veita; Smella
• Online Access: http://hdl.handle.net/2336/86093

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Death certificates are a crucial source of vital statistics in society. Major policy decisions and the allocation of funds in the health sector are based on data derived from death certificates. Autopsy, despite its limitations, remains the standard against which ante mortem clinical diagnoses may best be measured. Further, the reliability of death certificates should be enhanced for those deaths, where autopsy was performed. We compared the entries on death certificates with autopsy reports for autopsies performed at three hospitals in. Reykjavik during two years, 1976 (250 cases) and 1986 (339 cases), excluding stillbirths, perinatal and forensic deaths. Overall discrepancy between death certificates and autopsy reports was 49% (1976) and 48% (1986). For immediate cause of death, discrepancies were observed in 24% (1976) and 26% (1986) of cases. For major diseases other than the immediate cause of death, discrepancies were seen in 32% (1976) and 34% (1986). We investigated changes in discrepancy when the death certificate was signed before (38 autopsies) or on the same day or later (551 autopsies) than the autopsy. No significant improvement occurred except for other major disease, where discrepancies dropped from 45% to 33%. We conclude that death certificates 1. are an unreliable source of information on causes of death and major contributing diseases, 2. do not appear to be completed using information obtained at autopsy, even when such information is accessible. 3. have not improved with the introduction, between 1976 and 1986, of sophisticated imaging techniques. Dánarvottorð veita mikilvægar upplýsingar um heilbrigði hvers þjóðfélags og byggja ákvarðanir um ráðstöfun opinberra fjármuna meðal annars á upplýsingum af dánarvottorðum. Krufning (líkrannsókn) er enn í fullu gildi til ákvörðunar sjúkdómsgreiningu og aðdraganda dauða og mætti ætla, að dánarvottorð krufinna væru áreiðanlegri en hinna er eigi voru ...