Abstract:
BACKGROUND:In large-scale epidemiological studies of stillbirths and neonatal deaths a method is needed to replace detailed medical record audits in order to determine the cause of death. METHODS:A computer-based method is presented for determination of the cause of death in stillbirths and in neonatal deaths. It utilizes information in the Swedish medical registries. The study comprises 6044 dead infants born in Sweden from 1983-1990. For each infant the program determines 31 basic characteristics which are important in deciding the cause of death. Based on these characteristics a modified Wigglesworth's classification is used to find the cause of death. The validity of the method was checked by comparing the computer generated information with information obtained by scrutinizing medical records for a 10% representative sample (603 infants). RESULTS:Specificity and sensitivity for each basic characteristic varied, but for the modified Wigglesworth cause of death classification the concordance was 88%. The weakest data refer to intrauterine deaths, where pertinent information was often missing in the medical registries. CONCLUSION:The method can be used for large-scale epidemiological studies.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Winbo IG,Serenius FH,Dahlquist GG,Källen BAdoi
10.1093/ije/26.6.1298subject
Has Abstractpub_date
1997-12-01 00:00:00pages
1298-306issue
6eissn
0300-5771issn
1464-3685journal_volume
26pub_type
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