A computer-based method for cause of death classification in stillbirths and neonatal deaths

International Journal of Epidemiology
I G WinboB A Källén

Abstract

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. 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). 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. The method can be used for large-scale epidemiological studies.

Citations

Feb 24, 2001·Acta Obstetricia Et Gynecologica Scandinavica·I WinboB Källén
Jul 2, 2004·Journal of Paediatrics and Child Health·A ChanD I Tudehope
Dec 4, 2012·BMC Pregnancy and Childbirth·Blandina T MmbagaAnne Kjersti Daltveit
Jun 23, 2009·BMC Pregnancy and Childbirth·Vicki FlenadyKristen Gilshenan
Oct 17, 2013·PloS One·Sidrah NausheenZulfiqar A Bhutta
Feb 25, 2011·Bulletin of the World Health Organization·Arun K AggarwalRajesh Kumar
Apr 19, 2011·Lancet·Joy E LawnUNKNOWN Lancet's Stillbirths Series steering committee
May 20, 2005·Acta Obstetricia Et Gynecologica Scandinavica·UNKNOWN Swedish Collaborative Breech Study Group
Mar 24, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·F J KortewegJ P Holm
Sep 11, 2008·Paediatric and Perinatal Epidemiology·Karen M EdmondBetty R Kirkwood
May 1, 2007·American Journal of Obstetrics and Gynecology·Robert M SilverBarbara Stoll
Mar 16, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Mamuda AminuNynke van den Broek
Mar 23, 2017·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Theonia K BoydUNKNOWN PASS Network
Dec 19, 2002·Revista de saúde pública·Sônia LanskyMaria do Carmo Leal
Oct 4, 2006·Pediatrics·William M CallaghanEve M Lackritz

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