PMID: 9189842Jan 1, 1997Paper

Comparison of two methods for the discrimination of avoidable perinatal deaths

Journal of Perinatal Medicine
I Coria-SotoA M Salinas-Martinez

Abstract

This paper analyzes the validity and reliability of a method proposed by HERMAN et al [8] used to classify avoidable neonatal deaths. This method is based on a list of amenable medical conditions with an a priori decision about the avoidance of deaths. The results obtained using this method are compared to those derived from the discussion of individual cases by a committee created ex profeso. The population under study includes all neonatal deaths occurred at a third level hospital in Mexico City, from January 1, 1987 to July 31, 1994 (n = 1337). Only 56% of neonatal deaths could follow HERMAN's classification (n = 749). Poor concordance (Cohen's Kappa = 0.30) between the two methods was found. A high proportion of deaths (72.7%) was classified ambiguously (as possibly preventable), and also a considerable proportion of deaths could not be classified (44%). High sensitivity (96%) was found for the small percentage of cases in which avoidance was determined by the method under assessment (15%). A priori classification is useful for developing rough quality indicators at the regional level but not at hospital settings.

References

Mar 11, 1976·The New England Journal of Medicine·D D RutsteinE B Perrin
Jan 1, 1991·Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care·F BojanE Belicza
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Oct 1, 1980·British Journal of Obstetrics and Gynaecology·L Edouard, E Alberman

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Citations

Feb 5, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P A De ReuT K Eskes
Jun 23, 2009·BMC Pregnancy and Childbirth·Vicki FlenadyKristen Gilshenan
Oct 25, 2016·Journal de gynécologie, obstétrique et biologie de la reproduction·M SerrandP Sagot
Jul 2, 2004·Journal of Paediatrics and Child Health·A ChanD I Tudehope

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