How children die: classifying child deaths

Archives of Disease in Childhood
G A PearsonDeirdre Kelly

Abstract

To validate a descriptive tool for the causes of child death, which was designed to circumvent problems posed by the analysis of a confidential enquiry. 3 participants from different healthcare backgrounds used clinical data, including the entries on the medical certificate of the cause of death, to classify the root cause of 783 deaths from the Confidential Enquiry into Maternal and Child Health child death review. A bespoke hierarchical system was used. Unanimity of allocation within categories and inter-rater and intra-rater agreement were assessed. Two methods for treating disagreements were compared by assessing their effect upon the apparent incidence of different causes of death. The participants were most consistent in grouping deaths due to trauma, malignancy and sudden infant death. Each was highly consistent in allocating cases to groups (κ 0.85-0.99), but the agreement between participants, although "good", was worse (κ 0.66-0.78). The greatest number of discrepancies was between diseases identified as congenital by the doctor and as chronic medical conditions by others. The method for treating disagreement between participants does not affect the commonest cause of death (trauma) but alters the ranking of the subor...Continue Reading

Citations

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Aug 15, 2015·Archives of Disease in Childhood·Parag TambeImti Choonara
May 10, 2016·American Economic Journal. Economic Policy·Alice ChenHeidi Williams
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Jul 15, 2017·Archives of Disease in Childhood·Lorna K Fraser, Roger Parslow
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Jul 2, 2020·Archives of Disease in Childhood·Robert Scott-JuppBen J Stenson

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