PMID: 8613419Nov 1, 1995Paper

Reliability of death certificates in the study of stroke mortality. A retrospective study in a Sicilian municipality

Italian Journal of Neurological Sciences
A ReggioF Patti

Abstract

The subjects who died in the Sicilian municipality of Riposto between 1985 and 1992, and whose death certificates reported diagnoses of cerebrovascular disease, were re-evaluated with the aim of verifying the reliability of the certificates themselves. The relatives of the deceased were interviewed to confirm or exclude stroke, and about 35% of the cases proved to be false positives. Among the causes reported on the death certificates, "stroke", "cerebral hemorrhage" and "cerebral thrombosis" presented the smallest number of false positives. Our results show that the sensitivity and specificity of the death certificates was poor, and there would also seem to be a large number of false negatives. However, the official mortality rates for cerebrovascular disease are probably not very far from the truth.

References

Jan 1, 1992·Neuroepidemiology·B D'AvanzoE Beghi
Jan 1, 1967·British Journal of Preventive & Social Medicine·M R Alderson, T W Meade
Nov 1, 1982·Stroke; a Journal of Cerebral Circulation·L E CorwinP M McNamara
Aug 1, 1993·Stroke; a Journal of Cerebral Circulation·C SartiJ Torppa

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Citations

Aug 21, 2015·PloS One·Natalie McCormickJ Antonio Avina-Zubieta
Dec 29, 1998·Human Pathology·C J SmithB M Wagner

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