Campos Mônica Rodrigues, Leal Maria do Carmo, Souza Paulo Roberto de, Cunha Cynthia Braga da
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Cad Saude Publica. 2004;20 Suppl 1:S34-43. doi: 10.1590/s0102-311x2004000700004. Epub 2004 May 20.
The objective of this study was to evaluate the quality of data in the research project entitled "Study on Neonatal and Perinatal Morbidity and Mortality and Care in the City of Rio de Janeiro", analyzing the completeness of patient records, inter-observer reliability, and concordance of collected data. The study interviewed a sample of 10,072 post-partum women, corresponding to 10.0% of the deliveries in the City of Rio de Janeiro. This article analyzed the concordance between data on patient records and the reproducibility of questionnaires by mean of rest/ retest, using common and prevalence-adjusted Kappa as well as the intra-class correlation coefficient. Losses totaled 4.5%, and the proportion of unknown data on patient records varied from 3.0 to 90.0%. Lower proportions were concentrated in the neonatal assessment and higher ones in the data on maternal hospital admission. There was a high concordance between the data reported by the mother and that written on the patient record, with the Kappa varying from 0.77 to 0.96. In the test/retest verification, Kappa varied from 0.61 to 0.94. This study demonstrated a high inter-observer reliability as well as reliability between the different data sources (interviewee and patient record).
本研究的目的是评估名为“里约热内卢市新生儿及围产期发病率、死亡率与护理研究”这一研究项目的数据质量，分析患者记录的完整性、观察者间的可靠性以及所收集数据的一致性。该研究对10072名产后妇女进行了访谈，占里约热内卢市分娩总数的10.0%。本文通过再测法，使用普通Kappa值、患病率调整Kappa值以及组内相关系数，分析了患者记录数据之间的一致性以及问卷的可重复性。失访率总计4.5%，患者记录中未知数据的比例在3.0%至90.0%之间。较低比例集中在新生儿评估方面，较高比例集中在产妇住院数据方面。母亲报告的数据与患者记录上所写的数据之间具有高度一致性，Kappa值在0.77至0.96之间。在重测验证中，Kappa值在0.61至0.94之间。本研究显示出观察者间的高度可靠性以及不同数据来源（受访者与患者记录）之间的可靠性。
