Hoff Clarissa J B, Ratard Raoult
Department of Family and Community Medicine, Tulane University Hospital, USA.
J La State Med Soc. 2010 Nov-Dec;162(6):350, 352-3.
The accuracy of death certificates is essential for public health prevention and research in the State of Louisiana. This article analyzes the accuracy of cause of death stated on Louisiana death certificates.
Discharge diagnoses from 2007 Louisiana Hospital Inpatient Discharge Diagnosis (LAHIDD) data were compared with the diagnoses in the cause of death section in the corresponding death certificates.
Of the immediate causes of death, only 40.5% were considered an exact match and 17.4% did not have any type of match in the LAHIDD discharge diagnoses. For the preceding causes of death 54.0% of death certificates had no exact matches. There were only 55 (8.8%) of death certificates with no missing diagnosis.
There are significant inconsistencies between the discharge diagnosis upon death and cause of death. This raises concern for public health and education is needed for physicians to improve accuracy of death certificates.
死亡证明的准确性对于路易斯安那州的公共卫生预防和研究至关重要。本文分析了路易斯安那州死亡证明上所陈述的死因准确性。
将2007年路易斯安那州医院住院患者出院诊断（LAHIDD）数据中的出院诊断与相应死亡证明中死因部分的诊断进行比较。
在直接死因中，只有40.5%被认为是完全匹配，17.4%在LAHIDD出院诊断中没有任何类型的匹配。对于先前死因，54.0%的死亡证明没有完全匹配。只有55份（8.8%）死亡证明没有漏诊。
死亡时的出院诊断与死因之间存在显著不一致。这引发了对公共卫生的担忧，并且需要对医生进行培训以提高死亡证明的准确性。
