Mirza N M, Macharia W M, Wafula E M, Agwanda R O, Onyango F E
Department of Paediatrics, College of Health Sciences, University of Nairobi, Kenya.
East Afr Med J. 1990 Oct;67(10):693-8.
Verbal autopsy was used to determine causes of death in 239 children under the age of 5 years. The diagnosis derived from verbal autopsy was corroborated with hospital diagnosis in 39 cases. There was concurrence of diagnosis in 72% of the cases. Using the diagnosis of bronchopneumonia to validate the method, verbal autopsy was found to have a sensitivity of 71%, specificity of 92%, a positive predictive value of 85%. Reliability index of agreement was 0.654. Recall period up to 29 months after death was found to be reliable.
采用回顾性死因调查来确定239名5岁以下儿童的死因。在39例病例中，回顾性死因调查得出的诊断与医院诊断相互印证。72%的病例诊断结果一致。以支气管肺炎的诊断来验证该方法，发现回顾性死因调查的敏感度为71%，特异度为92%，阳性预测值为85%。一致性可靠性指数为0.654。发现死亡后长达29个月的回忆期是可靠的。
