Sundman L, Jakobsson S, Nyström L, Rosén M
Department of Community Medicine, Gävle Hospital, Sweden.
Scand J Prim Health Care. 1988 Nov;6(4):205-11. doi: 10.3109/02813438809009318.
The aim of this study was to examine whether observed high mortality from ischaemic heart disease (IHD) among males in the municipality of Hofors, Sweden, is accurate, or the result of some artefact. The validity of death certificates from Hofors municipality and from a control area (Gävle) were ascertained by comparing them with medical records from hospitals and district physician offices, and reports from clinical or medicolegal autopsies. The results indicate that the observed high mortality from IHD among Hofors males cannot be explained by deficiencies in establishing the cause of death. Results from other validity studies indicate, however, that there is a risk of local variation when reporting causes of death. In many instances this motivates checking the validity of data before they are incorporated into official statistics and used as a basis for planning.
本研究的目的是检验瑞典霍福什市男性中观察到的缺血性心脏病（IHD）高死亡率是准确的，还是某种人为因素的结果。通过将霍福什市和一个对照地区（耶夫勒）的死亡证明与医院和地区医生办公室的医疗记录以及临床或法医学尸检报告进行比较，确定了这些死亡证明的有效性。结果表明，霍福什市男性中观察到的IHD高死亡率不能用死因确定方面的缺陷来解释。然而，其他有效性研究的结果表明，在报告死因时存在局部差异的风险。在许多情况下，这促使在将数据纳入官方统计并用作规划依据之前检查数据的有效性。
