Moolenaar R L, Etzel R A, Parrish R G
Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
West J Med. 1995 Nov;163(5):431-4.
Carbon monoxide was the number 1 cause of poisoning deaths in the United States from 1980 through 1988, with the highest rates reported in the western states. We studied unintentional deaths from carbon monoxide poisoning in New Mexico during this period using the multiple-cause mortality files from the National Center for Health Statistics (NCHS) and data from the New Mexico Office of the Medical Investigator (OMI). We compared the nationally available NCHS data with the more detailed OMI data to determine the sensitivity of NCHS data for the surveillance of this preventable cause of death. The NCHS data were 88% sensitive in identifying deaths from unintentional carbon monoxide poisoning and had a positive predictive value of 81% when compared with OMI data. Half of the unintentional carbon monoxide-related deaths were attributable to a home heating mechanism of some sort, 46% involved motor vehicle exhaust, and at least 42% were associated with alcohol use. We conclude that available NCHS data are a sensitive source of surveillance information about unintentional deaths from carbon monoxide poisoning. Additional details about specific deaths can be obtained from medical examiner files when needed.
1980年至1988年期间，一氧化碳是美国中毒死亡的首要原因，西部地区报告的发生率最高。我们利用国家卫生统计中心（NCHS）的多死因死亡率档案以及新墨西哥州医学调查员办公室（OMI）的数据，研究了这一时期新墨西哥州一氧化碳中毒导致的意外死亡情况。我们将全国可用的NCHS数据与更详细的OMI数据进行比较，以确定NCHS数据对监测这种可预防死因的敏感性。与OMI数据相比，NCHS数据在识别意外一氧化碳中毒导致的死亡方面的敏感性为88%，阳性预测值为81%。一半的意外一氧化碳相关死亡归因于某种家庭供暖机制，46%涉及机动车尾气排放，至少42%与饮酒有关。我们得出结论，现有的NCHS数据是关于一氧化碳中毒意外死亡监测信息的敏感来源。如有需要，可从法医档案中获取有关特定死亡的更多详细信息。
