de Galan-Roosen A E, Kuijpers J C, Oei Y B, van Velzen D, Mackenbach J P
St.-Franciscus Gasthuis, afd. Verloskunde en Gynaecologie, Rotterdam.
Ned Tijdschr Geneeskd. 1997 Feb 1;141(5):237-40.
To determine the reliability of the Dutch registration of causes of perinatal death by the Centraal Bureau voor de Statistiek (CBS, Central Statistics Office).
Prospective, descriptive.
Region Delft-Westland-Oostland, the Netherlands.
The registration was based on data concerning all deliveries of women domiciled in the region, irrespective of the ultimate place of delivery, during 1983-1992. By linking, in retrospect, a prospective regional registration system for perinatal mortality within the region anonymously to the CBS registration, the reliability of the latter registration with regard to the causes of death was determined. To establish the causes of death, all available data were judged by a team consisting of a gynaecologist, a paediatrician and a paediatric pathologist. The diagnoses were classified with the aid of the International Classification of Diseases 9 (ICD-9).
In 10 years, 28983 children were born in the region. Over this period, the CBS recorded 227 cases of perinatal mortality. The actual perinatal mortality was calculated as at least 247 cases. In 32% of the cases of stillbirth, the cause of death was not known at the CBS. Of the 82 cases in which the CBS had recorded a diagnosis, the causes of death were in agreement with those found in the regional study in 46%. Of the first-week mortality, the diagnosis was unknown at the CBS in one case and of the remaining 76 cases, the registration of the cause of death was the same in 68% of the cases.
Registration of the causes of death regarding perinatal mortality and particularly stillbirth by the CBS shows gaps, mostly due to incorrect reporting of the cause of death by the treating physician or autopsist, due to the fact that at the time of notification the morbid-anatomical diagnosis and/or laboratory data were not complete. For the study of the backgrounds of perinatal mortality the current CBS registration of causes of death appears unsuitable.
确定荷兰中央统计局（CBS）对围产期死亡原因登记的可靠性。
前瞻性、描述性研究。
荷兰代尔夫特 - 韦斯特兰 - 奥斯特兰地区。
该登记基于1983年至1992年期间该地区所有女性分娩的数据，无论最终分娩地点在哪里。通过回顾性地将该地区围产期死亡率的前瞻性区域登记系统与CBS登记进行匿名关联，确定后者在死亡原因登记方面的可靠性。为确定死亡原因，由一名妇科医生、一名儿科医生和一名儿科病理学家组成的团队对所有可用数据进行判断。诊断依据国际疾病分类第9版（ICD - 9）进行分类。
10年间，该地区有28983名儿童出生。在此期间，CBS记录了227例围产期死亡病例。实际围产期死亡率经计算至少为247例。在32%的死产病例中，CBS不知道死亡原因。在CBS记录了诊断的82例病例中，死亡原因与区域研究结果一致的占46%。在第一周死亡率方面，CBS有1例病例诊断不明，在其余76例病例中，死亡原因登记相同的占68%。
CBS对围产期死亡尤其是死产的死亡原因登记存在漏洞，主要是由于治疗医生或尸检人员对死亡原因报告不正确，因为在通知时病理解剖诊断和/或实验室数据不完整。对于围产期死亡背景的研究，目前CBS的死亡原因登记似乎并不适用。
