对1156例死亡病例的死因认证进行验证。

A validation of cause-of-death certification in 1,156 deaths.

作者信息

de Faire U, Friberg L, Lorich U, Lundman T

出版信息

Acta Med Scand. 1976;200(3):223-8. doi: 10.1111/j.0954-6820.1976.tb08223.x.

DOI:10.1111/j.0954-6820.1976.tb08223.x

Abstract

Swedish twins have been followed for mortality since 1961, when the Swedish Twin Registry was formed. During the years 1961-73 there were 1290 deaths among twins born in 1901-25. In 1156 cases the cause of death could be established from collected records and classified according to the 1965 revision of ICD. Using the review of records as the standard, rates of detection and confirmation relating to the death certificate diagnoses were calculated. It is concluded that Swedish death certificate data are fairly valid for use in epidemiological studies and mortality statistics with regard to most cancer forms, cerebrovascular disease, ischemic heart disease, bronchitis, asthma and emphysema, accidents and suicides, but not for diabetes mellitus, alcoholism, mental diseases, rheumatic heart diseases and other heart diseases. However, in selected clinical-epidemiological studies it is often necessary to collect all available documents prior to judging the cause of death.

摘要

自1961年瑞典双胞胎登记处成立以来，瑞典双胞胎的死亡率情况一直受到跟踪。在1961年至1973年期间，1901年至1925年出生的双胞胎中有1290人死亡。在1156例病例中，可以从收集的记录中确定死亡原因，并根据1965年国际疾病分类（ICD）修订版进行分类。以记录审查为标准，计算了与死亡证明诊断相关的检测率和确认率。得出的结论是，瑞典死亡证明数据在用于大多数癌症、脑血管疾病、缺血性心脏病、支气管炎、哮喘和肺气肿、事故和自杀的流行病学研究和死亡率统计方面相当有效，但不适用于糖尿病、酗酒、精神疾病、风湿性心脏病和其他心脏病。然而，在选定的临床流行病学研究中，在判断死亡原因之前，通常有必要收集所有可用文件。