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在一个关联的出生-婴儿死亡证书数据库中,透明膜病的报告不足。

Hyaline membrane disease is underreported in a linked birth-infant death certificate database.

作者信息

Hamvas A, Kwong P, DeBaun M, Schramm W, Cole F S

机构信息

Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, St. Louis, Mo, USA.

出版信息

Am J Public Health. 1998 Sep;88(9):1387-9. doi: 10.2105/ajph.88.9.1387.

Abstract

OBJECTIVE

This study compared the Missouri State Department of Health linked birth-infant death certificate database and medical records with respect to recording hyaline membrane disease in very low-birth-weight infants.

METHODS

We reviewed the records for all 976 infants weighing 500 to 1500 g who were born to St. Louis, Mo, residents in 1989, 1991, and 1992.

RESULTS

Eighteen percent of the birth certificates and 54% of the medical records documented hyaline membrane disease, resulting in 34% sensitivity and 99% specificity.

CONCLUSIONS

The Missouri State Department of Health birth-infant death certificate database underestimates the incidence of hyaline membrane disease, which suggest that national statistics for the disease are also underestimated.

摘要

目的

本研究比较了密苏里州卫生部链接的出生-婴儿死亡证明数据库和医疗记录在记录极低出生体重儿透明膜病方面的情况。

方法

我们查阅了1989年、1991年和1992年在密苏里州圣路易斯市出生的所有976名体重在500至1500克之间婴儿的记录。

结果

18%的出生证明和54%的医疗记录记录了透明膜病,灵敏度为34%,特异性为99%。

结论

密苏里州卫生部出生-婴儿死亡证明数据库低估了透明膜病的发病率,这表明该疾病的全国统计数据也被低估了。

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Sudden infant death syndrome and maternal smoking.婴儿猝死综合征与母亲吸烟
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