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Accuracy of death certification from cardivascular mortality in secondary care hospital

Authors: Petkovikj, Natasha; Velikj-Stefanovska, Vesna; Eftimovska-Rogach, Irena; Eftimovska Otovikj, Natasha; Doneva, Ana; Stavreva, Natasha;

Accuracy of death certification from cardivascular mortality in secondary care hospital

Abstract

Mortality statistics for causes of death is a basic indicator of the state of health of the population in one country. Its validity is entirely based on the accuracy of Death Certificates that is primary source of data. The purpose of this research is to determine the accuracy of Death Certificates with the inscription (I10 - I50) according to the as the main cause of death in the City general hospital "8th of September" in Skopje. Material and Methods: The survey is a crossectional study implemented in the City general hospital "8th September" - Skopje in the period from January 2015 to December 2016. The study analyzed the Death Certificates that according to ICD10 were inscribed with the I10 - I50 a codes as the main cause of death. There were 121 patients aged 24 to 84 who died in the period 0-28 days of hospitalization, regardless of sex and other socio-demographic characteristics. The analysis of the accuracy of the Death Certificates was done in accordance with the standardized form of the MONICA project. Results: The average age of the deceased in the entire sample was 72.41 ± 9.14 [95% CI (70.71-74.11)] years. Fully filled Death Certificates were 67 (56.3%), incorrect 22 (18.5%) and partly accurate 30 (25.2%). There is no significant association (p> 0.05) between the sexes of the examinees and the accuracy of the inclusion of the primary cause of death. Significantly (p <0.05) more accurately inscribed secondary cause of death in males was found. Conclusion: With a certain limitation of the small number of cases, the research points to the inconsistency between the data taken from the hospital documentation and the cause of death written in the Death Certificates. There is a real need to take adequate measures to improve the quality of the Death Certificates.

Морталитетната статистика по причини за смрт е основен показател на здавствената состојба на населението во една земја. Нејзината валидност во целост е базирана на точноста на Лекарските извештаи за причина на смрт (ЛИПС) што претставуваат нејзин основен извор на податици. Цел на ова истражување е да се утврди точноста на лекарските извештаи со впишано КВЗ (I10 - I50) како основна причина за смрт во Градската општа болница „8ми Септември“ во Скопје. Материјал и методи: Истражувањето представува квантитативна аналитичка студија на пресек имплементирана во Градската општа болница „8ми Септември“ - Скопје во периодот од јануари 2015 до декември 2016 година. Во истражувањето беа анализирани ЛИПС-овите кои согласно МКБ10 беа со впишано КВЗ (I10 - I50) како основна причина за смрт. Опфатени беа 121 пациент на возраст од 24 до 84 години кои починале во периодот 0 - 28 дена од хоспитализацијата и тоа независно од полот и другите социо-демографски карактеристики. Анализата на точноста на ЛИПС-овите, беше направена согласно стандардизиран образец од MONICA проектот. Резултати: Просечната возраст на починатите во целиот примерок изнесуваше 72,41±9,14 [95% CI (70.71-74,11)] години. Tочно пополнети ЛИПС-ови биле 67 (56,3%), неточно 22 (18,5%) и делумно точно 30 (25,2%). Нема сигнификантна асоцијација (p>0,05) меѓу полот на испитаниците и точноста на впишување на примарната причина за смрт. Утврдена е сигнификантно (p<0,05) поточно е впишана секундарна причина за смртта кај лицата од машки пол. Заклучок: Со извесна лимитација поради малиот број на случаи истражувањето укажува на неусогласеност помеѓу податоците превземени од болничката документација и причината за смрт впишана во ЛИПС-овите. Постои реална потреба да се превземат адекватни мерки за подобрување на квалитетот на ЛИПС.

Keywords

death certificates, ICD10, accuracy, cardiovascular mortality, ЛИПС, точност, кардиоваскуларен морталитет, МКБ10

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    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
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    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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