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Titolo:
Usefulness of the Statistical Bulletin of Deaths to identify extrahospitaldeaths in the context of a myocardial infarction population registry
Autore:
Garcia, J; Cirera, L; Tormo, MJ; Martinez, C; Contreras, J; Navarro, C;
Indirizzi:
Consejeria Sanidad & Consumo, Serv Epidemiol, Murcia 30008, Spain Consejeria Sanidad & Consumo Murcia Spain 30008 iol, Murcia 30008, Spain
Titolo Testata:
REVISTA ESPANOLA DE CARDIOLOGIA
fascicolo: 9, volume: 54, anno: 2001,
pagine: 1041 - 1047
SICI:
0300-8932(200109)54:9<1041:UOTSBO>2.0.ZU;2-C
Fonte:
ISI
Lingua:
SPA
Soggetto:
CORONARY HEART-DISEASE; MORTALITY STATISTICS; MONICA PROJECT; CASE-FATALITY; EVENT RATES; CERTIFICATES; COUNTRIES; ACCURACY; QUALITY;
Keywords:
myocardial infarction; epidemiology; registries; mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Garcia, J Consejeria Sanidad & Consumo, Serv Epidemiol, Ronda De Levante 11, Murcia 30008, Spain Consejeria Sanidad & Consumo Ronda De Levante 11 Murcia Spain 30008
Citazione:
J. Garcia et al., "Usefulness of the Statistical Bulletin of Deaths to identify extrahospitaldeaths in the context of a myocardial infarction population registry", REV ESP CAR, 54(9), 2001, pp. 1041-1047

Abstract

Introduction and aims. This paper aimed to study the usefulness of the Statistical Bulletin of Deaths (SBD) for identifying extrahospital deaths due to acute coronary ischaemia, and to determine the most efficient strategy in the selection of death causes that appear in the SBD, which are the most efficient for the identification. Methods. Those extrahospital deaths, which, among the causes of death, recorded a diagnostic code indicating that they might have been caused by coronary ischaemia, were included. To study the usefulness of the death certificate we calculated the sensitivity and the positive predictive value of cardiac ischaemia. To determine the most efficient strategy for selecting causes of death we compared two selection strategies: the first, using only thebasic cause of death; and the second using all the causes appearing in theSBD. Results. Of the 395 SBD selected, 161 were classed as acute heart attacks. In those SBD in which cardiac ischaemic disease was given as the basic cause of death, we obtained a sensitivity of 82.6% (Cl 95%: 75.9-88.1) and a positive predictive value of 72.7% (Cl 95%: 65.6-79). The most efficient strategy in SBD selection proved to be the investigation of death certificatesin which cardiac ischaemia appeared as one of all the causes of death, anddeath certificates in which the basic cause of death was coded as diabetesmellitus, essential arterial hypertension, hypertensive heart disease, cardiac dysrhythmia, and cardiac insufficiency. Conclusions. The information provided by death certificates for extrahospital deaths due to coronary ischaemia is reliable. A sensitive and efficientSBD selection strategy is proposed for the detection of cases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/05/20 alle ore 14:58:37