Death certificate completion: How well are physicians trained and are cardiovascular causes overstated?

Lakkireddy, Dhanunjaya; Gowda, Manohar S.; Murray, Caroline; Basarakodu, Krishnamohan; Vacek, James L.

doi:10.1016/j.amjmed.2004.04.018

Cited by 119 publications

(97 citation statements)

References 16 publications

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“…The impact of functional status on the cause of (11) 53 (21) IST-1 UK Independent 71 (22) 16 (5) 1 (0) 109 (34) 53 (17) 69 (22) Dependent 417 (33) 173 (14) 5 (1) 300 (24) 115 (9) 234 (19) All cohorts Independent 137 (19) 64 (9) 5 (0) 250 (35) 105 (15) 150 (21) Dependent 530 (33) 251 (15) 6 (0) 380 (23) 146 (9) 307 (19) Figures are numbers (percentages) of patients. Miscellaneous † 89 (8) *No myocardial infarctions were stated as primary cause of death.…”

Section: Discussionmentioning

confidence: 99%

Causes of Death by Level of Dependency at 6 Months After Ischemic Stroke in 3 Large Cohorts

Slot

Berge

Sandercock

et al. 2009

Stroke

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Background and Purpose-We assessed the influence of functional status at 6 months after ischemic stroke on cause of death during long-term follow-up in 3 prospective cohorts. Methods-The cohorts were 7710 patients from the Oxfordshire Community Stroke Project, Lothian Stroke Register, and International Stroke Trial. Functional status was assessed at 6 months after stroke onset. Causes of death were identified from death certificates, and were also classified into "stroke-related" or "other" causes. We calculated the relative risk with 95% CI to assess the association between dependency level and cause of death. We also performed a multivariable regression analysis to adjust for other relevant factors. Results-Six months after stroke onset 5961 (78%) patients were still alive. At the end of follow-up period, 1620 (47%) patients who were functionally dependent at 6 months after stroke onset had died vs 711 (28%) independent patients. Dependent patients had a relative risk of dying from stroke of 1.70 (95% CI, 1.44 -2.00) compared to independent patients. Overall, dependent patients had a relative risk of 1.68 (95% CI, 1.49 -1.91) of dying from stroke-related causes. Dependency remained significantly (PϽ0.01) associated with stroke-related causes of death in a multivariable regression analysis. Conclusion-Stroke-related deaths continue to be a problem during the years after an ischemic stroke, especially in patients who are functionally dependent at 6 months after onset. Better acute treatments to reduce dependency and adequate secondary prevention remain high priorities.

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Section: Discussionmentioning

confidence: 99%

Causes of Death by Level of Dependency at 6 Months After Ischemic Stroke in 3 Large Cohorts

Slot

Berge

Sandercock

et al. 2009

Stroke

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“…17 Death certificates remain the primary source of information for mortality coding and limited physician training and experience is likely to contribute significantly to the misclassification of cause of death. 31,32 It is therefore essential that physicians receive adequate training in completion of death certificates and that further studies are performed which can help inform the quality of ABS mortality coding.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of national mortality codes in identifying adjudicated cardiovascular deaths

Harriss

Ajani

Hunt

et al. 2011

Australian and New Zealand Journal of Public Health

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“…These analyses assumed homogeneity within population subgroups and did not attempt to separate out mortality patterns by place of birth (US or foreign born), or among Hispanics, by country of origin. Despite the analytic potential of MCOD, 24 analyses using death certificate data have limitations, 25,26 and interpretation of these results should be done with caution. We report on results using the UCOD for most analyses.…”

Section: Gilboa Et Al Mortality From Congenital Heart Disease 2257mentioning

confidence: 99%

Mortality Resulting From Congenital Heart Disease Among Children and Adults in the United States, 1999 to 2006

et al. 2010

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Background-Previous reports suggest that mortality resulting from congenital heart disease (CHD) among infants and young children has been decreasing. There is little population-based information on CHD mortality trends and patterns among older children and adults. Methods and Results-We used data from death certificates filed in the United States from 1999 to 2006 to calculate annual CHD mortality by age at death, race-ethnicity, and sex. To calculate mortality rates for individuals Ն1 year of age, population counts from the US Census were used in the denominator; for infant mortality, live birth counts were used. From 1999 to 2006, there were 41 494 CHD-related deaths and 27 960 deaths resulting from CHD (agestandardized mortality rates, 1.78 and 1.20 per 100 000, respectively). During this period, mortality resulting from CHD declined 24.1% overall. Mortality resulting from CHD significantly declined among all race-ethnicities studied. However, disparities persisted; overall and among infants, mortality resulting from CHD was consistently higher among non-Hispanic blacks compared with non-Hispanic whites. Infant mortality accounted for 48.1% of all mortality resulting from CHD; among those who survived the first year of life, 76.1% of deaths occurred during adulthood (Ն18 years of age). Conclusions-CHD mortality continued to decline among both children and adults; however, differences between race-ethnicities persisted. A large proportion of CHD-related mortality occurred during infancy, although significant CHD mortality occurred during adulthood, indicating the need for adult CHD specialty management. (Circulation.

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Death certificate completion: How well are physicians trained and are cardiovascular causes overstated?

Cited by 119 publications

References 16 publications

Causes of Death by Level of Dependency at 6 Months After Ischemic Stroke in 3 Large Cohorts

Causes of Death by Level of Dependency at 6 Months After Ischemic Stroke in 3 Large Cohorts

Accuracy of national mortality codes in identifying adjudicated cardiovascular deaths

Mortality Resulting From Congenital Heart Disease Among Children and Adults in the United States, 1999 to 2006

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