Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Errors in the certification of neonatal death.

R Hunt1, P Barr

  • 1The New Children's Hospital, Parramatta, New South Wales, Australia.

Journal of Paediatrics and Child Health
|October 19, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Notices of the Progress of Experiments on the Influence of Light on the Growth of Plants.

Western journal of medicine and surgery·2024
Same author

Report on the Influence of Light on the Growth of Plants.

Western journal of medicine and surgery·2024
Same author

An investigation into the factor structure of the Health of the Nation Outcome Scales for People with Learning Disabilities.

Journal of intellectual disability research : JIDR·2023
Same author

Daily patterns in parasite processes: diel variation in fish louse transcriptomes.

International journal for parasitology·2022
Same author

A partially randomised trial of pretomanid, moxifloxacin and pyrazinamide for pulmonary TB.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2021
Same author

Self-retaining retraction technique for axillary lymph node dissection for breast surgeons.

Annals of the Royal College of Surgeons of England·2020

The perinatal death certificate (PDC) has significant errors in classifying neonatal deaths, with 42% discordant with clinicopathological summaries. Improving PDC accuracy requires correct cause sequencing and incorporating autopsy/lab data.

Area of Science:

  • Perinatal mortality
  • Neonatal death certification
  • Public health surveillance

Background:

  • Accurate death certification is crucial for understanding mortality trends and informing public health interventions.
  • The perinatal death certificate (PDC) is the primary tool for recording causes of neonatal deaths.
  • Previous studies suggest potential inaccuracies in death certification processes.

Purpose of the Study:

  • To evaluate the accuracy of the perinatal death certificate (PDC) for neonatal deaths.
  • To identify common sources of error in the certification of neonatal deaths using the PDC.
  • To compare PDC data with comprehensive clinicopathological summaries (CPS).

Main Methods:

  • Retrospective review of 179 neonatal deaths over a 7-year period.

Related Experiment Videos

  • Comparison of causes of death listed on the PDC with those determined by a clinicopathological summary (CPS).
  • Analysis of discordancies, including incorrect classification and sequencing of causes.

    • Main Results:

    • The main causes of death between PDC and CPS were concordant in only 58% of cases (103/179).
    • Significant discordancies were observed in 42% (76/179) of neonatal deaths.
    • Errors included incorrect sequencing of main/other causes (23%), listing non-pathological conditions as primary causes (66%), and incorrect pathological diagnoses (11%).
    • Lack of autopsy/laboratory data contributed to 13-27% of classification errors.

    Conclusions:

    • The accuracy of the PDC is compromised by sequencing errors and misclassification of causes of death.
    • Incomplete information, particularly pending laboratory and autopsy results, significantly impacts certification accuracy.
    • Improving PDC accuracy to 91% concordancy is achievable by correcting cause sequencing, prioritizing pathological conditions, and integrating all available clinical data.