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Published on: January 8, 2020

The impact of the variation in death certification and coding practices on trends in mortality from ischaemic heart

Linping Chen1, Sue Walker, Shilu Tong

  • 1National Centre for Classification in Health, School of Public Health, Queensland University of Technology.

Australian Health Review : a Publication of the Australian Hospital Association
|October 31, 2002
PubMed

Insights

Death certification accuracy significantly impacts ischaemic heart disease (IHD) mortality trends. Misleading codes and miscertification obscure true IHD mortality, necessitating regular accuracy checks.

Area of Science:

  • Epidemiology
  • Public Health
  • Medical Certification

Background:

  • Trends in ischaemic heart disease (IHD) mortality are influenced by various factors.
  • Accurate death certification and coding are crucial for reliable mortality statistics.

Purpose of the Study:

  • To review literature on how death certification practices affect IHD mortality trends.
  • To identify factors influencing mortality trends and assess their impact on IHD mortality.

Main Methods:

  • Literature review of studies on death certification, coding, and IHD mortality.
  • Analysis of factors affecting mortality trends across different countries.

Main Results:

  • Miscertification and incorrect International Classification of Diseases (ICD) codes, especially for ill-defined cardiovascular conditions, significantly impact IHD mortality trends.
  • The magnitude of these effects varies by country and population subgroup.

Conclusions:

  • Regular monitoring of death certificate accuracy for IHD is essential.
  • Adjustments in analysis are needed to account for miscertification and coding issues in IHD mortality trends.

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