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Can International Classification of Disease Perinatal Mortality (ICD-PM) be a solution to overcome neglected tragedy?
Marziyhe Meraji1, Masoumeh Jafari1
1Health Information Management, Department of Health Information Technology, School of Paramedical Sciences Mashhad University of Medical Sciences Mashhad Iran.
Insights
The International Classification of Disease Perinatal Mortality (ICD-PM) has seen limited global use. Enhancements to ICD-PM are needed to establish it as a universal standard for classifying perinatal deaths, reducing preventable mortality.
Area of Science:
- Perinatal Health
- Public Health Surveillance
- Medical Classification Systems
Background:
- Over 5 million annual perinatal deaths worldwide, many preventable.
- The International Classification of Disease Perinatal Mortality (ICD-PM) is a key tool for cause categorization.
- Understanding global ICD-PM utilization is crucial for improving perinatal outcomes.
Purpose of the Study:
- To identify and describe experiences from the international utilization of ICD-PM.
- To assess the current global adoption and challenges of ICD-PM.
- To inform future development and standardization of ICD-PM.
Main Methods:
- Scoping review utilizing PRISMA-SCR guidelines.
- Searched Web of Science, PubMed, and Scopus (Jan 2016 - Apr 2022).
- Included 32 studies after rigorous selection and analysis.
Main Results:
- Six main themes and eight strategies emerged from content analysis.
- Identified limited global utilization of the ICD-PM system.
- Highlighted areas for improvement and implementation.
Conclusions:
- Global utilization of ICD-PM remains limited.
- The upcoming ICD revision offers an opportunity to enhance ICD-PM.
- Standardizing ICD-PM is essential for accurate perinatal mortality classification and reduction.
Introduction:
Over 5 million perinatal deaths occur annually worldwide, with a significant proportion of them being preventable. The International Classification of Disease Perinatal Mortality (ICD-PM) is the first globally developed classification system for categorizing the causes of perinatal deaths. The objective of this study is to identify and describe the experiences gained from the international utilization of ICD-PM.
Method:
A scoping review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-SCR) was conducted through a comprehensive search using relevant keywords in Web of Science, PubMed, and Scopus from January 2016 to April 20, 2022 to identify relevant studies. The selection of studies was based on predefined inclusion and exclusion criteria. After removing duplicate studies and reviewing titles, abstracts, and full texts, a total of 32 studies were included in the analysis.
Results:
The primary search ended up with 229 studies, of which 32 articles were included in the final analysis. Based on the results of the content analysis conducted on the selected studies, six main themes and eight strategies were identified.
Conclusion:
The findings suggest that the utilization of ICD-PM on a global scale has been limited. The forthcoming advancement of ICD presents a chance to assess and enhance ICD-PM to establish it as a universally recognized standard system for classifying perinatal mortalities.
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