| Titre : | NICE, a new cause of death classification for stillbirths and neonatal deaths. (1998) |
| Auteurs : | I.G.B. WINBO ; G.G. DAHLQUIST ; B.A.J. KALLEN ; F.H. SERENIUS ; Department of Pediatrics. Umea University. SWE |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 27, n° 3, 1998) |
| Pagination : | 499-504 |
| Langues: | Anglais |
| Mots-clés : | Mortalité périnatale ; Mortalité néonatale ; Létalité ; Etiologie ; Facteur ; Classification ; Epidémiologie ; Méthodologie ; Nouveau né ; Homme ; Suède ; Europe ; Registre |
| Résumé : | [BDSP. Notice produite par INIST MR0xb4je. Diffusion soumise à autorisation]. Background Stillbirths and neonatal deaths are often the result of a complicated chain of events. For epidemiological purposes a classification into single cause of death groups is essential. For large-scale studies, a method is needed which enables such grouping based on available register data. Methods A cause of death classification system called NICE is presented. It is hierarchical and is aetiologically orientated. A computerized method is adapted which makes use of data in four central Swedish registries. A validation of the computer method has been made from the medical records on a 10% sample of all stillbirths and neonatally dead infants in Sweden from 1983 to 1990. Results The specificity of the computer method is high, sensitivity is less satisfactory for some subgroups. A time trend analysis illustrates the usefulness of the classification system and shows a decline with time for two groups : placental abruption and obstetric complications. Conclusions The NICE classification system fulfils the criteria of an aetiologically orientated classification system which can be used in a computerized environment. |
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