| Titre : | Classification differences and maternal mortality : a European study. (1999) |
| Auteurs : | Benoît Salanave ; S. ALEXANDER ; M.H. Bouvier-Colle ; A. MACFARLANE ; N. VARNOUX ; Inserm-U149. Paris. FRA ; Moms Group. INC |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 28, n° 1, 1999) |
| Pagination : | 64-69 |
| Langues: | Anglais |
| Mots-clés : | Mortalité maternelle ; Mortalité ; Mère ; Classification ; Epidémiologie ; Taux ; Etiologie ; Homme ; Femme ; Europe ; Etude comparée |
| Résumé : | [BDSP. Notice produite par INIST Ux7wR0xV. Diffusion soumise à autorisation]. Objectives To compare the ways maternal deaths are classified in national statistical offices in Europe and to evaluate the ways classification affects published rates. Methods Data on pregnancy-associated deaths were collected in 13 European countries. Cases were classified by a European panel of experts into obstetric or non-obstetric causes. An ICD-9 code (International Classification of Diseases) was attributed to each case. These were compared to the codes given in each country. Correction indices were calculated, giving new estimates of maternal mortality rates. Subjects There were sufficient data to complete reclassification of 359 or 82% of the 437 cases for which data were collected. Results Compared with the statistical offices, the European panel attributed more deaths to obstetric causes. The overall number of deaths attributed to obstetric causes increased from 229 to 260. This change was substantial in three countries (P<0.05) where statistical offices appeared to attribute fewer deaths to obstetric causes. In the other countries, no differences were detected. According to official published data, the aggregated maternal mortality rate for participating countries was 7.7 per 100 000 live births, but it increased to 8.7 after classification by the European panel (P<0.001). Conclusion The classification of pregnancy-associated deaths differs between European countries. (...) |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact