Titre :
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NICE, a new cause of death classification for stillbirths and neonatal deaths. (1998)
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Auteurs :
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I.G.B. WINBO ;
G.G. DAHLQUIST ;
B.A.J. KALLEN ;
F.H. SERENIUS ;
Department of Pediatrics. Umea University. SWE
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 27, n° 3, 1998)
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Pagination :
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499-504
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Langues:
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Anglais
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Mots-clés :
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Mortalité périnatale
;
Mortalité néonatale
;
Létalité
;
Etiologie
;
Facteur
;
Classification
;
Epidémiologie
;
Méthodologie
;
Nouveau né
;
Homme
;
Suède
;
Europe
;
Registre
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Résumé :
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[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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