VALIDATION OF CAUSES OF INFANT DEATH IN THE COMMUNITY BY VERBAL AUTOPSY
VALIDATION OF CAUSES OF INFANT DEATH IN THE COMMUNITY BY VERBAL AUTOPSY
复制标题
DOI：
10.1007/bf02868443
复制
发表时间：
1988-01-01
影响因子：
4.3
通讯作者：
KUMAR V
中科院分区：
文献类型：
--
作者：
DATTA N;MAND M;KUMAR V
通过比较非专业记者收集的信息与经过专业培训的人员提供的信息，检验了用于评估婴儿期死亡原因的口头尸检结果的有效性。这一信息来自两个社区发展区40个村庄报告的280例婴儿死亡和107例死产，这些地区建立了可靠的信息系统。在新生儿期，156例死亡中，222例被确定为潜在或相关原因，一致性为75.7%。在新生儿后期，124例死亡中记录了266个原因，一致性为83.1%。在报告的107例死产中，有97例的结论是一致的。新生儿破伤风和麻疹（发热伴皮疹）作为死亡原因完全匹配；在拒绝喂食等情况下，双方的意见不一致；黄疸;败血症和呕吐。死亡年龄在8天至365天之间完全吻合，8天以下吻合率为86.7%。外行记录者可以通过回忆死亡前的事件顺序和记录容易识别的体征和症状来确定婴儿期死亡的原因。对非专业记者进行培训，使他们的发现与专业记者的发现之间存在更大的相关性。
Validation of findings of verbal autopsy to assess the cause(s) of death during infancy was tested by comparing the information gathered by lay reporters with that generated by professionally trained personnel. This information was obtained on 280 infant deaths of 107 stillbirths reported from 40 villages in two community development blocks where a reliable information system has been established. During neonatal period, in 156 deaths, 222 underlying or associated causes were identified with 75.7% agreement. In the post neonatal period, 266 causes were recorded in 124 deaths with 83.1% agreement. In 97 of 107 stillbirths reported, agreement was found. Neonatal tetanus and measles (fever with rash) as cause of death matched fully; poor agreement was found in conditions like refusal of feeds; jaundice; septicemia and vomiting. There was full matching of age at death between 8 days and 365 days and 86.7% agreement below 8 days. Lay reporters can be used for determining cause(s) of deaths during infancy by a recall of sequence of events preceding death and recording easily recognizable signs and symptoms. There is scope for training of lay reporters to obtain even greater correlation between their finding and those of professionals.