THE ACCURACY OF DEATH CERTIFICATES IN IDENTIFYING WORK-RELATED FATAL INJURIES
THE ACCURACY OF DEATH CERTIFICATES IN IDENTIFYING WORK-RELATED FATAL INJURIES
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DOI：
10.1093/oxfordjournals.aje.a117364
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发表时间：
1995-05-15
影响因子：
5
通讯作者：
ANDERSON, C
中科院分区：
文献类型：
--
作者：
KRAUS, JF;PEEK, C;ANDERSON, C
美国三个国家机构报告了与工作有关的致命伤害，其中一个机构在死亡证明上使用“工伤”名称来识别和描述这些死亡事件。 “工伤”符号的准确性尚未得到验证。作者使用了极有可能与工作相关或与工作无关的外部死亡原因（来自《国际疾病分类》第九版修订版临床修改）作为标准，与 1979-1989 年加州死亡证明“在工作”的称号进行比较。使用国家卫生统计中心 1979-1984 年的数据来衡量患病率，以确定死亡证明上与工作相关的正或负符号的预测价值。 “在工作”指定的敏感性为 77.6%，特异性超过 99%。敏感性但不特异性因年龄、性别和具体的外部死亡原因而异。 “在工作”这一名称的阳性预测值约为 60%，这表明在将其用于某些流行病学目的时应谨慎行事。
Three national US agencies report on work-related fatal injuries, and one uses the ''injury at work'' designation on the death certificate to identify and characterize these fatalities. The accuracy of the ''injury at work'' notation has not been validated. The authors used selected external causes of death (from the International Classification of Diseases, Ninth Revision, Clinical modification) that are highly likely to be work-related or not work-related as a standard to compare with the California death certificate ''at work'' designation for the years 1979-1989. Data from the National Center for Health Statistics for the years 1979-1984 were used to measure prevalence for purposes of determining the predictive value of a positive or negative work-related notation on the death certificate. The sensitivity of the ''at work'' designation was 77.6%, with a specificity of over 99%. Sensitivity but not specificity varied by age, sex, and specific external cause of death. The predictive value positive of the ''at work'' designation was about 60%, which suggests caution in using it for some epidemiologic purposes.