Verifying causes of death in Thailand: rationale and methods for empirical investigation.
Verifying causes of death in Thailand: rationale and methods for empirical investigation.
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DOI：
10.1186/1478-7954-8-11
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发表时间：
2010-05-18
影响因子：
3.3
通讯作者：
Lopez AD
中科院分区：
文献类型：
--
作者：
Rao C;Porapakkham Y;Pattaraarchachai J;Polprasert W;Swampunyalert N;Lopez AD
按年龄和性别分列的特定原因死亡率统计是流行病学研究和卫生政策的主要证据。泰国生命登记系统的年度死亡率统计数据用处有限，因为约40%的死亡登记原因不明或非特异性。本文报告了一项综合研究的基本原理、方法和广泛结果，以验证泰国的登记原因。采用多阶段分层整群抽样方法选取了具有全国代表性的11,984例死亡病例样本，分布在泰国9个省的28个县。通过对医院内死亡病例的医疗记录审查和对医院外死亡病例的标准死因推断程序核实登记原因，其结果用于衡量登记数据的有效性和可靠性。研究结果被用来对泰国按年龄和性别分列的死因特异性死亡率进行描述性估计。在研究样本中，共有9 644人死亡，其中3 316人在医院死亡，6 328人在医院外死亡。现场研究在几乎所有最初在登记时被分配不明确的死亡原因的样本中得出了具体的诊断。研究结果表明，泰国男性死亡的主要原因是中风（9.4%）；交通事故（8.1%）；艾滋病毒/艾滋病(7.9%);缺血性心脏病（6.4%）；慢性阻塞性肺病（5.7%）。在女性中，主要原因是中风（11.3%）；糖尿病(8%);缺血性心脏病（7.5%）；艾滋病毒/艾滋病(5.7%);肾脏疾病（4%）。对研究样本中登记的死亡原因进行的实证调查产生了足够的信息，以便能够估计泰国特定原因的死亡模式。这些发现将为该国的疾病负担估计和卫生政策选择的经济评估提供信息。本研究中研究方法的制定和实施将有助于提高泰国年度死亡率统计数据的质量。建议对死亡率统计质量较差的其他国家进行类似的研究。
Cause-specific mortality statistics by age and sex are primary evidence for epidemiological research and health policy. Annual mortality statistics from vital registration systems in Thailand are of limited utility because about 40% of deaths are registered with unknown or nonspecific causes. This paper reports the rationale, methods, and broad results from a comprehensive study to verify registered causes in Thailand. A nationally representative sample of 11,984 deaths was selected using a multistage stratified cluster sampling approach, distributed across 28 districts located in nine provinces of Thailand. Registered causes were verified through medical record review for deaths in hospitals and standard verbal autopsy procedures for deaths outside hospitals, the results of which were used to measure validity and reliability of registration data. Study findings were used to develop descriptive estimates of cause-specific mortality by age and sex in Thailand. Causes of death were verified for a total of 9,644 deaths in the study sample, comprised of 3,316 deaths in hospitals and 6,328 deaths outside hospitals. Field studies yielded specific diagnoses in almost all deaths in the sample originally assigned an ill-defined cause of death at registration. Study findings suggest that the leading causes of death in Thailand among males are stroke (9.4%); transport accidents (8.1%); HIV/AIDS (7.9%); ischemic heart diseases (6.4%); and chronic obstructive lung diseases (5.7%). Among females, the leading causes are stroke (11.3%); diabetes (8%); ischemic heart disease (7.5%); HIV/AIDS (5.7%); and renal diseases (4%). Empirical investigation of registered causes of death in the study sample yielded adequate information to enable estimation of cause-specific mortality patterns in Thailand. These findings will inform burden of disease estimation and economic evaluation of health policy choices in the country. The development and implementation of research methods in this study will contribute to improvements in the quality of annual mortality statistics in Thailand. Similar research is recommended for other countries where the quality of mortality statistics is poor.
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影响因子：
168.9
作者：
AbouZahr, Carla;Cleland, John;Szreter, Simon
通讯作者：
Szreter, Simon
影响因子：
3.3
作者：
Pattaraarchachai J;Rao C;Polprasert W;Porapakkham Y;Pao-In W;Singwerathum N;Lopez AD
通讯作者：
Lopez AD
影响因子：
3.3
作者：
Polprasert W;Rao C;Adair T;Pattaraarchachai J;Porapakkham Y;Lopez AD
通讯作者：
Lopez AD
影响因子：
6.3
作者：
Wang, Lijun;Yang, Gonghuan;Lopez, Alan D.
通讯作者：
Lopez, Alan D.
影响因子：
7.7
作者：
Rao, Chalapati;Yang, Gonghuan;Lopez, Alan D.
通讯作者：
Lopez, Alan D.