Assessing the accuracy of the death certificate injury at work box for identifying fatal occupational injuries in Michigan
Assessing the accuracy of the death certificate injury at work box for identifying fatal occupational injuries in Michigan
复制标题
DOI：
10.1002/ajim.23100
复制
发表时间：
2020-06-01
影响因子：
3.5
通讯作者：
Rosenman, Kenneth D.
中科院分区：
文献类型：
--
作者：
Oliveri, Anthony N.;Wang Ling;Rosenman, Kenneth D.
背景死亡证明包含一个标有“工伤”的方框，对于所有致命的职业伤害，都要标记“是”。该框在Michigan的准确性尚未完全characterized.Methods密歇根州死亡证明上的工伤框的准确性与2001年至2016年由密歇根州死亡评估和控制评估多源监测系统确定的死亡进行了比较。计算了这段时间内的灵敏度，同时推导了2011-2016年的特异性和阳性和阴性预测值。单变量和多变量回归被用来检查随着时间的推移和跨人口统计变量，行业，和类型的death.Results的敏感性的差异，我们发现了一个敏感性的工伤箱中的73.1%，2156死亡。17年来，敏感性呈显著下降趋势，从79.8%下降到63.1%。不同事件类型（飞机、动物相关、药物过量、机动车和自杀的敏感性特别低，触电、福尔斯和机器相关事件的敏感性较高）和工业部门（建筑、制造、公共安全、运输和贸易部门的敏感性较高，农业和服务部门的敏感性较低）的敏感性差异显著。在几乎所有类别的敏感性是显着低于1。结论在密歇根州死亡证明书上的工伤框往往是不正确的完成，并已成为不准确的时间，虽然这种不准确的程度因受害者的行业和事件的类型而异。
Background Death certificates contain a box labeled "Injury at Work" which is to be marked "Yes" for all fatal occupational injuries. The accuracy of this box in Michigan is not fully characterized.Methods The accuracy of the Injury at Work box on the Michigan death certificate was compared to deaths identified from 2001 through 2016 by the Michigan Fatality Assessment and Control Evaluation multi-source surveillance system. The sensitivity was calculated across this time period, while specificity and positive and negative predictive values were derived for 2011-2016. Univariate and multivariate regression were used to examine differences in the sensitivity over time and across demographic variables, industry, and the type of death.Results We found a sensitivity for the Injury at Work box of 73.1% among 2156 deaths. The sensitivity showed a significant declining trend over the 17 years, from 79.8% to 63.1%. Sensitivity varied significantly across incident type (aircraft, animal-related, drug overdose, motor vehicle, and suicides having particularly lower sensitivities, and electrocutions, falls, and machine-related incidents having higher sensitivities), and industry sector (construction, manufacturing, public safety, transportation, and trade sectors having higher sensitivities, and agriculture and services sectors showing lower sensitivities). Across nearly all categories the sensitivity was significantly below 1.Conclusions The Injury at Work box on the Michigan death certificate was often incorrectly completed and has become less accurate with time, though the degree of this inaccuracy varies by the industry of the victim and the type of incident.