Criteria for assigning cause of death for stillbirths and neonatal deaths in research studies in low-middle income countries
Criteria for assigning cause of death for stillbirths and neonatal deaths in research studies in low-middle income countries
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DOI：
10.1080/14767058.2017.1419177
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发表时间：
2019-01-01
影响因子：
1.8
通讯作者：
McClure, Elizabeth M.
中科院分区：
文献类型：
--
作者：
Goldenberg, Robert L.;Muhe, Lulu;McClure, Elizabeth M.
准确了解死产和新生儿死亡原因至关重要，特别是在低收入国家，以便公共卫生和医疗官员选择可能减少这些死亡的适当干预措施。迄今为止，这些地区的许多COD研究仅依赖于产科或新生儿临床信息，COD的测定可能不准确。特别缺乏与传染性COD有关的信息。因此，如果没有更复杂的测试，目前收集的数据只能提供一个非常弱的COD近似值，并可能导致采用有限的有用的干预措施。在这篇评论中，我们提出了有关的类型的数据，以合理的准确性，以确定在低资源环境中的死胎和新生儿死亡的COD的建议。使用这些数据，以及确定程度的方法，然后我们提出了最常见COD的定义。我们的目标是减少主观性，为现有分类系统中使用的测试提供更多的特异性，以便COD测定方法是透明的，并且能够随着时间的推移和从一个地点到另一个地点进行复制。
Accurate knowledge regarding cause of death (COD) for stillbirths and neonatal deaths is crucial, especially in low-income countries, in order for public health and medical officials to choose appropriate interventions likely to reduce these deaths. To date, many of the COD studies in these areas have relied only on obstetric or neonatal clinical information and the determination of COD is likely to be inaccurate. Information related to infectious COD is especially lacking. Thus, without more sophisticated testing, data as currently collected only provide a very weak approximation of the COD and may well lead to adoption of interventions of limited usefulness. In this commentary, we propose recommendations regarding the type of data needed to determine with reasonable accuracy the COD for stillbirths and neonatal deaths in low-resource settings. Using these data, and a method to determine the degree of certainty, we then propose definitions for the most common COD. Our goal is to reduce subjectivity and provide more specificity for the tests used in existing classification systems so that the methodology of COD determination is transparent and able to be replicated over time and from location to location.