The use of United States vital statistics in perinatal and obstetric research
The use of United States vital statistics in perinatal and obstetric research
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DOI：
10.1016/j.ajog.2005.11.020
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发表时间：
2006-04-01
影响因子：
9.8
通讯作者：
Branum, AM
中科院分区：
文献类型：
--
作者：
Schoendorf, KC;Branum, AM
自20世纪初以来，生命统计数据一直用于跟踪美国的孕产妇和儿童健康。收集的出生和死亡证明资料的广泛性，加上计算机处理的进步，使得关键的围产期和产科研究成为可能。这些增强功能还有助于解决使用相同数据时可能出现的问题。本评注探讨了美国人口动态统计系统的特点，并就如何适当使用这些数据提出了一些想法。人口动态统计的优点包括具有代表性和能够审查亚群体。局限性包括可能漏报医疗条件和程序，缺乏确定临床意图的能力，以及胎龄报告的众所周知的问题。基于生命统计的分析对于为未来的临床研究项目提供信息非常重要。然而，尊重生命统计数据的局限性可加强其在产科和围产期研究中的适当作用。(C)2006 Mosby，Inc. All rights reserved.
Vital statistics data have been used to track maternal and child health in the United States since the early 1900s. The breadth of information collected on birth and death certificates coupled with advances in computer processing have made possible critical perinatal and obstetric research. These enhancements also facilitate potentially problematic uses of the same data. This commentary explores characteristics of the United States Vital Statistics System and presents some thoughts with regard to the appropriate use of these data. The advantages of vital statistics include representativeness and the ability to examine subpopulations. Limitations include possible underreporting of medical conditions and procedures, lack of ability to ascertain clinical intent, and the well-known issues with gestational age reporting. Analyses based on vital statistics are important in informing future clinical research projects. However, respecting the limitations of vital statistics data enhance their appropriate role in obstetric and perinatal research. (C) 2006 Mosby, Inc. All rights reserved.