Reliability of Indiana birth certificate data compared to medical records
Reliability of Indiana birth certificate data compared to medical records
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DOI：
10.1016/j.annepidem.2005.03.005
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发表时间：
2006-01-01
影响因子：
5.6
通讯作者：
Gamache, RE
中科院分区：
文献类型：
--
作者：
Zollinger, TW;Przybylski, MJ;Gamache, RE
目的：本研究的目的是测量印第安纳州电子出生证明上报告的数据的可靠性。了解出生证明数据的准确性是至关重要的，当确定社区卫生需求和评估出生结果interventions.METHODS：本研究比较了1996年电子出生证明数据的随机样本的1050印第安纳州医院出生的数据从医院的医疗记录为同一患者。Kappa评分、Pearson r相关值、敏感性、特异性和出生证明数据的阳性预测值被用来衡量agreement.RESULTS：父母的人口统计学变量具有最好的一致性，其次是出生结果变量。分娩类型，剖宫产指征，妊娠史，产前护理和母亲的风险变量被发现有中度协议。协议是衡量劳动力和分娩并发症，产科手术，并发症，妊娠并发症，先天性异常，异常conditions.CONCLUSIONS：这项研究的结果清楚地表明，一些重要的描述性和结果的数据是可靠的，而罕见的事件一般不。结果表明，需要提高出生证上报告的数据的质量。
PURPOSE: The purpose of this Study was to measure the reliability of data reported on Indiana electronic birth certificates. Knowing the accuracy of birth certificate data is crucial when identifying community health needs and evaluating birth outcomes interventions.METHODS: This study compared 1996 electronic birth certificate data on a random sample of 1050 Indiana hospital births to data abstracted from the hospital medical records for the same patients. Kappa scores, Pearson r correlation values, sensitivity, specificity, and positive predictive values of the birth certificate data were used to measure agreement.RESULTS: Parents' demographic variables had the best agreement, followed by birth outcome variables. Delivery type, cesarean indications, pregnancy history, prenatal care and mother's risk variables were found to have moderate agreement. Agreement was poor for variables measuring labor and delivery complications, obstetric procedures, concurrent illnesses, pregnancy complications, congenital anomalies, and abnormal conditions.CONCLUSIONS: The results of this study clearly show that some important descriptive and outcome data are reliable while infrequent events are generally not. The results indicate a need to improve the quality of data reported on birth certificates.