Reliability of birth certificate data: a multi-hospital comparison to medical records information.
Reliability of birth certificate data: a multi-hospital comparison to medical records information.
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DOI：
10.1023/a:1019726112597
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发表时间：
2002-09-01
影响因子：
2.3
通讯作者：
Rosenthal, Gary E
中科院分区：
文献类型：
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作者：
DiGiuseppe, David L;Aron, David C;Rosenthal, Gary E
目的：检查出生证明数据的可靠性，并确定教学和nonteaching hospitals.METHODS之间的可靠性是否不同：我们比较了出生证明和医疗记录中的33,616名妇女在1993年至1995年在东北部俄亥俄州的20家医院的分娩和交付。分析确定了36个常见数据元素的一致性，以及出生证明数据的敏感性，特异性和阳性和阴性预测值，使用医疗记录数据作为“金标准”。“结果：敏感性和阳性预测值变化很大（分别为9-100%和2- 100%），一致性也是如此，对于既往产科史、分娩类型和婴儿Apgar评分的测量，一致性“几乎完美”（K = 0.854-0.969），而对于其他几个变量（例如，吸烟（K = 0.766）、孕龄（K = 0.726）、产前检查（K = 0.671）。然而，对于大多数母体风险因素和合并症（K = 0.085-0.545）以及妊娠和/或分娩和分娩的几种并发症（K = 0.285-0.734），一致性仅为“轻微”至“中度”。教学医院（平均K = 0.51）和非教学医院（K = 0.52）的总体一致性相似。虽然在教学和非教学医院的协议不同的一些变量，没有系统的差异被视为跨类型的variables.CONCLUSIONS：我们的研究结果表明，出生证明数据的可靠性不同的特定元素。研究人员和卫生政策制定者需要认识到具体数据要素的潜在局限性。
OBJECTIVE: To examine the reliability of birth certificate data and determine if reliability differs between teaching and nonteaching hospitals.METHODS: We compared information from birth certificates and medical records in 33,616 women admitted for labor and delivery in 1993-95 to 20 hospitals in Northeast Ohio. Analyses determined the agreement for 36 common data elements, and the sensitivity, specificity, and positive and negative predictive values of birth certificate data, using medical record data as a "gold standard."RESULTS: Sensitivity and positive predictive value varied widely (9-100% and 2-100%, respectively), as did agreement, which was "almost perfect" for measures of prior obstetrical history, delivery type, and infant Apgar score (K = 0.854-0.969) and "substantial" for several other variables (e.g., tobacco use (K = 0.766), gestational age (K = 0.726), prenatal care (K = 0.671)). However, agreement was only "slight" to "moderate" for most maternal risk factors and comorbidities (K = 0.085-0.545) and for several complications of pregnancy and/or labor and delivery (K = 0.285-0.734). Overall agreement was similar in teaching (mean K = 0.51) and nonteaching (K = 0.52) hospitals. Although agreement in teaching and nonteaching hospitals varied for some variables, no systematic differences were seen across types of variables.CONCLUSIONS: Our findings indicate that the reliability of birth certificate data vary for specific elements. Researchers and health policymakers need to be cognizant of the potential limitations of specific data elements.