Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Agarwal, Reena ; Norton, Jennifer M. ; Konty, Kevin ; Zimmerman, Regina ; Glover, Maleeka ; ... More +
Agarwal, Reena ; Norton, Jennifer M. ; Konty, Kevin ; Zimmerman, Regina ; Glover, Maleeka ; Lekiachvili, Akaki ; McGruder, Henraya ; Malarcher, Ann ; Casper, Michele L. ; Mensah, George A. ; Thorpe, Lorna ; Less -
Description:
Introduction New York City has one of the highest reported death rates from coronary heart disease in the United States. We sought to measure the accuracy of this rate by examining death certificates. Methods We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in-hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. We abstracted data from hospital records, and an independent, blinded medical team reviewed these data to validate cause of death. We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary heart disease deaths) to quantify agreement between death certificate determination and clinical judgment. Results Of 491 sampled death certificates for in-hospital deaths, medical charts were abstracted and reviewed by the expert panel for 444 (90%). The comparability ratio for coronary heart disease deaths among decedents aged 35 to 74 years was 1.51, indicating that death certificates overestimated coronary heart disease deaths in this age group by 51%. The comparability ratio increased with age to 1.94 for decedents aged 75 to 84 years and to 2.37 for decedents aged 85 years or older. Conclusion Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths.
Subject:
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Adult
Aged
Aged, 80 And Over
Coronary Disease
Death Certificates
Female
Hospitals, Urban
Humans
Inpatients
Male
Middle Aged
Original Research
Retrospective Studies

Source:
Prev Chronic Dis. 7(3).
Document Type:
Journal Article ;
Place as Subject:
New York City, NY ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:1fffb9a84a7b5f167ac7af0eab7b1708a537588ae45b7933980157a0745d0b6b
File Type:

Supporting Files

• 	license.txt	txt
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