Archives of Public Health

Vol. 11 No. 2 (2019): Archives of Public Health
Clinical Science

Accuracy of death certification from cardivascular mortality in secondary care hospital

pdf (македонски јазик)
  • Natasha Petkovikj,
  • Vesna Velikj-Stefanovska,
  • Irena Eftimovska-Rogach,
  • Natasha Eftimovska Otovikj,
  • Ana Doneva,
  • Natasha Stavreva
Natasha Petkovikj
City General Hospital "8th September", Skopje, Republic of North Macedonia
Vesna Velikj-Stefanovska
Institute for Epidemiology and Biostatistics with Medical Informatics, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of North Macedonia
Irena Eftimovska-Rogach
City General Hospital "8th September", Skopje, Republic of North Macedonia
Natasha Eftimovska Otovikj
City General Hospital "8th September", Skopje, Republic of North Macedonia
Ana Doneva
City General Hospital "8th September", Skopje, Republic of North Macedonia
Natasha Stavreva
University Stomatology Clinic Centre "Saint Panteleimon", Skopje, Republic of North Macedonia
DOI: https://doi.org/10.3889/aph.2019.4202

Published 2019-08-22

Keywords

  • death certificates,
  • accuracy,
  • cardiovascular mortality,
  • ICD10

How to Cite

1.
Petkovikj N, Velikj-Stefanovska V, Eftimovska-Rogach I, Eftimovska Otovikj N, Doneva A, Stavreva N. Accuracy of death certification from cardivascular mortality in secondary care hospital. Arch Pub Health [Internet]. 2019 Aug. 22 [cited 2024 Jul. 16];11(2):26-33. Available from: https://id-press.eu/aph/article/view/4202
Copyright Notice

Abstract

Mortality statistics for causes of death is a basic indicator of the state of health of the population in one country. Its validity is entirely based on the accuracy of Death Certificates that is  primary source of data. The purpose of this research is to determine the accuracy of Death Certificates  with the inscription (I10 - I50) according  to the as the main cause of death in the City general hospital "8th of September" in Skopje. Material and Methods: The survey is a crossectional  study implemented in the City general hospital "8th September" - Skopje in the period from January 2015 to December 2016. The study analyzed the Death Certificates that according to ICD10 were inscribed with the I10 - I50 a codes as the main cause of death. There were 121 patients aged 24 to 84 who died in the period 0-28 days of hospitalization, regardless of sex and other socio-demographic characteristics. The analysis of the accuracy of the Death Certificates was done in accordance with the standardized form of the MONICA project. Results: The average age of the deceased in the entire sample was 72.41 ± 9.14 [95% CI (70.71-74.11)] years. Fully filled Death Certificates were 67 (56.3%), incorrect 22 (18.5%) and partly accurate 30 (25.2%). There is no significant association (p> 0.05) between the sexes of the examinees and the accuracy of the inclusion of the primary cause of death. Significantly (p <0.05) more accurately inscribed secondary cause of death in males was found.  Conclusion: With a certain limitation of the small number of cases, the research points to the inconsistency between the data taken from the hospital documentation and the cause of death written in the Death Certificates. There is a real need to take adequate measures to improve the quality of the Death Certificates.

 

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