Aplicación de la clasificación internacional de enfermedades a los datos de mortalidad perinatal, Sudáfrica

Translated title of the contribution: Applying the international classification of diseases to perinatal mortality data, South Africa

Tina Lavin, Emma R. Allanson, Lee Nedkoff, David B. Preen, Robert C. Pattinson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective To examine the feasibility of applying the International Classification of Diseases-perinatal mortality (ICD-PM) coding to an existing data set in the classification of perinatal deaths. Methods One author, a researcher with a non-clinical public health background, applied the ICD-PM coding system to South Africa’s national perinatal mortality audit system, the Perinatal Problem Identification Program. The database for this study included all perinatal deaths (n = 26 810), defined as either stillbirths (of birth weight > 1000 g and after 28 weeks of gestation) or early neonatal deaths (age 0–7 days), that occurred between 1 October 2013 and 31 December 2016. A clinical obstetrician verified the coding. Findings The South African classification system does not include the timing of death; however, under the ICD-PM system, deaths could be classified as antepartum (n = 15 619; 58.2%), intrapartum (n = 3725; 14.0%) or neonatal (n = 7466; 27.8%). Further, the South African classification system linked a maternal condition to only 40.3% (10 802/26 810) of all perinatal deaths; this proportion increased to 68.9% (18 467/26 810) under the ICD-PM system. Conclusion The main benefit of using the clinically relevant and user-friendly ICD-PM system was an enhanced understanding of the data, in terms of both timing of death and maternal conditions. We have also demonstrated that it is feasible to convert an existing perinatal mortality classification system to one which is globally comparable and can inform policy-makers internationally.

Translated title of the contributionApplying the international classification of diseases to perinatal mortality data, South Africa
Original languageSpanish
Pages (from-to)806-816
Number of pages11
JournalBulletin of the World Health Organization
Volume96
Issue number12
DOIs
Publication statusPublished - 1 Dec 2018

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