Studies of mortality from asthma and chronic obstructive pulmonary disease (COPD) have relied on death certification or registration for case finding.
The aim of this study was to determine the accuracy of death certification and registration in asthma and COPD.
All death certificates in Northern Ireland for 1987 where asthma or COPD (defined as International Classification of Diseases 9th Revision (ICD9) 490,491,492,496) were listed in part I or part II were identified.
The following certificates were then selected for further investigation : those mentioning asthma for all ages, those mentioning COPD for ages less than 56 years, and a 50% sample of those mentioning COPD aged 56-75 years.
For these selected deaths the general practitioners'case notes, hospital records, and necropsy findings were reviewed.
Questionnaires detailing the clinical history and circumstances of death were completed by the general practitioner by post and by a close relative or associate of the deceased (doctor administered) if, after initial investigation, the death was likely to be due to COPD or asthma.
A panel of two respiratory physicians reviewed each death and, using clinical diagnostic criteria, assessed the accuracy of the registered cause of death.
Of 50 registered asthma deaths 43 were confirmed as being due to asthma.
In nine registered deaths from COPD in cases aged less than 56 years one was confirmed as COPD, two as asthma, and six ...
Mots-clés Pascal : Asthme, Bronchopneumopathie obstructive, Homme, Mortalité, Epidémiologie, Irlande du Nord, Royaume Uni, Europe, Précision, Certificat décès, International Classification of Diseases 9, Appareil respiratoire pathologie, Santé publique
Mots-clés Pascal anglais : Asthma, Obstructive pulmonary disease, Human, Mortality, Epidemiology, Northern Ireland, United Kingdom, Europe, Accuracy, Death certificate, International Classification of Diseases 9, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0177928
Code Inist : 002B11B. Création : 199608.