Use and accuracy of state death certificates for classification of sudden cardiac deaths in high-risk populations.
In a large cohort of patients with known or suspected coronary disease, we evaluated the characteristics of 407 patients who died after hospital discharge and tested whether the state death certificate can be used to classify deaths as sudden cardiac versus nonsudden.
Compared with a paramedic classification system based on heart rhythm, the death certificate - based classification resulted in a sensitivity that ranged from 78% to 85% and a specificity that ranged from 25% to 58%. We conclude that the death certificate can be used to identify cases of sudden cardiac death in patients at high risk ; however, there is a substantial rate of false-positive sudden death classification.
Mots-clés Pascal : Mort subite, Homme, Certificat décès, Précision, Identification, Mort, Etude comparative, Classification, Rythme cardiaque, Washington, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Sudden death, Human, Death certificate, Accuracy, Identification, Death, Comparative study, Classification, Heart rate, Washington, United States, North America, America, Epidemiology, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0073831
Code Inist : 002B30A10. Création : 14/05/1998.