Background Stillbirths and neonatal deaths are often the result of a complicated chain of events.
For epidemiological purposes a classification into single cause of death groups is essential.
For large-scale studies, a method is needed which enables such grouping based on available register data.
Methods A cause of death classification system called NICE is presented.
It is hierarchical and is aetiologically orientated.
A computerized method is adapted which makes use of data in four central Swedish registries.
A validation of the computer method has been made from the medical records on a 10% sample of all stillbirths and neonatally dead infants in Sweden from 1983 to 1990.
Results The specificity of the computer method is high, sensitivity is less satisfactory for some subgroups.
A time trend analysis illustrates the usefulness of the classification system and shows a decline with time for two groups : placental abruption and obstetric complications.
Conclusions The NICE classification system fulfils the criteria of an aetiologically orientated classification system which can be used in a computerized environment.
Mots-clés Pascal : Mortalité, Etiologie, Cause, Périnatal, Néonatal, Classification, Epidémiologie, Méthodologie, Nouveau né, Homme, Suède, Europe, Registre
Mots-clés Pascal anglais : Mortality, Etiology, Cause, Perinatal, Neonatal, Classification, Epidemiology, Methodology, Newborn, Human, Sweden, Europe, Register
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0394912
Code Inist : 002B30A01A2. Création : 25/01/1999.