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  1. NICE, a new cause of death classification for stillbirths and neonatal deaths.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0394912

    Code Inist : 002B30A01A2. Création : 25/01/1999.