Document Detail


Predictive value of death certification in the case ascertainment of epilepsy.
MedLine Citation:
PMID:  15548499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Death certificates are an unreliable source of information on cause of death, and mortality due to epilepsy can thus be underestimated. METHODS: We investigated people with epilepsy who had died, and attempted to identify factors that influence inclusion of epilepsy on the death certificate; eight factors were hypothesised and entered into a univariate logistic regression model. RESULTS: Epilepsy was on the death certificate of 16/243 (7%) people who had had epilepsy. Factors that influenced whether or not epilepsy appeared on the certificate were seizure frequency, antiepileptic drug treatment, cause of death, and certifying physician. Factors that did not seem to influence the inclusion of epilepsy were presence of convulsive seizures, occurrence of seizures during follow up, and age at death. CONCLUSIONS: We have estimated the degree of unreliability of death certificates (as currently used in the UK) as a source of information on cause of death in epilepsy. We have found that epilepsy may not appear on death certificates even if people had active epilepsy.
Authors:
G S Bell; A Gaitatzis; A L Johnson; J W Sander
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurology, neurosurgery, and psychiatry     Volume:  75     ISSN:  0022-3050     ISO Abbreviation:  J. Neurol. Neurosurg. Psychiatr.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2004-12-22     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  2985191R     Medline TA:  J Neurol Neurosurg Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  1756-8     Citation Subset:  IM    
Affiliation:
Neuroepidemiology Unit, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust, London, WC1N 3BG, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cause of Death*
Child
Child, Preschool
Death Certificates*
Epidemiologic Studies
Epilepsy / mortality*
Female
Great Britain
Humans
Male
Middle Aged
Regression Analysis
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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