| A method of macro-auditing and assessing the preventability of infant mortality using large volume computerized files. | |
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MedLine Citation:
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PMID: 2097335 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a method for auditing and evaluating infant mortality with the aid of a preventability grading system, based on national computerized files of livebirths and infant deaths. Diagnostic categories and specific causes of deaths were classified into one of the following three preventability grades: Preventable (P), Possibly Preventable (PP) and Non Preventable (NP). This classification was then applied to two different scales: Preventability of Condition (PC) and Preventability of Death (PD) from which a third scale--Preventability of Mortality (PM)--was derived. The method was then applied to matched records of 39,786 livebirth and 452 infant death certificates between 1977 and 1984, in a semi-urban region in Israel encompassing 220,000 inhabitants. Comparison of mortality rates, according to the proposed preventability scores, demonstrated that higher infant mortality rate in non-Jewish population, or in Jewish mothers with a lower educational, was present only in the preventable categories (P or PP), while death rates due to non preventable causes were identical for all groups. The suggested macro-auditing method facilitates the assessment of large scale infant mortality rates in terms of preventability. |
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Authors:
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A Herman; B Modan; V Barell; E Caspi; Z Barzilay |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 18 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 1990 |
Date Detail:
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Created Date: 1991-07-25 Completed Date: 1991-07-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: GERMANY |
Other Details:
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Languages: eng Pagination: 431-9 Citation Subset: IM |
Affiliation:
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Department of Clinical Epidemiology, Chaim Sheba Medical Center, Tel Hasomer, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Congenital Abnormalities
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mortality Female Humans Infant Mortality* Infant, Newborn Infection / mortality Israel Male Medical Audit / methods* Obstetric Labor Complications / mortality Pregnancy Pregnancy Complications / mortality Quality of Health Care |
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