2006年成都市死因监测数据质量评价

Evaluation of Quality of Mortality Surveillance Data in Chengdu in 2006

目的促进成都市死因监测质量进一步提高。方法所有死亡病例死亡原因按照国际(ICD-10)疾病分类,分析监测数据的完整性、及时性和准确性。结果报告死亡数与公安局统计数符合率,城区、近郊、远郊分别为120.38%、131.29%和78.97%(χ2=1446.855,P<0.05)。院内死亡病例上报用时中位数,城区、近郊、远郊分别为37d、38d和17d;院外死亡病例上报平均用时,城区、近郊和远郊分别为58d、56d和69d。190例死亡医学证明书填写死因符合率为87.37%,网络报告的符合率为75.41%。结论成都市死因监测数据的质量还有待提高。

Objective To evaluate the quality of mortality surveillance data in Chengdu in 2006, so as to improve the surveillance system. Method All death cases were classified by ICD-10, the integrality, immediacy and accuracy of data were analyzed. Results The rates of accordance between reported cases from surveillance system and statistics data from the police were 120. 38%, 131.29%, and 78.97% separately for city area, city-rural area and rural area. The median of report time for those death cases happened in hospitals were 37 days. 38 days and 17 days separately for city area, city-rural area and rural area, while for those death cases happened out of hospitals were 58 days, 56 days and 69 days, respectively. The total 190 death cases were investigated and the results showed that the rate of accordance between the data reported by medical death certification and the truth was 87.37%, while 75.41% between the data reported by the internet and the truth. Conclusion The quality of mortality surveillanee data in Chengdu should be improved.