成都市农村地区死因监测数据质量评价

Evaluation of Quality of Death Cause Surveillance in Rural Area of Chengdu

目的评价成都市农村地区死因监测数据质量。方法使用话语解剖量表,抽样调查652例农村地区院外死亡病例,和常规报告填写的死亡卡片以及通过死因直报系统上报的数据进行比对,判断常规报告卡片填写和上报的准确性。结果各类疾病报告的一致性>0.4,敏感度和阳性预测值>75%,错分比例<25%。结论成都市农村地区死因报告质量较好,通过监测数据获得的死亡模式可靠。

Objective To evaluate the quality of death cause surveillance in rural area of Chengdu.Methods A total of 625 death cases randomly selected were surveyed by using verbal autopsies scale.The results were compared with the routine death reporting cards the data reported through death cause network direct reporting system to identify the accuracy of these reports.Results The consistent KAPPA was 0.4,the sensitivity and positive predictive value was 75%,and the rate of mis-classification was 25%.Conclusion The quality of death cause surveillance in rural area of Chengdu was high.The death patterns concluded by surveillance data analysis wers believable.