@2024 Afarand., IRAN
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(1):211-217
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(1):211-217
Coordination of the Causes of Deaths Recorded in Death Certificates Issued in Sanandaj Hospitals with ICD10 Codes during 2015-2017
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Yousefinejad V. (1)Sohrabi M. (2)
Mohammadzadeh P. (2)
(1) Liver & Digestive Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
(2) Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
(2) Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
Correspondence
Address: Student Research Committee, Kurdusran University of Medical Sciences, Sanandaj, IranPhone: +98-87-33247855
Fax:
mhsn.sohrabi@gmail.com
Article History
Received: August 7, 2018Accepted: October 23, 2018
ePublished: December 20, 2018
ABSTRACT
Aims
World Health Organization has codified the guidelines for correct filling of death certificates, choosing the cause of death, and documenting it according to ICD10 codes. In this study, the coordination of the causes of death recorded on death certificates issued at Sanandaj Hospitals was, evaluated using ICD_10 criteria.
Instrument & Methods In this descriptive-analytical study, 1506 death certificates were extracted during July 2015 to September 2017 form Tohid and Besat Hospital archives and information including age, gender, season, attending physician, the physician who issued the certificate, the admitting ward, and ICD10 codes were collected. The data were analyzed by SPSS 18 software, using descriptive statistics, Chi-square, independent t-test, and one-way analysis of variance.
Findings The total number of investigated certificates in Tohid and Besat Hospitals was 743 and 763, respectively. Most of the death certificates, according to the principles of ICD-10, were related to the mean age of 29.68±2.81 years. Incorrect and blank codes in Besat Hospital was 69.7% and 1.3%, respectively, and.7% and 2.6% in Tohid Hospital, respectively. The most common mistakes in determining the cause of death were, based on ICD-10 principles, for pediatricians, neurosurgery, and the least common mistakes was related to forensic professionals.
Conclusion The accuracy of the causes of death recorded by physician based on ICD-10 principles was desirable in Tohid Hospital and was low in Besat Hospital, indicating a failure to properly determine the cause of death by physicians on death certificates in this hospital.
Instrument & Methods In this descriptive-analytical study, 1506 death certificates were extracted during July 2015 to September 2017 form Tohid and Besat Hospital archives and information including age, gender, season, attending physician, the physician who issued the certificate, the admitting ward, and ICD10 codes were collected. The data were analyzed by SPSS 18 software, using descriptive statistics, Chi-square, independent t-test, and one-way analysis of variance.
Findings The total number of investigated certificates in Tohid and Besat Hospitals was 743 and 763, respectively. Most of the death certificates, according to the principles of ICD-10, were related to the mean age of 29.68±2.81 years. Incorrect and blank codes in Besat Hospital was 69.7% and 1.3%, respectively, and.7% and 2.6% in Tohid Hospital, respectively. The most common mistakes in determining the cause of death were, based on ICD-10 principles, for pediatricians, neurosurgery, and the least common mistakes was related to forensic professionals.
Conclusion The accuracy of the causes of death recorded by physician based on ICD-10 principles was desirable in Tohid Hospital and was low in Besat Hospital, indicating a failure to properly determine the cause of death by physicians on death certificates in this hospital.
CITATION LINKS
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[2]Heron M. Deaths: leading causes for 2012. Natl Vital Stat Rep. 2015;64(10):1-93.
[3]Saukko P, Knight B. Knightâs forensic pathology. 3rd Edition. Boca Raton, Florida: CRC Press; 2004.
[4]Rodriguez MM, Bruce JH, Jimenez XF, Romaguera RL, Bancalari E, Garcia OL, Ferrer PL. Nonimmune hydrops fetalis in the liveborn: series of 32 autopsies. Pediatr Dev Pathol. 2005;8(3):369-78.
[5]Sadooghi Z, Javaheri M, Sohrabian B, Poursafar A, Rezaei N. Examining the cause and five year trend of mortality rate from 2007 to 2011 in Ilam province, Iran. Health Syst Res. 2016;12(3):375-80. [Persian]
[6]Yavari P, Abadi A, Mehrabi Y. Mortality and changing epidemiological trends in Iran during 1979-2001. Hakim Res J. 2003;6(3):7-14. [Persian]
[7]Ghadipasha M, Khodabandeh F, Najari F, Tabaghchi Ezati M. A comparison between autopsy reported & clinical cause of death on the basis of specialty in cadavers referred to Kahrizak Legal Medicine Center in 2012. Scientific J Forensic Med. 2016;22(3):219-27. [Persian]
[8]Aghamohammadi S, Kazemi E, Khosravi A, Kazemeini H. The trend of ten leading causes of death in the Islamic Republic of Iran, 2006- 2011. Iranian J Epidemiol. 2017;12(4):1-11. [Persian]
[9]Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull. 2009;92(1):7-32.
[10]Rezvani Ardestani SF, Shahnavazi H, Ghorbani M. Survey on the accuracy of death certificated issued with WHO standards & ICD10 mortality codes in Sina Hospital in Tehran in the second half of 2013. Scientific J Forensic Med. 2015;21(2):99-106. [Persian]
[11]Mostafazadeh B, Kamaloddini MH, Najari N. Study of death certificates and burial permit with the criteria of the world health organization and the ministry of health and medical education in Tehran during 2013-2014: brief report. Tehran Univ Med J. 2017;75(6):457-62. [Persian]
[12]Sadeghi Jebeli M, Africheh H, Mojdeh S, Saqaiannejad Esfahani S, Mehrabi A. Survey on consistency surface between the recorded causes of death in death certificate and the recorded causes of death in medical record for cardiovascular patient in the educational hospitals of Isfahan. Scientific J Forensic Med. 2010;16(1):21-7. [Persian]
[13]McGivern L, Shulman L, Carney JK, Shapiro S, Bundock E. Death certification errors and the effect on mortality statistics. Public Health Rep. 2017;132(6):669-75.
[14]Jahani M, Eskandari F, Mahmoudjanloo Sh, Mahmoudi Gh. The causes of the mortality of inpatients in the hospitals covered by Semnan province universities of medical sciences based on ICD10. J Healthc Manag. 2017;8(3):7-16. [Persian]
[15]World Health Organization. The top 10 causes of death [Internet]. Geneva: World Health Organization; 2018 [cited 2018 Aug 6]. Available from: http://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.