Causes of death and associated conditions (Codac) - a utilitarian approach to the classification of perinatal deaths

dc.contributor.authorFroen, J. Frederik
dc.contributor.authorPinar, Halit
dc.contributor.authorFlenady, Vicky
dc.contributor.authorBahrin, Safiah
dc.contributor.authorCharles, Adrian
dc.contributor.authorChauke, Lawrence
dc.contributor.authorDay, Katie
dc.contributor.authorDuke, Charles W.
dc.contributor.authorFacchinetti, Fabio
dc.contributor.authorFretts, Ruth C.
dc.contributor.authorGardener, Glenn
dc.contributor.authorGilshenan, Kristen
dc.contributor.authorGordijn, Sanne J.
dc.contributor.authorGordon, Adrienne
dc.contributor.authorGuyon, Grace
dc.contributor.authorHarrison, Catherine
dc.contributor.authorKoshy, Rachel
dc.contributor.authorPattinson, Robert Clive
dc.contributor.authorPetersson, Karin
dc.contributor.authorRussell, Laurie
dc.contributor.authorSaastad, Eli
dc.contributor.authorSmith, Gordon C.S.
dc.contributor.authorTorabi, Rozbeh
dc.contributor.emailrobert.pattinson@up.ac.zaen
dc.contributor.otherPattinson, Bob
dc.date.accessioned2009-12-07T07:30:47Z
dc.date.available2009-12-07T07:30:47Z
dc.date.issued2009-06
dc.description.abstractA carefully classified dataset of perinatal mortality will retain the most significant information on the causes of death. Such information is needed for health care policy development, surveillance and international comparisons, clinical services and research. For comparability purposes, we propose a classification system that could serve all these needs, and be applicable in both developing and developed countries. It is developed to adhere to basic concepts of underlying cause in the International Classification of Diseases (ICD), although gaps in ICD prevent classification of perinatal deaths solely on existing ICD codes. We tested the Causes of Death and Associated Conditions (Codac) classification for perinatal deaths in seven populations, including two developing country settings. We identified areas of potential improvements in the ability to retain existing information, ease of use and inter-rater agreement. After revisions to address these issues we propose Version II of Codac with detailed coding instructions. The ten main categories of Codac consist of three key contributors to global perinatal mortality (intrapartum events, infections and congenital anomalies), two crucial aspects of perinatal mortality (unknown causes of death and termination of pregnancy), a clear distinction of conditions relevant only to the neonatal period and the remaining conditions are arranged in the four anatomical compartments (fetal, cord, placental and maternal). For more detail there are 94 subcategories, further specified in 577 categories in the full version. Codac is designed to accommodate both the main cause of death as well as two associated conditions. We suggest reporting not only the main cause of death, but also the associated relevant conditions so that scenarios of combined conditions and events are captured. The appropriately applied Codac system promises to better manage information on causes of perinatal deaths, the conditions associated with them, and the most common clinical scenarios for future study and comparisons.en
dc.identifier.citationFroen, JF, Pinar, H, Flenady, V, Bahrin, S, Charles, A, Chauke, L, Day, K, Duke, CW, Facchinetti, F, Fretts, RC, Gardener, G, Gilshenan, K, Gordijn, SJ, Gordon, A, Guyon, G, Harrison, C, Koshy, R, Pattinson, RC, Petersson, K, Russell, L, Saastad, E, Smith, GCS & Torabi, R 2009, 'Causes of death and associated conditions (Codac) - a utilitarian approach to the classification of perinatal deaths', BMC Pregnancy and Childbirth, vol. 9, no. 22. [http://www.biomedcentral.com/bmcpregnancychildbirth/]en
dc.identifier.issn1471-2393
dc.identifier.other10.1186/1471-2393-9-22
dc.identifier.urihttp://hdl.handle.net/2263/12275
dc.language.isoenen
dc.publisherBMC Pregnancy and Childbirthen
dc.rights© 2009 Frøen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectCodacen
dc.subject.lcshPerinatal deathen
dc.subject.lcshDeath -- Causes -- Classificationen
dc.titleCauses of death and associated conditions (Codac) - a utilitarian approach to the classification of perinatal deathsen
dc.typeArticleen

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