Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death
dc.contributor.author | Allanson, Emma R. | |
dc.contributor.author | Tunçalp, Ozge | |
dc.contributor.author | Gardosi, Jason | |
dc.contributor.author | Pattinson, Robert Clive | |
dc.contributor.author | Francis, Andre | |
dc.contributor.author | Vogel, Joshua P. | |
dc.contributor.author | Erwich, Jan Jaap H.M. | |
dc.contributor.author | Flenady, Vicki J. | |
dc.contributor.author | Frøen, J. Frederik | |
dc.contributor.author | Neilson, James | |
dc.contributor.author | Quach, Amanda | |
dc.contributor.author | Chou, Doris | |
dc.contributor.author | Mathai, Matthews | |
dc.contributor.author | Say, Lale | |
dc.contributor.author | Gülmezoglu, A. Metin | |
dc.date.accessioned | 2017-01-23T05:32:52Z | |
dc.date.issued | 2016-11 | |
dc.description.abstract | OBJECTIVE : The WHO application of the tenth edition of the International Classification of Diseases (ICD-10) to deaths during the perinatal period (ICD Perinatal Mortality, ICD-PM) captures the essential characteristics of the mother-baby dyad that contribute to perinatal deaths. We compare the capture of maternal conditions in the existing ICD-PM with the maternal codes from the WHO application of ICD-10 to deaths during pregnancy, childbirth, and the puerperium (ICD Maternal Mortality, ICD-MM) to explore potential benefits in the quality of data received. DESIGN : Retrospective application of ICD-PM. SETTING : South Africa and the UK. POPULATION : Perinatal death databases. METHODS : The maternal conditions were classified using the ICD-PM groupings for maternal condition in perinatal death, and then mapped to the ICD-MM groupings of maternal conditions. MAIN OUTCOME MEASURES : Main maternal conditions in perinatal deaths. RESULTS : We reviewed 9661 perinatal deaths. The largest group (4766 cases, 49.3%) in both classifications captures deaths where there was no contributing maternal condition. Each of the other ICD-PM groups map to between three and six ICD-MM groups. If the cases in each ICD-PM group are re-coded using ICD-MM, each group becomes multiple, more specific groups. For example, the 712 cases in group M4 in ICD-PM become 14 different and more specific main disease categories when the ICD-MM is applied instead. CONCLUSIONS : As we move towards ICD-11, the use of the more specific, applicable, and relevant codes outlined in ICD-MM for both maternal deaths and the maternal condition at the time of a perinatal death would be preferable, and would provide important additional information about perinatal deaths. TWEETABLE ABSTRACT : Improving the capture of maternal conditions in perinatal deaths provides important actionable information. | en_ZA |
dc.description.department | Obstetrics and Gynaecology | en_ZA |
dc.description.embargo | 2017-11-30 | |
dc.description.librarian | hb2017 | en_ZA |
dc.description.sponsorship | Emma Allanson is a PhD candidate funded by the University of Western Australia with an Australian postgraduate award, and an Athelstan and Amy Saw Medical top-up scholarship, and by the Women and Infants Research Foundation with a Gordon King Doctor of Philosophy scholarship. | en_ZA |
dc.description.uri | http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1471-0528 | en_ZA |
dc.identifier.citation | Allanson, ER, Tunçalp, Ӧ, Gardosi, J, Pattinson, RC, Francis, A, Vogel, JP, Erwich, JJHM, Flenady, VJ, Frøen, JF, Neilson, J, Quach, A, Chou, D, Mathai, M, Say, L & Gülmezoglu, AM 2016, 'Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death', BJOG : An International Journal of Obstetrics and Gynaecology, vol. 123, no. 12, pp. 2037-2046. | en_ZA |
dc.identifier.issn | 1470-0328 (print) | |
dc.identifier.issn | 1471-0528 (online) | |
dc.identifier.other | 10.1111/1471-0528.14246 | |
dc.identifier.uri | http://hdl.handle.net/2263/58585 | |
dc.language.iso | en | en_ZA |
dc.publisher | Wiley | en_ZA |
dc.rights | © 2016 Royal College of Obstetricians and Gynaecologists. This is the pre-peer reviewed version of the following article : Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death, BJOG : An International Journal of Obstetrics and Gynaecology, vol. 123, no. 12, pp. 2037-2046, 2016. doi : 10.1111/1471-0528.14246. The definite version is available at : http://onlinelibrary.wiley.comjournal/10.1111/(ISSN)1471-0528. | en_ZA |
dc.subject | Stillbirth | en_ZA |
dc.subject | Perinatal death | en_ZA |
dc.subject | Maternal conditions | en_ZA |
dc.subject | Classification | en_ZA |
dc.subject | Global | en_ZA |
dc.subject | International Classification of Diseases (ICD) | en_ZA |
dc.subject | ICD-Perinatal Mortality (ICD-PM) | |
dc.title | Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death | en_ZA |
dc.type | Postprint Article | en_ZA |
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