Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death

dc.contributor.authorAllanson, Emma R.
dc.contributor.authorTunçalp, Ozge
dc.contributor.authorGardosi, Jason
dc.contributor.authorPattinson, Robert Clive
dc.contributor.authorFrancis, Andre
dc.contributor.authorVogel, Joshua P.
dc.contributor.authorErwich, Jan Jaap H.M.
dc.contributor.authorFlenady, Vicki J.
dc.contributor.authorFrøen, J. Frederik
dc.contributor.authorNeilson, James
dc.contributor.authorQuach, Amanda
dc.contributor.authorChou, Doris
dc.contributor.authorMathai, Matthews
dc.contributor.authorSay, Lale
dc.contributor.authorGülmezoglu, A. Metin
dc.date.accessioned2017-01-23T05:32:52Z
dc.date.issued2016-11
dc.description.abstractOBJECTIVE : 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.departmentObstetrics and Gynaecologyen_ZA
dc.description.embargo2017-11-30
dc.description.librarianhb2017en_ZA
dc.description.sponsorshipEmma 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.urihttp://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1471-0528en_ZA
dc.identifier.citationAllanson, 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.issn1470-0328 (print)
dc.identifier.issn1471-0528 (online)
dc.identifier.other10.1111/1471-0528.14246
dc.identifier.urihttp://hdl.handle.net/2263/58585
dc.language.isoenen_ZA
dc.publisherWileyen_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.subjectStillbirthen_ZA
dc.subjectPerinatal deathen_ZA
dc.subjectMaternal conditionsen_ZA
dc.subjectClassificationen_ZA
dc.subjectGlobalen_ZA
dc.subjectInternational Classification of Diseases (ICD)en_ZA
dc.subjectICD-Perinatal Mortality (ICD-PM)
dc.titleOptimising the International Classification of Diseases to identify the maternal condition in the case of perinatal deathen_ZA
dc.typePostprint Articleen_ZA

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