The 130th Annual Meeting of APHA

4053.0: Tuesday, November 12, 2002 - Board 5

Abstract #44601

Development of mortality statistics at governmental hospitals, Egypt

Hanan Ali Sayed, Community health, Theodor Bilharz Research Institute, P.O. 30 Imbaba, Guiza, Egypt, 7580990,, Afaf A. El Ayyat, Public Health, Theodor Bilharz Research Institute, P.O. 30 Imbaba, Guiza, Egypt, and Ahmed I. Kamel, Hospital manager, Theodor Bilharz Research Institute, P.O. 30 Imbaba, Guiza, Egypt.

Mortality statistics are of crucial importance to epidemiological research. Sources of mortality data in Egypt are many. The first records are hospital records, that submit its data to health office records and lastly civil office records. Hospital records include death notification report (1) directed to related health office, patient's record, hospital discharge record and mortality register. Health office records include deaths register, death certificate and death notification report (2) directed to related civil office. The later was designed having a coded data and cause of death was coded according to ICD-10. It is supposed that death notification report (1) that originates from the hospital is the source of data for the rest of records and registers. So, all these data for the same dead person must be the same. Correctness of the original data will reflect itself on the rest of data. This study aims at development and evaluation of automated system for registration of mortality data at (hospital1) and comparing this system and its output with another one (hospital2) Review of above mentioned records and registers and personal interviews were the tools of this study. Death certificates themselves were not reviewed as they were not found in the health office. One year data sample was chosen for the study. Development of the system at hospital1 was based on system analysis, design, implementation and evaluation. Results showed that automated system of hospital1 have the values of automation as timely retrieval and decreasing the error of transcription. EPI-Info software package give easy statistical analysis and the potential for record linkage. Comparison between death notification report (1) that originated from the hospital and health office register showed 94.4% matching for wards or expressions in hospital1 and 50.0% in hospital2. comparing death notification report (1) with that originated from health office to related civil office (2) showed 100.0% matching for hospital1 and 86.7% for hospital2. as regards correctness of reporting the cause of death, 84.8% of deaths in hospital1 and 29.9% in hospital2 showed non-specific cause of death ( reported cause of death is circulatory and respiratory failure). That is the actual cause of death was not reported. Output of each system will be shown in the presentation. Unification and automation of the systems is a requirement. Record linkage between different locations of mortality data is recommended. Training on reporting and coding the cause of death is also recommended.

Learning Objectives:

Keywords: Mortality, Statistics

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: governmental hospitals
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Medical Care Section Poster Session #3

The 130th Annual Meeting of APHA