Overreporting of deaths from coronary heart disease in New York City hospitals, 2003

Reena Agarwal, Jennifer M. Norton, Kevin Konty, Regina Zimmerman, Maleeka Glover, Akaki Lekiachvili, Henraya McGruder, Ann Malarcher, Michele Casper, George Mensah, Lorna Thorpe

Research output: Contribution to journalArticle

Abstract

Introduction New York City has one of the highest reported death rates from coronary heart disease in the United States. We sought to measure the accuracy of this rate by examining death certificates. Methods We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in- hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. We abstracted data from hospital records, and an independent, blinded medical team reviewed these data to validate cause of death. We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary heart disease deaths) to quantify agreement between death certificate determination and clinical judgment. Results Of 491 sampled death certificates for in-hospital deaths, medical charts were abstracted and reviewed by the expert panel for 444 (90%). The comparability ratio for coronary heart disease deaths among decedents aged 35 to 74 years was 1.51, indicating that death certificates overestimated coronary heart disease deaths in this age group by 51%. The comparability ratio increased with age to 1.94 for decedents aged 75 to 84 years and to 2.37 for decedents aged 85 years or older. Conclusion Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths.

Original languageEnglish (US)
Article numberA47
JournalPreventing chronic disease
Volume7
Issue number3
StatePublished - 2010

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Urban Hospitals
Death Certificates
Coronary Disease
Cause of Death
Mortality
Hospital Records
Validation Studies
Age Groups
Cross-Sectional Studies

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Medicine(all)

Cite this

Agarwal, R., Norton, J. M., Konty, K., Zimmerman, R., Glover, M., Lekiachvili, A., ... Thorpe, L. (2010). Overreporting of deaths from coronary heart disease in New York City hospitals, 2003. Preventing chronic disease, 7(3), [A47].

Overreporting of deaths from coronary heart disease in New York City hospitals, 2003. / Agarwal, Reena; Norton, Jennifer M.; Konty, Kevin; Zimmerman, Regina; Glover, Maleeka; Lekiachvili, Akaki; McGruder, Henraya; Malarcher, Ann; Casper, Michele; Mensah, George; Thorpe, Lorna.

In: Preventing chronic disease, Vol. 7, No. 3, A47, 2010.

Research output: Contribution to journalArticle

Agarwal, R, Norton, JM, Konty, K, Zimmerman, R, Glover, M, Lekiachvili, A, McGruder, H, Malarcher, A, Casper, M, Mensah, G & Thorpe, L 2010, 'Overreporting of deaths from coronary heart disease in New York City hospitals, 2003', Preventing chronic disease, vol. 7, no. 3, A47.
Agarwal R, Norton JM, Konty K, Zimmerman R, Glover M, Lekiachvili A et al. Overreporting of deaths from coronary heart disease in New York City hospitals, 2003. Preventing chronic disease. 2010;7(3). A47.
Agarwal, Reena ; Norton, Jennifer M. ; Konty, Kevin ; Zimmerman, Regina ; Glover, Maleeka ; Lekiachvili, Akaki ; McGruder, Henraya ; Malarcher, Ann ; Casper, Michele ; Mensah, George ; Thorpe, Lorna. / Overreporting of deaths from coronary heart disease in New York City hospitals, 2003. In: Preventing chronic disease. 2010 ; Vol. 7, No. 3.
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AB - Introduction New York City has one of the highest reported death rates from coronary heart disease in the United States. We sought to measure the accuracy of this rate by examining death certificates. Methods We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in- hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. We abstracted data from hospital records, and an independent, blinded medical team reviewed these data to validate cause of death. We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary heart disease deaths) to quantify agreement between death certificate determination and clinical judgment. Results Of 491 sampled death certificates for in-hospital deaths, medical charts were abstracted and reviewed by the expert panel for 444 (90%). The comparability ratio for coronary heart disease deaths among decedents aged 35 to 74 years was 1.51, indicating that death certificates overestimated coronary heart disease deaths in this age group by 51%. The comparability ratio increased with age to 1.94 for decedents aged 75 to 84 years and to 2.37 for decedents aged 85 years or older. Conclusion Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths.

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