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41. Stroke units, certification, and outcomes in German hospitals: a longitudinal study of patient-based 30-day mortality for 2006-2014. Full Text available with Trip Pro

Stroke units, certification, and outcomes in German hospitals: a longitudinal study of patient-based 30-day mortality for 2006-2014. Treatment of stroke patients in stroke units has increased and studies have shown improved outcomes. However, a large share of patients in Germany is still treated in hospitals without stroke unit. The effects of stroke unit service line, and total hospital quality certification on outcomes remain unclear.We employ annual hospital panel data for 1100-1300 German (...) hospitals from 2006 to 2014, which includes structural data and 30-day standardized mortality. We estimate hospital- and time-fixed effects regressions with three main independent variables: (1) stroke unit care, (2) stroke unit certification, and (3) total hospital quality certification.Our results confirm the trend of decreasing stroke mortality ratios, although to a much lesser degree than previous studies. Descriptive analysis illustrates better stroke outcomes for non-certified and certified stroke

2018 BMC health services research

42. Effects of certification schemes for agricultural production on socio?economic outcomes in low? and middle?income countries: a systematic review Full Text available with Trip Pro

Effects of certification schemes for agricultural production on socio?economic outcomes in low? and middle?income countries: a systematic review Effects of certification schemes for agricultural production on socio‐economic outcomes in low‐ and middle‐income countries: a systematic review - Oya - 2017 - Campbell Systematic Reviews - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term SYSTEMATIC (...) REVIEW Open Access Effects of certification schemes for agricultural production on socio‐economic outcomes in low‐ and middle‐income countries: a systematic review Corresponding Author E-mail address: Corresponding author Oya, Carlos Development Studies Dept. SOAS, University of London Thornhaugh Street, Russell Square London WC1 0XG Uniterd Kingdom E‐mail: Corresponding Author E-mail address: Corresponding author Oya, Carlos Development Studies Dept. SOAS, University of London Thornhaugh Street

2017 Campbell Collaboration

43. Death Certificate

Certificate II. Deaths Reportable to Medical Examiner Homicide Fatal Accident Lethal Disaster Suspicious circumstances surrounding death Death while in Police custody Death During surgery or anesthesia Sudden and unexpected death Without medical attendance III. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Death Certificate." Click on the image (or right click) to open the source website in a new browser window. Related (...) Death Certificate Death Certificate Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Death Certificate Death Certificate Aka: Death

2018 FP Notebook

44. Global Covid-19 Case Fatality Rates

such as coinfection, more inadequate healthcare, patient demographics (i.e., older patients might be more prevalent in countries such as Italy); There may be increased rates of smoking or comorbidities amongst the fatalities. Differences in how deaths are attributed to Coronavirus: dying with the disease (association) is not the same as dying from the disease (causation). China: In China, the CFR was (17% for cases from 1 to 10 January) and reduced to 0.7% for patients with symptom onset after 1 February (...) of an acute coronary syndrome; depression of the myocardium can worsen heart failure, and inflammation can unmask heart arrhythmias. Seasonal influenza infections can increase CVD deaths significantly, and community-level rises in Influenza-like illness (ILI) lead to rises in CVD mortality: from the transmission dynamics in Wuhan, China~: Those with coronavirus symptoms in Wuhan, China, had a 1.4% (95% CI, 0.9% to 23.1%) chance of dying, 29th February, the crude CFR case risk, outside Hubei was 0.85

2020 Oxford COVID-19 Evidence Service

45. COVID-19: The Chain Ladder Method to estimate deaths not yet reported

this pattern and “populate” the table. There is no allowance for any changes in the reporting pattern in these calculations. We have also not made any allowance for day effects such as the fact that registrars offices are closed on Saturday/Sunday and deaths occurring on these days are subject to reporting delays. In addition, we have not accounted for the changes in the rules surrounding the completion of the death certificate following the Coronavirus Act 2020 (see ). For the uncertainty estimates (...) COVID-19: The Chain Ladder Method to estimate deaths not yet reported COVID-19: The Chain Ladder Method to estimate deaths not yet reported - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website COVID-19: The Chain Ladder Method to estimate deaths not yet reported May 6, 2020 Stavros Christofides, Jason Oke, Carl Heneghan NHS England releases daily, the number of deaths reported in Hospitals. Most

2020 Oxford COVID-19 Evidence Service

46. Impact of Stroke Center Certification on Mortality After Ischemic Stroke: The Medicare Cohort From 2009 to 2013. Full Text available with Trip Pro

Impact of Stroke Center Certification on Mortality After Ischemic Stroke: The Medicare Cohort From 2009 to 2013. An increasing number of hospitals have been certified as primary stroke centers (PSCs). It remains unknown whether the action toward PSC certification has improved the outcome of stroke care. This study aimed to understand whether PSC certification reduced stroke mortality.We examined Medicare fee-for-service beneficiaries aged ≥65 years who were hospitalized between 2009 and 2013 (...) for ischemic stroke. Hospitals were classified into 3 groups: new PSCs, the hospitals that received initial PSC certification between 2009 and 2013 (n=634); existing PSCs, the PSCs certified before 2009 (n=785); and non-SCs, the hospitals that have never been certified as PSCs (n=2640). Multivariate logistic regression and Cox proportional hazards model was used to compare the mortality among the 3 groups.Existing PSCs were significantly larger than new PSCs as reflected by total number of beds and annual

2017 Stroke

47. From Death to Death Certificate: a Call for Preventing Autopsy from Dying Full Text available with Trip Pro

From Death to Death Certificate: a Call for Preventing Autopsy from Dying 27328817 2018 10 09 2018 11 13 1937-6995 13 2 2017 06 Journal of medical toxicology : official journal of the American College of Medical Toxicology J Med Toxicol From Death to Death Certificate: a Call for Preventing Autopsy from Dying. 195-196 10.1007/s13181-016-0568-2 Ruan Xiulu X Louisiana State University Health Sciences Center, New Orleans, LA, USA. drxruan88@gmail.com. Chiravuri Srinivas S Louisiana State (...) University Health Sciences Center, New Orleans, LA, USA. Kaye Alan David AD Louisiana State University Health Sciences Center, New Orleans, LA, USA. eng Letter Comment 2016 06 21 United States J Med Toxicol 101284598 1556-9039 IM J Med Toxicol. 2017 Mar;13(1):111-116 27139707 Autopsy Cause of Death Death Certificates 2016 05 27 2016 06 14 2016 6 23 6 0 2018 10 10 6 0 2016 6 23 6 0 ppublish 27328817 10.1007/s13181-016-0568-2 10.1007/s13181-016-0568-2 PMC5440312 Arch Pathol Lab Med. 2015 May;139(5):578-80

2016 Journal of Medical Toxicology

48. Care around stillbirth and neonatal death

should complete or supervise completion of the Medical Certificate of Perinatal Death. The death certificate should be revised as required based on the outcome of the perinatal mortality audit meeting. 13 To ensure consistency and comparability in perinatal death data across ANZ, the definitions recommended in this guideline are used including presenting data with and without the inclusion of perinatal deaths resulting from termination of pregnancy. 8 Perinatal Society of Australia and New Zealand (...) the auspices of the Stillbirth and Neonatal Death Alliance (SANDA) of PSANZ and in partnership with the Centre of Research Excellence in Stillbirth. Support for guideline development was received from PSANZ Endorsed by: The clinical guideline has been endorsed by: Australian College of Midwives (ACM); Australian and New Zealand Neonatal Network; Queensland Maternal and Perinatal Quality Council; Red Nose; Sands; Stillbirth Foundation Australia; South Australian Maternal and Perinatal Mortality Committee

2019 Centre of Research Excellence in Stillbirth

49. Causes of Death According to Death Certificates in Individuals with Dementia: A Cohort from the Swedish Dementia Registry. Full Text available with Trip Pro

were 5,368 (19%).Information on number of deaths and causes of mortality was obtained from death certificates. Odds ratios for the presence of dementia on death certificates were calculated. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox hazards regression for cause-specific mortality, using Alzheimer's dementia (AD) as reference. Hazard ratios for death for each specific cause of death were compared with hazard ratios of death from all causes (P-values from t (...) -tests).The most frequent underlying cause of death in this cohort was cardiovascular (37%), followed by dementia (30%). Dementia and cardiovascular causes appeared as main or contributory causes on 63% of certificates, followed by respiratory (26%). Dementia was mentioned less in vascular dementia (VaD; 57%). Compared to AD, cardiovascular mortality was higher in individuals with VaD than in those with AD (HR = 1.82, 95% CI = 1.64-2.02). Respiratory death was higher in individuals with Lewy body

2016 Journal of the American Geriatrics Society

50. Accuracy of Death Certificates and Assessment of Factors for Misclassification of Underlying Cause of Death Full Text available with Trip Pro

Accuracy of Death Certificates and Assessment of Factors for Misclassification of Underlying Cause of Death Cause of death (COD) information taken from death certificates is often inaccurate and incomplete. However, the accuracy of Underlying CODs (UCODs) recorded on death certificates has not been comprehensively described when multiple diseases are present.A total of 450 consecutive autopsies performed at a geriatric hospital in Japan between February 2000 and August 2002 were studied. We (...) evaluated the concordance rate, sensitivity, and specificity of major UCODs (cancer, heart disease, and pneumonia) reported on death certificates compared with a reference standard of pathologist assessment based on autopsy data and clinical records. Logistic regression analysis was performed to assess the effect of sex, age, comorbidity, and UCODs on misclassification.The concordance rate was relatively high for cancer (81%) but low for heart disease (55%) and pneumonia (9%). The overall concordance

2016 Journal of Epidemiology

51. From Death to Death Certificate: What do the Dead say? Full Text available with Trip Pro

From Death to Death Certificate: What do the Dead say? This is an overview of medicolegal death investigation and death certification. Postmortem toxicological analysis, particularly for ethanol and drugs of abuse, plays a large role in the forensic investigation of natural and unnatural deaths. Postmortem drug concentrations must be interpreted in light of the autopsy findings and circumstances. Interpretations of drug and ethanol concentrations are important for death certification

2016 Journal of Medical Toxicology

52. Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates. Full Text available with Trip Pro

Mortality rates and the causes of death related to diabetes mellitus in Shanghai Songjiang District: an 11-year retrospective analysis of death certificates. China is one of the countries with the highest prevalence of diabetes in the world. We analysed all the death certificates mentioning diabetes from 2002 to 2012 in Songjiang District of Shanghai to estimate morality rates and examine cause of death patterns.Mortality data of 2654 diabetics were collected from the database of local CDC (...) . The data set comprises all causes of death, contributing causes and the underlying cause, thereby the mortality rates of diabetes and its specified complications were analysed.The leading underlying causes of death were various cardiovascular diseases (CVD), which collectively accounted for about 30% of the collected death certificates. Diabetes was determined as the underlying cause of death on 28.7%. The trends in mortality showed that the diabetes related death rate increased about 1.78 fold

2015 BMC Endocrine Disorders

53. Identifying Child Abuse Fatalities During Infancy

, including baptism, grief counseling, funeral arrangements, religious support, resolution of breastfeeding, and the reactions of surviving siblings. All parents can be provided with information about sudden unexpected infant death and how to contact the medical examiner’s or coroner’s office and local support groups. – Investigation It continues to be difficult to distinguish fatal child abuse by autopsy alone. , In the absence of a complete investigation of the circumstances of death and case review (...) . Pediatricians, other health care professionals, and investigators should maintain an unbiased, nonaccusatory approach to parents during investigation and provide services or referral to address grief and stresses for surviving family members. Because an investigation may require an extended period of time, pediatricians can advocate for proper death certification and prompt communication to parents and the use of consistent diagnostic categories on death certificates as soon as possible after review; work

2019 American Academy of Pediatrics

54. The existence of standard-biased mortality ratios due to death certificate misclassification - a simulation study based on a true story. Full Text available with Trip Pro

The existence of standard-biased mortality ratios due to death certificate misclassification - a simulation study based on a true story. Mortality statistics are used to compare health status of populations; optimally, they base on individual death certificates. However, determining cause of death is error-prone. E.g. cardiovascular disease (CVD) death determination is characterized by sensitivity (SE) and specificity (SP) lower than 85%. Furthermore, differential misclassification may (...) be present in case of homogenous target populations. We investigate the bias of standardized mortality ratios (SMR), based on real-world data.CVD mortality of 6378 ethnic German repatriates was assessed and the SMR calculated. Non-differential age-dependent misclassification was introduced into data by scenarios of equal SE and SP in a range of 0.7 to 0.85. The bias between originally reported and actual SMR was calculated for each pair of values. Additionally, four differential misclassification

2016 BMC medical research methodology

55. Death certificate only proportions should be age adjusted in studies comparing cancer survival across populations and over time. (Abstract)

Death certificate only proportions should be age adjusted in studies comparing cancer survival across populations and over time. The proportion of cases notified by death certificate only (DCO) is a commonly used data quality indicator in studies comparing cancer survival across regions and over time. We aimed to assess dependence of DCO proportions on the age structure of cancer patients.Using data from a national cancer survival study in Germany, we determined age specific and overall (crude (...) proportions ranging from 0.4 to 4.8 and from 0.7 to 8.6 percent units, respectively. Conversely, an increase of ages by 5 and 10 years led to increases of cancer specific crude DCO proportions ranging from 0.8 to 4.8 and from 1.8 to 9.6 percent units, respectively. These changes were of similar magnitude (but in opposite direction) as changes in crude 5-year relative survival resulting from the same shifts in age distribution.The age structure of cancer patient populations has a substantial impact on DCO

2016 European Journal of Cancer

56. Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal. Full Text available with Trip Pro

Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal. Death certificates (DC) are one of the most important medico-legal documents that physicians work through. DCs are extensively used in health statistics for epidemiological studies, and in health policy planning as a public health resource tool. Cause-of-death (COD) statement, which is vulnerable to various errors, is the vital part of a DC that has the potential to mislead the policy makers (...) for the major medical errors.The study found errors in 78.4 % of DCs. The highest number of errors was in UCOD (83 %). Most common errors were "Mechanism of Death- terminal event" in ICOD, "More than one competing causes" in UCOD, and "OSC present but not listed" in OSC. The error in DC was found to be statistically significant with the severity of sepsis (p = 0.003), and presence of chronic organ failures (p = 0.034). Age, time of death, source of admission, and duration of ICU stay were not found

2015 BMC health services research

57. International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data. Full Text available with Trip Pro

International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data. Where people die can influence a number of indicators of the quality of dying. We aimed to describe the place of death of people with cancer and its associations with clinical, socio-demographic and healthcare supply characteristics in 14 countries.Cross-sectional study using death certificate data for all deaths from cancer (ICD-10 (...) codes C00-C97) in 2008 in Belgium, Canada, Czech Republic, England, France, Hungary, Italy, Mexico, the Netherlands, New Zealand, South Korea, Spain (2010), USA (2007) and Wales (N=1,355,910). Multivariable logistic regression analyses evaluated factors associated with home death within countries and differences across countries.Between 12% (South Korea) and 57% (Mexico) of cancer deaths occurred at home; between 26% (Netherlands, New Zealand) and 87% (South Korea) occurred in hospital. The large

2015 British Journal of Cancer

58. Canadian guidelines for controlled pediatric donation after circulatory determination of death-summary report Full Text available with Trip Pro

or hospital practices, policies, and guidelines. 21) The critical care team must be responsible for patient management between the decision to WLST and the determination of death. 22) The ODO, organ recovery, and transplant team must not be involved in any aspect of management of the dying process. 23) WLST may occur in the critical care unit, near the operating room, or in the operating room, as determined by surrogate decision makers’ preferences, institutional logistics, resources, and facilities. 24 (...) physicians must confirm their determinations concurrently at the end of a hands-off period of observation during circulatory arrest. 32) No physician who has active involvement in transplant procedures or allocation of donated organs shall take any part in donor death determination. 33) The minimum level of physician qualification required to determine death in pDCD is as follows: a) They possess the requisite skills and training. A particular level of specialty certification is not required, but skills

2017 CPG Infobase

59. Guidelines on autopsy practice: Sudden death with likely cardiac pathology

to address the needs of the autopsy pathologist dealing with deaths reflecting cardiac disease, and indicates a technical approach and investigations that should prevent criticism of case analysis in medicolegal environments. It should also serve to protect the needs of the living (i.e. surviving siblings and relatives with genetic conditions) as well as society in general. The limitations of local Coronial practice and permissions are often unique to different cases and various parts of the UK (...) disease is related to illicit activity (e.g. drug taking). [Level of evidence: Grade D – the evidence has been taken from reviews of various texts/case reports and other presented cases, in medical and legal settings.] 3 Other (not primarily cardiac) pathology to be considered at the autopsy Many cases of apparent sudden ‘cardiac’ death have no relevance to myocardial disorders. Indeed, fatal non-cardiac pathology (with cardiac-like symptoms) may be often encountered: ? pulmonary embolism ? pneumonia

2017 Royal College of Pathologists

60. Guidelines on autopsy practice: Industrial/occupational-related lung disease deaths including asbestos

and pathologists in training, particularly those approaching the Certificate of Higher Autopsy Training (CHAT) examination and the FRCPath Part 2 in Forensic Pathology. The recommendations will also be of value to coroners to assist with inquests and solicitors handling personal injury claims in potential industrial-related deaths. 2 Role of the autopsy · To describe and diagnose all occupational/industrial disease manifestations · To determine the aetiology · To determine the extent and severity of any other (...) Guidelines on autopsy practice: Industrial/occupational-related lung disease deaths including asbestos CEff 290617 1 V2 Final Guidelines on autopsy practice Industrial/occupational-related lung disease deaths including asbestos June 2017 Series authors: Dr Michael Osborn, Imperial College Healthcare NHS Trust Professor Jim Lowe, Nottingham University Hospitals NHS Trust Specialist authors: Dr Richard Attanoos, Cardiff & Vale University Health Board and Cardiff University Dr Allen Gibbs, Cardiff

2017 Royal College of Pathologists

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