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In developing countries, diagnoses of diseases associated with deaths in children are frequently derived from retrospective maternal interviews. To determine the validity of this methodology, and to define sensitive and specific diagnostic algorithms, we compared symptoms and signs reported by mothers using structured questionnaires, with selected physician diagnoses for 164 deaths among hospitalized children on the Philippine island of Cebu. The 164 decreased children had 256 physician diagnoses of acute lower respiratory infections (ALRI) (100), diarrhoeas (92), measles (48), and neonatal tetanus cases (16). Forty-three per cent of children had multiple illnesses. An algorithm for tetanus (age at death less than or equal to 30 days with convulsion or spasm) was 100

作者:H D, Kalter;R H, Gray;R E, Black;S A, Gultiano

来源:International journal of epidemiology 1990 年 19卷 2期

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作者:
H D, Kalter;R H, Gray;R E, Black;S A, Gultiano
来源:
International journal of epidemiology 1990 年 19卷 2期
标签:
Asia Biology Causes Of Death Child Mortality Data Collection Delivery Of Health Care Demographic Factors Developing Countries Diarrhea Diarrhea, Infantile Diseases Family And Household Family Characteristics Family Relationships Health Health Facilities Hospitals Infant Mortality Infections Information Information Processing Interviews Measles Measurement Methodological Studies Mortality Mothers Neonatal Mortality Parents Philippines Physiology Population Population Dynamics Pulmonary Effects Records Research Methodology Signs And Symptoms Southeastern Asia Validity Viral Diseases
In developing countries, diagnoses of diseases associated with deaths in children are frequently derived from retrospective maternal interviews. To determine the validity of this methodology, and to define sensitive and specific diagnostic algorithms, we compared symptoms and signs reported by mothers using structured questionnaires, with selected physician diagnoses for 164 deaths among hospitalized children on the Philippine island of Cebu. The 164 decreased children had 256 physician diagnoses of acute lower respiratory infections (ALRI) (100), diarrhoeas (92), measles (48), and neonatal tetanus cases (16). Forty-three per cent of children had multiple illnesses. An algorithm for tetanus (age at death less than or equal to 30 days with convulsion or spasm) was 100