Death Certificate Analysis at Colombian Orinoquia: A Retrospective Observational Trial.

NCT05739305 | Completed

• 1 other identifier: GRIVI_2023_01
• Study Type: observational
• Target: 10,000
• Locations: 1 country
• Sites: 1

Brief Summary

By hospital mortality, the health of a population is identified. Death certificates are a valuable tool in establishing causes of death. The objective will be to analyze the main causes of death in hospitalized patients by population groups of interest. A retrospective observational study will be carried out, by analyzing the death databases of the Hospital Departamental of Villavicencio from January 2012 to May 2022. The records will be exported to Excel for review and debugging. Demographic variables and causes of death will be analyzed. The categorical variables will be described in frequency and proportion; the quantitative ones will be defined in their central distribution and dispersion. For comparison, the Chi-square and Mann-Whitney test will be performed according to the characteristics of the outcome studied. It is expected to identify the main causes of death in the groups of interest (adults, maternal, infants, fetal and non-fetal, congenital malformations) and their characteristics.

Conditions

Hospital Mortality; Cancer; Chronic Disease; Non Communicable Chronic Diseases; Public Health

Keywords

Death Certificate; Hospital Mortality; Epidemiology; Public Health; Cancer; Geriatrics; Neoplasms; Colombian Orinoquia; Colombia

Outcome Measures

Primary Outcomes (1)

• Number of preventable deaths

  Deaths caused by diseases or conditions potentially preventable, according to the Holland criteria, or other authors.

  12 years

Study Arms (7)

Cancer

Death certificates of patients died by cancer or with cancer.

Other: Risk factor

Cardiovascular

Death certificates of patients died by cardiovascular conditions or complications.

Other: Risk factor

Tuberculosis

Death certificates of patients died by or with tuberculosis, including patients with HIV.

Other: Risk factor

Infants

Death certificates of pediatric patients with more than a month of birth, and less than 18 years old.

Other: Risk factor

Congenital malformations

Death certificates of patients died by congenital malformations, independently of age.

Other: Risk factor

Maternal

Death certificates of patients died by obstetrical conditions during pregnancy or delivery.

Other: Risk factor

Contagious

Death certificates of patients died by contagious/infectious diseases.

Interventions

Risk factor OTHER

No diagnostic or therapeutic intervention; the characteristics of subgroups will be analyzed by the cause of death certificated in the registry.

Also known as: Cause of death

Cancer; Cardiovascular; Congenital malformations; Infants; Maternal; Tuberculosis

Eligibility Criteria

• Age: Up to 120 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The population included in the study are those included in the institutional registry of death certification after they died in the hospital or somewhere else, but had to be certified by a doctor from it for any reason. People who died by an external cause included in chapters XIX and XX of 10-ICD were excluded from the study.

You may qualify if:

• Deceased people during hospitalization.
• Out-of-hospital deceased people (home) and certified by the institution

You may not qualify if:

• Registers of people deceased by an external (violent) cause.
• Registers of people that required certification by the Coroner's office.

Sponsors & Collaborators

• Hospital Departamental de Villavicencio: lead
• Cooperative University of Colombia: collaborator

Study Sites (1)

Hospital Departamental de Villavicencio

Villavicencio, Meta Department, 50001, Colombia

Location

Related Publications (10)

• Carvajal Y, Kottow M. [The metrology of uncertainty: a study of vital statistics from Chile and Brazil]. Cad Saude Publica. 2012 Nov;28(11):2063-75. doi: 10.1590/s0102-311x2012001100006. Spanish.

  PMID: 23147948 RESULT

• Ferorelli D, Donno F, De Giorgio G, Zotti F, Dell'Erba A. Study of determinants in deaths occurring in an Italian teaching hospital during a year. Clin Ter. 2020 May-Jun;171(3):e245-e252. doi: 10.7417/CT.2020.2222.

  PMID: 32323714 RESULT

• Morgan A, Andrew T, Guerra SMA, Luna V, Davies L, Rees JR. Provider reported challenges with completing death certificates: A focus group study demonstrating potential sources of error. PLoS One. 2022 May 20;17(5):e0268566. doi: 10.1371/journal.pone.0268566. eCollection 2022.

  PMID: 35594279 RESULT

• Ng TC, Lo WC, Ku CC, Lu TH, Lin HH. Improving the Use of Mortality Data in Public Health: A Comparison of Garbage Code Redistribution Models. Am J Public Health. 2020 Feb;110(2):222-229. doi: 10.2105/AJPH.2019.305439. Epub 2019 Dec 19.

  PMID: 31855478 RESULT

• Cirera L, Segura A. [Updated medical death documents: Medical Death Certificate and the Birth Statistics Bulletin]. Aten Primaria. 2010 Aug;42(8):431-7. doi: 10.1016/j.aprim.2009.09.029. Epub 2010 May 27. Spanish.

  PMID: 20537431 RESULT

• Cendales R, Pardo C. [Colombian death certificate quality, 2002-2006]. Rev Salud Publica (Bogota). 2011 Apr;13(2):229-38. doi: 10.1590/s0124-00642011000200005. Spanish.

  PMID: 22030881 RESULT

• Murphy SL, Xu J, Kochanek KD, Arias E. Mortality in the United States, 2017. NCHS Data Brief. 2018 Nov;(328):1-8.

  PMID: 30500322 RESULT

• Viana Alonso A, Delgado Cirerol V, de la Morena Fernandez J. [Validity of the final diagnosis in the discharge reports of deceased patients in a teaching department of internal medicine]. Rev Clin Esp. 1992 Oct;191(6):323-4. Spanish.

  PMID: 1470725 RESULT

• Armstrong D. The COVID-19 pandemic and cause of death. Sociol Health Illn. 2021 Aug;43(7):1614-1626. doi: 10.1111/1467-9566.13347. Epub 2021 Jul 13.

  PMID: 34255866 RESULT

• Sainz-Otero AM, Marin-Paz AJ, Almenara-Barrios J. The Classification of Causes of Historical Mortality (CCHM): A proposal of the study of death records. PLoS One. 2020 Apr 14;15(4):e0231311. doi: 10.1371/journal.pone.0231311. eCollection 2020.

  PMID: 32287285 RESULT

Related Links

• Mortality in patients hospitalized in the internal medicine service of a university hospital. An article from a local journal with a study about a university hospital mortality.
• Tendencias en la mortalidad de médicos generales y especialistas en Cali, Colombia. Unique article exploring the cause of death of medical doctors in Cali, Colombia.

MeSH Terms

Conditions

Neoplasms; Chronic Disease; Noncommunicable Diseases

Interventions

Risk Factors; Cause of Death

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Risk; Probability; Statistics as Topic; Epidemiologic Methods; Investigative Techniques; Causality; Epidemiologic Factors; Quality of Health Care; Health Care Quality, Access, and Evaluation; Health Care Evaluation Mechanisms; Public Health; Environment and Public Health; Mortality; Vital Statistics; Data Collection; Demography; Population Characteristics; Epidemiologic Measurements

Study Officials

• Norton Perez Gutierrez, MD

  ICU director

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ICU Director

Study Record Dates

• First Submitted: February 12, 2023
• First Posted: February 22, 2023
• Study Start: July 1, 2023
• Primary Completion: December 31, 2023
• Study Completion: May 30, 2024
• Last Updated: December 12, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

CO (1)