尽管围产期死亡的全球负担,目前没有单身,全球可接受的围产期死亡分类系统。相反,多个,不同的系统在世界范围内使用。这种不一致阻碍了对死亡原因的准确估计,并阻碍了有效的预防策略。世界卫生组织(WHO)正在开发一种全球可接受的围产期死亡分类方法。为了通知这项工作,我们试图就这种制度的重要特征达成共识。
确定了一组围产期死亡分类的国际专家,并邀请他们加入一个专家小组,以制定围产期死亡高质量全球分类系统的重要特征清单。采用德尔菲共识方法达成一致。使用专门的在线调查进行了三轮磋商。第一轮为第二轮和第三轮的后续得分和选择寻求建议的特征。
专家小组就全球可接受的围产期死亡分类系统的17个重要特征达成一致。其中,图10涉及系统的结构设计,图10涉及系统的功能方面和使用。
这项研究是制定全球可接受的围产期死亡原因分类方法的基础工作。在设计和开发此类系统时,应考虑已确定的功能和结构特征列表。
Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate
systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a
consensus on the important characteristics of such a system.
A group of international experts in the classification of perinatal deaths were identified and invited to join an expert panel to develop a list of important characteristics of a quality global classification system for perinatal death. A Delphi
consensus methodology was used to reach agreement. Three rounds of consultation were undertaken using a purpose built on-line survey. Round one sought suggested characteristics for subsequent scoring and selection in rounds two and three.
The panel of experts agreed on a total of 17 important characteristics for a globally-acceptable perinatal death classification system. Of these, 10 relate to the structural design of the system and 7 relate to the functional aspects and use of the system.
This study serves as formative work towards the development of a globally-acceptable approach for the classification of the causes of perinatal deaths. The list of functional and structural characteristics identified should be taken into consideration when designing and developing such a system.