This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Corwin, L. E. Articles by McNamara, P. M. Search for Related Content PubMed PubMed Citation Articles by Corwin, L. E. Articles by McNamara, P. M.

Stroke, Vol 13, 818-821, Copyright © 1982 by American Heart Association

ARTICLES

Accuracy of death certification of stroke: the Framingham Study

LE Corwin, PA Wolf, WB Kannel and PM McNamara

The validity of death certification of stroke was studied in the general population cohort at Framingham, MA. During the last 30 years, 5106 people aged 30 to 62 and free of CHD and stroke at entry have been followed for the development of cardiovascular disease including stroke. Of the 280 decedents with certified stroke 113 (40% false negative rate) had no mention of stroke on the death certificate. THe false negative rate increased significantly with increasing age at death and increasing interval from last stroke to death. Among the 216 certificates listing stroke there were 46 false positives (21%). Analysis by type of stroke disclosed marked over-reporting of cerebral hemorrhage and under-reporting of cerebral embolus. This comparison of prospectively collected data to death certificates should raise questions about the accuracy of studies dependent on ths source of information.

This article has been cited by other articles:

				J. S. Elkins and S. C. Johnston Thirty-Year Projections for Deaths From Ischemic Stroke in the United States Stroke, September 1, 2003; 34(9): 2109 - 2112. [Abstract] [Full Text] [PDF]

				R A L Bisset, N B Thomas, I W Turnbull, and S Lee Postmortem examinations using magnetic resonance imaging: four year review of a working service BMJ, June 15, 2002; 324(7351): 1423 - 1424. [Full Text] [PDF]

				L. Mihalka, V. Smolanka, B. Bulecza, S. Mulesa, and D. Bereczki A Population Study of Stroke in West Ukraine: Incidence, Stroke Services, and 30-Day Case Fatality Stroke, October 1, 2001; 32(10): 2227 - 2231. [Abstract] [Full Text] [PDF]

				H. Iso, T. Shimamoto, Y. Naito, S. Sato, A. Kitamura, M. Iida, M. Konishi, D. R. Jacobs Jr, and Y. Komachi Effects of a Long-term Hypertension Control Program on Stroke Incidence and Prevalence in a Rural Community in Northeastern Japan Stroke, August 1, 1998; 29(8): 1510 - 1518. [Abstract] [Full Text] [PDF]

				M. W. Massing, S. L. Rywik, B. Jasinski, T. A. Manolio, O. D. Williams, and H. A. Tyroler Opposing National Stroke Mortality Trends in Poland and for African Americans and Whites in the United States, 1968 to 1994 Stroke, July 1, 1998; 29(7): 1366 - 1372. [Abstract] [Full Text] [PDF]

				C.L.M. Sudlow and C.P. Warlow Comparing Stroke Incidence Worldwide : What Makes Studies Comparable? Stroke, March 1, 1996; 27(3): 550 - 558. [Abstract] [Full Text]

				D. J. Lanska and P. M. Peterson Geographic Variation in the Decline of Stroke Mortality in the United States Stroke, July 1, 1995; 26(7): 1159 - 1165. [Abstract] [Full Text]

				M. L. Casper, S. Wing, R. F. Anda, M. Knowles, and R. A. Pollard The Shifting Stroke Belt : Changes in the Geographic Pattern of Stroke Mortality in the United States, 1962 to 1988 Stroke, May 1, 1995; 26(5): 755 - 760. [Abstract] [Full Text]

				W. E. Stehbens Validity of Cerebrovascular Mortality Rates Angiology, April 1, 1991; 42(4): 261 - 267. [Abstract] [PDF]