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Estimating Causes of Out-of-Hospital Deaths in China: Application of SmartVA Methods

28 Pages Posted: 3 Dec 2019

See all articles by Jinlei Qi

Jinlei Qi

Chinese Center for Disease Control and Prevention (China CDC)

Tim Adair

University of Melbourne - School of Population and Global Health

Hafizur R. Chowdhury

University of Melbourne - School of Population and Global Health

Hang Li

University of Melbourne - School of Population and Global Health

Deirdre McLaughlin

University of Melbourne - School of Population and Global Health

Yunning Liu

Chinese Center for Disease Control and Prevention (China CDC)

Jiangmei Liu

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Xinying Zeng

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Jinling You

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Sonja Firth

University of Melbourne - School of Population and Global Health

Renee Sorchik

University of Melbourne - School of Population and Global Health

Peng Yin

Chinese Center for Disease Control and Prevention (China CDC)

Lijun Wang

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Maigeng Zhou

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Alan D. Lopez

University of Melbourne - School of Population and Global Health

More...

Abstract

Background: Most deaths in China occur at home, making it difficult to collect reliable cause of death (CoD) information. Verbal autopsy (VA) was applied using the SmartVA tool to a sample of home deaths in China to explore its feasibility as a means of improving the quality of CoD data.

Methods: The study was carried out in 22 districts in 9 provinces, located in north-east, central, and western areas of China during 2017 and 2018. Trained interviewers selected suitable respondents in each household to collect information using the Population Health Metrics Research Consortium (PHMRC) shortened and validated electronic VA questionnaire on tablets. The CoD was diagnosed from the interview data using the SmartVA-Analyze 2.0 software (Tariff 2.0).

Findings: Non-communicable diseases (NCDs) dominated the leading causes of death in all age groups and for both sexes. After redistribution of undetermined causes, stroke (24%), ischemic heart diseases (IHD) (21%), chronic respiratory diseases (11%), and lung cancer (6%) were the leading causes of death. The cause fractions for level-one cause categories and ranking of specific causes were similar between SmartVA and results from the Global Burden of Disease (GBD) study.

Interpretation: Evidence from this large pilot study suggests that SmartVA can be a valuable tool to improve the quality and standardization of CoD information across China.

Funding Statement: Bloomberg Data for Health Initiative.

Declaration of Interests: The authors declare no competing interests.

Ethics Approval Statement: The ethics committee from the National Center for Chronic Non-Communicable Disease Control and Prevention (NCNCD) of the Chinese Center for Disease Control and Prevention approved the study. Verbal informed consent was obtained and recorded for all participants.

Keywords: Verbal autopsy; Cause of death; Surveillance; China

Suggested Citation

Qi, Jinlei and Adair, Tim and Chowdhury, Hafizur R. and Li, Hang and McLaughlin, Deirdre and Liu, Yunning and Liu, Jiangmei and Zeng, Xinying and You, Jinling and Firth, Sonja and Sorchik, Renee and Yin, Peng and Wang, Lijun and Zhou, Maigeng and Lopez, Alan D., Estimating Causes of Out-of-Hospital Deaths in China: Application of SmartVA Methods (11/18/2019). Available at SSRN: https://ssrn.com/abstract=3489312 or http://dx.doi.org/10.2139/ssrn.3489312

Jinlei Qi

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Tim Adair

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Hafizur R. Chowdhury

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Hang Li

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Deirdre McLaughlin

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Yunning Liu

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Jiangmei Liu

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention ( email )

Beijing 100050
China

Xinying Zeng

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention ( email )

Beijing 100050
China

Jinling You

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Beijing 100050
China

Sonja Firth

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Renee Sorchik

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

Peng Yin (Contact Author)

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Lijun Wang

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention ( email )

Beijing 100050
China

Maigeng Zhou

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention ( email )

Beijing 100050
China

Alan D. Lopez

University of Melbourne - School of Population and Global Health

185 Pelham Street
Carlton, Victoria 3053
Australia

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