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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Assessing the magnitude of fatal Rocky Mountain spotted fever in the United States: comparison of two national data sources.
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Assessing the magnitude of fatal Rocky Mountain spotted fever in the United States: comparison of two national data sources.

机译：评估美国落基山斑疹热的致命程度：两个国家数据来源的比较。

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摘要

To assess the magnitude of fatal Rocky Mountain spotted fever (RMSF) and to evaluate the completeness of national surveillance for this occurrence from 1983 through 1998, two independent sources of RMSF mortality data were analyzed using a capture-recapture method. Two hundred twenty-four deaths reported through RMSF case report forms (CRFs) were compared with 304 RMSF-associated deaths recorded in the United States multiple cause-of-death (MCD) database. Demographic, geographic, seasonal, and temporal characteristics of decedents were remarkably similar between sources. Median annual deaths ascertained from CRF and MCD data sources were 11 (range = 5-35) and 18 (range = 5-39), respectively. Decedents were matched between sources by year, state, age, sex, race, and month-of-death; 111 deaths were matched to both sources, and percent concordance between CRFs and MCD data during the 16-year study period was 27% (range = 7-45%). An estimated 612 RMSF-associated deaths occurred during the study period (median = 37 per year, range = 16-64), suggesting that approximately 400 fatal cases of RMSF went unreported to national surveillance during the period 1983-1998, for an estimated completeness of CRF reporting of 36%.
机译：为了评估致命的落基山斑疹热（RMSF）的强度并评估从1983年至1998年对此事件的国家监视的完整性，使用捕获-捕获方法对RMSF死亡率数据的两个独立来源进行了分析。将通过RMSF病例报告表（CRF）报告的24例死亡与在美国多人死亡原因（MCD）数据库中记录的304例与RMSF相关的死亡进行了比较。死者的人口，地理，季节和时间特征在来源之间极为相似。从CRF和MCD数据源确定的年平均死亡数分别为11（范围= 5-35）和18（范围= 5-39）。后代根据年，州，年龄，性别，种族和死亡月份在来源之间进行匹配;两种来源均匹配111例死亡，在16年研究期间，CRF与MCD数据之间的一致性百分比为27％（范围= 7-45％）。在研究期间，估计发生了612例与RMSF相关的死亡（中位数= 37 /年，范围= 16-64），这表明在1983-1998年期间，大约400例致命的RMSF病例未报告给国家监测，以确保完整性的CRF报告率为36％。

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