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Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008 - 2010


Percentage of discordance 2006 2007 2008 2009 2010 2011
Intervention hospitals NA NA 20.2 18.6 8.9 NA
Nonintervention hospitals NA NA 11.8 11.1 9.8 NA
Total NA NA 14.9 13.6 9.6 NA
Deaths reported as due to heart disease 39.4 39.7 39.1 38.0 34.1 32.0

Abbreviation: NA, not applicable.

Figure 1. Five-year trend in death certificates reporting heart disease as an underlying cause of death (2006–2011) and 3-year trend in discordance among reports of heart disease deathsa (2008–2010) in New York City. Abbreviation: NA, not applicable. We defined discordant reports of heart disease as deaths for which the death certificate reported an underlying cause of death of heart disease and the Statewide Planning and Research Cooperative System hospital discharge record had no corresponding diagnosis of heart disease.

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Reports of Sepsis 2008 2009 2010
Total 10.53 8.94 11.26
Intervention hospitals 0.61 1.03 3.59
Nonintervention hospitals 9.92 7.91 7.7

Figure 2.
Comparison of reports of sepsis as an immediate, intermediate, or underlying cause of death on the death certificate for inpatient deaths, by intervention hospitals versus nonintervention hospitals, New York City 2008–2010. Intervention hospitals include the 8 hospitals that participated in the New York City Department of Health and Mental Hygiene’s 2009 cause-of-death reporting training intervention.

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Page last reviewed: March 13, 2015