Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia

Abstract BACKGROUND There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had the...

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Bibliographic Details
Published in:American journal of hypertension 2024-11, Vol.37 (12), p.948-952
Main Authors: Adair, Tim, Li, Hang, Rao, Chalapati
Format: Article
Language:English
Subjects:
Adult
Aged
Australia - epidemiology
Blood Pressure
Blood Pressure Determination - statistics & numerical data
Brief Communication
Cause of Death
Data Accuracy
Death Certificates
Female
Health Surveys
Humans
Hypertension - diagnosis
Hypertension - epidemiology
Hypertension - mortality
Male
Middle Aged
Reproducibility of Results
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Summary:Abstract BACKGROUND There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had their blood pressure measured. METHODS Blood pressure data from the 2014–2015 and 2017–2018 National Health Surveys were linked to death registration data from July 2015 to December 2021 (average 3.3 years from survey to death). The percentage of decedents with hypertension reported on the death certificate was calculated according to blood pressure level and previous diagnosis of hypertension. RESULTS Hypertension was reported on the death certificate of 20.2% (95% confidence interval 12.1%–28.3%) of decedents who had very high to severe blood pressure (160/100 mm Hg and above), 14.5% (10.3%–18.8%) who had high blood pressure (140 to
ISSN:0895-7061
1941-7225
1941-7225
DOI:10.1093/ajh/hpae108