ArticleBMC public health2019
Cause-specific mortality estimates for Malaysia in 2013: results from a national sample verification study using medical record review and verbal autopsy.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 35 citations in OpenAlex.
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- The Malaysian Burden of Disease Study: Protocol for Mortality, Morbidity, and Risk Factor Evaluation.JMIR research protocols · 2025Article
- Top ten causes of death in Malaysia for the years 2013 and 2019.The Lancet regional health. Western Pacific · 2024Article
- Implementation research for developing Civil Registration and Vital Statistics (CRVS) Systems: lessons from Indonesia.BMJ global health · 2023Article
- Strategies to reduce hospital-associated bloodstream infections in a limited resource setting: Preventing Infections in Neonates (PIN) collaborative.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Are cause of death data for Shanghai fit for purpose? A retrospective study of medical records.BMJ open · 2022Article
- Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016.Global heart · 2022Article
- Mortality estimates for WHO SEAR countries: problems and prospects.BMJ global health · 2021Review
- Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2021Article
- Estimating causes of out-of-hospital deaths in China: application of SmartVA methods.Population health metrics · 2021Article
- Monitoring progress with national and subnational health goals by integrating verbal autopsy and medically certified cause of death data.BMJ global health · 2021Article
- Non-communicable Disease Surveillance in Malaysia: An Overview of Existing Systems and Priorities Going Forward.Frontiers in public health · 2021Review
- Empiricism in non-communicable disease mortality measurement for the Asia-Pacific: lost in translation.BMJ global health · 2020Review
- Changes in the quality of cause-of-death statistics in Brazil: garbage codes among registered deaths in 1996-2016.Population health metrics · 2020Article
- Elements of a strategic approach for strengthening national mortality statistics programmes.BMJ global health · 2019Review
- Conducting verbal autopsy by telephone interview during the pandemic to support mortality surveillance: a feasibility study in Malaysia.Western Pacific surveillance and response journal : WPSARArticle
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundMortality indicators are essential for monitoring population health. Although Malaysia has a functional death registration system, the quality of information on causes of death still needs improvement, since approximately 30% of deaths are classified to poorly defined causes. This study was conducted to verify registered causes in a sample of deaths in 2013 and utilise the findings to estimate cause-specific mortality indicators for Malaysia in 2013.
methodsThis is a cross-sectional study involving a nationally representative sample of 14,497 deaths distributed across 19 districts. Registered causes of deaths were verified using standard medical record review protocols for hospital deaths, and locally adapted international standard verbal autopsy procedures for deaths outside hospitals. The findings were used to measure the validity and reliability of the registration data, as well as to establish plausible cause-specific mortality fractions for hospital and non-hospital deaths, which were subsequently used as the basis for estimating national cause-specific mortality indicators.
resultsThe overall response rate for the study was 67%. Verified causes of 5041 hospital deaths and 3724 deaths outside hospitals were used to derive national mortality estimates for 2013 by age, sex and cause. The study was able to reclassify most of the ill-defined deaths to a specific cause. The leading causes of deaths for males were Ischaemic Heart Disease (15.4%), Cerebrovascular diseases (13.7%), Chronic Obstructive Pulmonary Disease (8.5%) and Road Traffic Accident (8.0%). Among females, the leading causes were Cerebrovascular diseases (18.3%), Ischaemic Heart Disease (12.7%), Lower Respiratory Infections (11.5%) and Diabetes Mellitus (7.2%).
conclusionsInvestigation of registered causes of death using verbal autopsy and medical record review yielded adequate information to enable estimation of cause-specific mortality indicators in Malaysia. Strengthening the national mortality statistics system must be made a priority as it is a core data source for policy and evaluation of the public health and healthcare sectors in Malaysia.
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