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Table 3 Data in medical records and the Sweedish Maternal Health Care Register (MHCR); comparison between the two data-sets using correlation analysis, and analysis of sensitivity and specificity for binary variables

From: Internal validity of the Swedish Maternal Health Care Register

Variable

Data source: Medical records

Data source: MHCR

Data available in both data sources

Identical information in both data sources

Correlationa

Sensitivity

Specificity

 

n

%

n

%

n

%

n

%

   

Variables collected at first antenatal care (ANC) visit

           

Date of first visit in ANC (numerical)

877

99.9

868

98.9

867

98.7

685

79.0

0.878 (S)

  

No of previous deliveries (numerical)

878

100

867

98.7

867

98.7

840

96.8

0.971 (P)

  

Maternal weight at first ANC visit (numerical)

862

98.1

855

97.4

847

96.4

798

94.2

0.990 (P)

  

Maternal height (numerical)

872

99.3

862

98.2

860

97.9

834

97.0

0.982 (P)

  

Smoking at first ANC visit (Yes/No)

875

99.7

872

99.2

868

98.9

843

97.1

0.742 (C)

0.650

0.995

Use of Snuff at first ANC visit (Yes/No)

878

100

871

99.2

871

99.2

861

98.9

0.540 (C)

0.429

0.998

Assessment of alcohol screening prior to pregnancy (AUDIT) (Yes/No)

802

91.3

859

97.8

788

89.7

691

87.7

0.480 (C)

0.986

0.393

If Yes, AUDIT score (numerical)b

650/643

98.9

777/771

99.2

621

95.5

600

96.6

0.989 (P)

  

Variables collected at 4 to 16 weeks postpartum

           

Prenatal diagnostics

           

Amniocentesis (AC) (Yes/No)

875

99.7

791

90.1

788

89.7

772

98.0

0.754 (C)

0.743

0.991

Chorion Villus Sampling (CVS) (Yes/No)

875

99.7

790

90.0

787

89.6

778

98.9

0.176 (C)

0.167

0.995

Combined Ultrasound and Biochemical screening (CUB) (Yes/No)

780

88.8

791

90.1

700

89.7

665

95.1

0.888 (C)

0.936

0.957

Second trimester Serum Screening (Yes/No)

849

96.7

790

90.0

767

87.4

671

87.4

0.002 (C)

0.043

0.958

Ultrasound examination at 16 – 21 gestational weeks (Yes/No)

862

98.2

791

90.1

779

88.6

755

96.9

0.064 (C)

0.979

0.800

Estimated date of delivery (ultrasound) (numerical)c

871

99.2

874

99.5

868

98.9

781

90.0

0.946 (S)

  

Oral Glucose Tolerance Test (OGTT) performed (Yes/No)

869

98.9

877

99.9

868

98.9

842

97.0

0.854 (C)

0.880

0.982

If Yes, 2-hour value of plasma glucose at OGTT (numerical)d

100/48

48.0

104/97

93.3

46

46.0

34

73.9

0.902 (P)

  

Smoking at 32 gestational weeks (Yes/No)

858

97.7

876

99.8

856

97.5

849

99.1

0.864 (C)

0.821

0.998

Use of Snuff at 32 gestational weeks (Yes/No)

832

94.8

876

99.8

830

94.5

826

99.5

0.712 (C)

0.625

0.999

Maternal weight, last data entry after 35 gestational weeks (numerical)

777

88.5

843

96.0

760

86.6

706

92.9

0.989 (P)

  

No. of ANC visits until estimated date of delivery (numerical)

877

99.9

868

98.9

867

98.7

627

72.3

0.915 (P)

  

Date of delivery (numerical)

878

100

878

100

878

100

842

95.9

0.989 (S)

  

Live born child (Yes/No)

878

100

878

100

878

100

874

99,5

0.598 (C)

0.999

0.500

Birth weight (numerical)

876

99.8

869

99.0

868

98.9

813

93.7

0.989 (P)

  

Gender of infant (Boy/Girl/Sex unknown)

878

100

874

99.5

874

99.5

862

99.2

0.973 (C)

  

Singleton birth/multiple births

877

99.9

878

100

877

99.8

875

99.7

0.908 (C)

  

Mode of delivery (vaginal/instrumental vaginal/caesarean section)

876

99.8

876

99.8

874

99.5

857

98.0

0.946 (C)

  

If caesarean section, elective CS/emergency CSe

130/115

88.5

129/128

99.2

110

84.6

102

92.7

0.841 (C)

  
  1. Comparison between the two data-sets using correlation analysis, and analysis of sensitivity and specificity for binary variables.
  2. aCorrelation analysis: C = Cohen’s kappa, P = Pearson´s correlation coefficient, S = Spearman`s correlation coefficient;
  3. bMeasures are calculated for those who have undergone alcohol screening (n = 650). The denominator is the total no of “Yes” responses. Denominator in the Medical records =650. Denominator in the MHCR = 771.
  4. cMeasures are calculated for those who have undergone ultrasound.
  5. dMeasures are calculated for those who have undergone OGTT. The denominator is the total no of “Yes” responses. The denominator for the medical records = 100. The denominator for the MHCR = 104.
  6. eMeasures are calculated for those who have undergone caesarean section. The denominator is the total no of “Yes” responses. The denominator for the medical records = 130. The denominator for the MHCR = 129.