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Table 4 Comparison between primary collection and re-collection of data from medical records using correlation analysis, and analysis of sensitivity and specificity for binary variables

From: Internal validity of the Swedish Maternal Health Care Register

Variable

Medical recordsa

Medical records re-collectionb

Data available in both data sources

Identical information in both data sources

Correlationc

Sensitivity

Specificity

 

n

%

n

%

n

%

n

%

   

Variables collected at first antenatal care (ANC) visit

           

Date of first visit in ANC (numerical)

150

100

150

100

150

100

116

77.3

0.773 (S)

  

No of previous deliveries (numerical)

150

100

150

100

150

100

149

99.3

0.988 (P)

  

Maternal weight at first ANC visit (numerical)

147

98.0

148

98.7

147

99.3

146

99.3

0.995 (P)

  

Maternal height (numerical)

149

99.3

149

99.3

149

100

148

99.3

1.000 (P)

  

Smoking at first ANC visit (Yes/No)

149

99.3

149

99.3

149

100

148

99.3

0.794 (C)

d

1.000

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

150

100

150

100

150

100

146

97.3

0.793 (C)

0.667

1.000

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

130

86.7

130

86.7

130

86.7

121

93.1

0.729 (C)

0.972

0.136

If Yes, AUDIT score (numerical)e

113/109

96.5

108/106

98.1

102

90.3

100

98.0

0.987 (P)

  

Variables collected at 4 to 16 weeks postpartum

           

Prenatal diagnostics

           

Amniocentesis (AC) (Yes/No)

150

100

150

100

150

100

150

100

1.000 (C)

1.000

0.983

Chorion Villus Sampling (CVS) (Yes/No)

150

100

150

100

150

100

150

100

1.000 (C)

d

0.992

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

147

98.0

149

99.3

147

98.6

142

96.6

0.912 (C)

0.919

0.941

Second trimester Serum Screening (Yes/No)

148

98.7

150

100

148

98.7

148

100

f

  

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

147

98.0

147

98.0

147

98.0

145

99.0

0.246 (C)

0.975

d

Estimated date of delivery (ultrasound) (numerical)g

147

100

147

100

147

100

145

98.7

0.955 (S)

  

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

149

99.3

149

99.3

148

98.0

144

98.0

0.819 (C)

1.000

0.986

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

13/10

77.0

10/9

90.0

9

69.2

9

100

1.000 (P)

  

Smoking at 32 gestational weeks (Yes/No)

145

96.7

145

96.7

145

100

145

100

1.000 (C)

1.000

1.000

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

145

96.7

145

96.7

145

100

144

99.3

0.797 (C)

1.000

1.000

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

142

94.7

141

94.0

141

99.3

137

97.2

1.000 (P)

  

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

150

100

150

100

150

100

96

64.0

0.890 (P)

  

Date of delivery (numerical)

150

100

150

100

150

100

149

99.3

0.975 (S)

  

Live born child (Yes/No)

150

100

150

100

150

100

150

100

f

1.000

1.000

Birth weight (numerical)

150

100

150

100

150

100

140

93.3

0.997 (P)

  

Gender of infant (Boy/Girl/Sex unknown)

150

100

150

100

150

100

149

99.3

0.987 (C)

  

Singleton birth/multiple births

150

100

150

100

150

100

150

100

1.000 (C)

  

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

150

100

150

100

150

100

149

99.3

0.983 (C)

  

If caesarean section, elective CS/emergency CSi

23/22

95.7

23/23

100

22

95.7

22

100

1.000 (C)

  
  1. aPrimary collection of data from medical records.
  2. bRe-collection of data from medical records.
  3. cCorrelation analysis: C = Cohen’s kappa, P = Pearson´s correlation coefficient, S = Spearman`s correlation coefficient.
  4. dSensitivity or specificity not possible to calculate since one or more of the cells in the calculation includes zero.
  5. eMeasures are calculated for those who have undergone alcohol screening. The denominator is the total no of “Yes” responses. Denominator in the Medical records (n = 113), denominator in the MHCR (n = 108).
  6. fCohen’s kappa is not calculated as one of the variables is a constant.
  7. gMeasures are calculated for those who have undergone ultrasound.
  8. hMeasures are calculated for those who have undergone OGTT. The denominator is the total no of “Yes” responses. Denominator for the medical records (n = 13), denominator for the MHCR (n = 10).
  9. iMeasures are calculated for those who have undergone caesarean section. The denominator is the total no of “Yes” responses. Denominator for the medical records (n = 23), denominator for the MHCR (n = 23).