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INTRACLASS CORRELATION COEFFICIENTS IN THE BRAZILIAN NETWORK FOR SURVEILLANCE OF SEVERE MATERNAL MORBIDITY STUDY
Maternal Near Miss
Severe Maternal Morbidity
Maternal and Perinatal Health
Author
Affilliation
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil. / Centro de Estudos em Saúde Reprodutiva de Campinas. Campinas, SP, Brasil.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
Organização Mundial de Saúde. Desenvolvimento e Pesquisa Treinamento em Reprodução Humana. Programa Especial do Banco Mundial de Pesquisa. Departamento de Saúde Reprodutiva e Pesquisa. Geneva, Switzerland.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil. / Centro de Estudos em Saúde Reprodutiva de Campinas. Campinas, SP, Brasil.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
Universidade de Campinas. Departamento de Obstetrícia e Ginecologia. Campinas, SP, Brasil.
Organização Mundial de Saúde. Desenvolvimento e Pesquisa Treinamento em Reprodução Humana. Programa Especial do Banco Mundial de Pesquisa. Departamento de Saúde Reprodutiva e Pesquisa. Geneva, Switzerland.
Abstract
Background: The purpose of the study was to evaluate intraclass correlation coefficients (ICC) of variables
concerning personal characteristics, structure, outcome and process in the Brazilian Network for Surveillance of
Severe Maternal Morbidity study conducted to identify severe maternal morbidity/near miss cases using the World
Health Organization criteria.
Method: It was a cross-sectional, multicenter study involving 27 hospitals providing care for pregnant women in
Brazil. Cluster size and the mean size of the primary sampling unit were described. Estimated prevalence rates, ICC,
their respective 95% confidence intervals, the design effect and the mean cluster size were presented for each
variable.
Results: Overall, 9,555 cases of severe maternal morbidity (woman admitted with potentially life-threatening
conditions, near miss events or death) were included in the study. ICC ranged from < 0.001 to 0.508, with a median
of 0.035. ICC was < 0.1 for approximately 75% of the variables. For process-related variables, median ICC was 0.09,
with 0.021 for those related to outcome. These findings confirm data from previous studies. Homogeneity may be
considered minor, thus increasing reliability of these findings.
Conclusions: These results may be used to design new cluster trials in maternal and perinatal health and to help
calculate sample sizes.
Keywords
Intraclass Correlation CoefficientMaternal Near Miss
Severe Maternal Morbidity
Maternal and Perinatal Health
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