Table 4. Crude and adjusted analyses of factors associated with major antemortem diagnostic errors (N=636*).
| Minor or no diagnostic error, n (%)N=381 | Major diagnostic error, n (%)N=255 | OR (95% CI) | P value | Adjusted OR (95% CI) | P value | |
| Age at the time of death | 0.807 | 0.985 | ||||
| 1–11 months | 198 (52.0) | 130 (51.0) | Referent | -- | ||
| 12–59 months | 183 (48.0) | 125 (49.0) | 1.04 (0.76 to 1.43) | 1.00 (0.65 to 1.53) | ||
| Sex | 0.785 | 0.365 | ||||
| Male | 199 (52.2) | 136 (53.3) | 1.05 (0.76 to 1.44) | 1.21 (0.80 to 1.83) | ||
| Female | 182 (47.8) | 119 (46.7) | Referent | -- | ||
| Time from admission to death | 0.163 | 0.378 | ||||
| <24 hours | 163 (42.8) | 95 (37.3) | Referent | -- | ||
| ≥24 hours | 218 (57.2) | 160 (62.7) | 1.26 (0.91 to 1.75) | 0.81 (0.51 to 1.28) | ||
| Number of postmortem diagnoses | <0.001 | <0.001 | ||||
| 1 | 240 (63.0) | 10 (3.9) | Referent | Referent | ||
| 2–3 | 108 (28.3) | 136 (53.3) | 30.22 (16.03 to 63.45) | 33.90 (17.42 to 73.18) | ||
| >3 | 33 (8.7) | 109 (42.7) | 79.27 (39.38 to 175.96) | 90.48 (42.73 to 210.25) | ||
| Site | <0.001 | 0.477 | ||||
| Bangladesh† | 5 (1.3) | 1 (0.4) | -- | -- | ||
| Ethiopia† | 4 (1.0) | 5 (2.0) | -- | -- | ||
| Kenya | 80 (21.0) | 51 (20.0) | 0.54 (0.34 to 0.87) | 1.41 (0.78 to 2.58) | ||
| Mali | 60 (15.7) | 10 (3.9) | 0.14 (0.06 to 0.29) | 1.03 (0.37 to 2.83) | ||
| Mozambique | 45 (11.8) | 31 (12.2) | 0.59 (0.33 to 1.02) | 1.42 (0.70 to 2.89) | ||
| Sierra Leone | 118 (31.0) | 76 (29.8) | 0.55 (0.36 to 0.84) | 1.67 (0.93 to 3.02) | ||
| South Africa | 69 (18.1) | 81 (31.8) | Referent | Referent | ||
*
Excludes children wthat ho were dead on arrival or missing hospital duration, as well as unclassifiable diagnostic pairs (class VI).
†
Bangladesh and Ethiopia were excluded from regression analysis due to low cell counts.