Glossary - Vitalnet Health Statistics

Age-adjusted death rate - Deaths per 100,000 population, adjusted to a standard population (such as US 1940 or US 2000), by the direct method. Age-adjusted rates are often better for making comparisons than unadjusted rates, because they adjust for differences in age distribution between populations. An age-adjusted rate is a summary synthetic measure. Besides calculating overall age-adjusted rates, it is also recommended to compare age-specific rates.

Age-adjustment standard - A standard population for calculating an age-adjusted death rate. The 1940 and 2000 US Census population are the most common standards.

Apgar score - A summary measure of the condition of the infant based on heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each factor is given a score of 0, 1, or 2; the sum of these five values is the Apgar score, ranging from 0 to 10.

Area set - One or more areas combined.

ASCII file - A text file, with only alphabetical, numerical, and punctuation characters, like you would see in normal text. Vitalnet can produce output in ASCII format.

Birth rate - Births per 1,000 female or total population.

Birth weight - The weight of an infant at delivery, expressed in grams.

Cause of death - Any condition which leads to or contributes to death, and is classifiable according to the International Classification of Diseases (ICD) system.

CDC - Centers for Disease Control and Prevention. US federal health agency.

Cell - A space for a single numerical result in a table, at a row-column intersection.

Cell suppression - An asterisk "*" is placed in cells with fewer events (such as deaths) than a limit set by the user. Row / column totals with exactly one suppressed cell in the row / column are also suppressed. If more than one cell in the row / column is suppressed, the row / column total may be displayed.

Cesarean rate - Number of cesareans / number of births.

Cesarean rate - primary - FC / (FC + FV). Numerator is number of first-time cesarean deliveries (FC). Denominator is number of first-time cesarean deliveries (FC) plus number of first-time vaginal deliveries (FV).

Cesarean rate - repeat - RC / (RC + VA). Numerator is number of repeat cesarean deliveries (RC). Denominator is number of repeat cesarean deliveries (RC) plus number of vaginal deliveries after previous cesarean (VA).

CNM - Certified Nurse Midwife (birth attendant category)

Columns - Vertical groupings of data in a Vitalnet table, such as a column for each race group.

Confidence interval (confidence limits) - A range of values within which the true value of a variable is thought to lie, with a specified level of confidence. For a result of 23.5, a confidence interval might be (23.1-23.9). The smaller the interval, the more reliable the result, so 23-24 is more reliable than 13-34. If the 95% confidence intervals do not overlap, there is probably a statistically significant difference. Vitalnet uses several methods to calculate confidence intervals. The output table documents which method was used.

Confidence level - The likelihood that the true value of a variable is within a confidence interval. For example, for confidence intervals at the 95% level, we are statistically 95% certain that the actual value of the variable is within the interval.

COTS - "Commercial off the shelf". The Computer Desktop Encyclopedia defines as: "ready made merchandise that is available for sale". Vitalnet is a COTS solution for analyzing and disseminating health data.

Councils of Government (COG) - Groupings of Texas counties. There are 24 of these groupings.

CSV format - Comma-separated-value format. CSV files are readily imported into spreadsheet software. Each output item is separated by a comma from surrounding items, and each output text item is surrounded by "double quotes". A comma-separated-value file has "csv" extension. Similar to TSV format.

Cursor key - Arrow key, PgDn, or PgUp key. Used to navigate a web page or computer program.

Data warehouse - A software system, such as Vitalnet, making large complex databases readily available for querying and analysis. A related term is "data mining", finding unexpected relationships in a data set, for further study. Data mining is similar to exploratory data analysis. Vitalnet is excellent at data mining. Of course, keep in mind that the more you look, the more unusual events you will find, just by chance.

dBASE III format - A widely used file format originally for the database software of the same name. Files in dBASE III format may be readily imported into almost any data analysis, graphing, mapping, or other presentation software. Uses dbf extension. Suppressed cells are represented as the number "-1".

Death rate - Deaths per 100,000 population. May be used to compare the burden of disease between different groups. Also called crude death rate.

DIF format - Data interchange format. DIF files are readily imported into spreadsheet software. The DIF format is too complex to explain in this glossary. Has "dif" extension.

DO - Doctor of Osteopathy (birth attendant category)

Denominator - The number on the bottom of a fraction. Population data are often referred to as "denominator data", as they are used as denominators to calculate population-based rates.

E codes - "External" causes of death such as injuries and poisonings. ICD-9 E codes range from 800-999.

ENTER key - A key on your keyboard. Sometimes called RETURN key. Often used to select an item or complete an operation.

ESCAPE key - A key on your keyboard, often on the upper left. Tells Vitalnet to return to a higher-level (previous) menu. Pressing 'Z' usually does the same thing.

Export - Produce output that can be read into other computer programs. Vitalnet produces ASCII text (txt), comma-separated-value (csv), HTML (htm), and dBASE III (dbf) files for export.

Fetal death - A fetus showing no evidence of life after a complete birth.

Fetus - Term applied to the unborn offspring from the date of conception until the completion of pregnancy.

Filter variable - A variable solely used to filter which records are included in the output. For example, for a single table with race rows and sex columns, age 10-19 is a filter variable.

FIPS Code - FIPS = "Federal Information Processing Standards". A five-digit number which uniquely identifies counties, territories, and certain other areas in the United States. States have two-digit FIPS codes.

Footer - Last part of a Vitalnet table. Lists less important details of the analysis, such as the date produced, and data sources. Also contains a unique ID to assist in keeping track of analyses.

General fertility rate - Total live births (to all women) per 1,000 women age 15-44 in a given year.

Gestational age - Number of completed weeks elapsed between: the first day of the last normal menstrual period, and the date of delivery. Gestational age is expressed in completed weeks.

Gestational age - Number of completed weeks elapsed between: the first day of the last normal menstrual period, and the pregnancy outcome. Gestational age is expressed in completed weeks.

General fertility rate - Live births per 1,000 women age 15-44 in a given year.

Header - First part of a Vitalnet table. Lists key analysis parameters, such as years analyzed.

Hepatitis case rate - Number of cases per 100,000 people at risk. For example, if Smith County has 40 cases, and 200,000 people, the hepatitis case rate is 20 per 100,000.

Hepatitis death rate - Number of deaths per 100,000 people at risk. For example, if Smith County has 4 deaths, and 200,000 people, the hepatitis death rate is 2 per 100,000.

High birth weight - A birth weight 4,000 grams or greater.

High birth weight percent - Percent of births with birth weight 4,000 grams or greater.

HSA - Health Service Area. Groupings of Texas counties. There are 14 Health Service Areas.

ICD - International Classification of Diseases. A widely used system for classifying diseases and injuries. Each disease or set of diseases has an ICD code or ICD group assigned to it. Vitalnet uses the ICD-9 system, for 1979-1998 mortality data, and the ICD-10 system, for 1999-present mortality data. An "ICD code" is a single ICD number representing a single disease or injury. For example, ICD 250 for diabetes. Note - ICD codes for HIV / AIDS first came into use in 1987. An "ICD code" is a single ICD number representing a single disease or injury. For example, ICD E10 for insulin-dependent diabetes. An "ICD group" is a range of continuous ICD codes. For example, ICD 10-18 for tuberculosis. An "ICD group" is a range of continuous ICD codes. For example, ICD E10-E14 for diabetes mellitus. An "ICD set" is one or more ICD groups or codes combined, for example ICD 174 (female breast cancer) and ICD 180 (cervical cancer). An "ICD set" is one or more ICD groups or codes combined, for example ICD C50 (breast cancer) and ICD C53 (cervical cancer).

Import - Read information into a computer program. ASCII text, CSV, TSV, DIF, HTML, and dBASE III files from Vitalnet are easily imported into word processing, spreadsheet, data analysis, mapping, graphing, and other presentation software programs.

Infant - An individual less than one year of age.

Infant death - Death of a liveborn infant from the moment of birth to the end of the first year of life.

Intrauterine growth retardation - Birth weight in the lowest decile of birth weight for gestational age. An alternative definition is birth weight less than 2,500 grams (low birth weight) in a full-term infant (born at or after 37 weeks gestation).

Jackknife Method - A method for calculating variances and confidence intervals. Jackknife is accurate for complex survey designs, such as BRFSS. Jackknife will work with any statistic, such as percent, mean, or median. The jackknife method repeatedly calculate a replicate statistic. For each replicate, it leaves out one observation (or group of observations), and reweights the observations left in. The variance of the replicates is the same as that of the original data. It is called "jackknife" because it is so generally useful.

Kessner adequate percent - Numerator is number of births with adequate Kessner index. Denominator is number of births with known Kessner index (unknown Kessner scores are not included in denominator). This is a measure of the adequacy of prenatal care. A higher Kessner adequate percent for a population indicates better prenatal care.

Kessner index - Method of categorizing adequacy of prenatal care, based on month of pregnancy care started, number of visits, and length of gestation. This takes both amount and start of prenatal care into account, and adjusts for the fact that women with short gestations have less time in which to make prenatal care visits.

Leading causes for ICD-9 - The ten causes of death with the highest number of deaths, out of a standard NCHS list of 38 rankable causes. Vitalnet makes it easy to select and rank the 38 cause list.

Leading causes for ICD-10 - The ten causes of death with the highest number of deaths, out of a standard National Center for Health Statistics list of 51 rankable causes. Vitalnet makes it easy to select and rank the 51 cause list.

Least-squares - A standard method for fitting the best straight line to a set of points. Produces a Y-intercept and a slope defining the least-squares line.

Light bar - A highlighted area on the computer screen that you can move by pressing an arrow key or other cursor keys. The light bar highlights an item that you may select, add or delete.

Live birth order - Live birth order is the number of children born alive to a mother, including the current baby. If the mother has three previous live births, the live birth order for the next birth is four. Another example: If the mother has one previous live birth, and has twins this time, the live birth order for the first twin is two, and is three for the second twin.

Local area network (LAN) - A computer networking product, such as Novell Netware or Windows NT. Vitalnet may be accessed from a local area network.

Log file - A computer file for saving Vitalnet tables, and other Vitalnet output.

Low birth weight - A birth weight less than 2,500 grams (5 pounds, 9 ounces).

Low birth weight percent - Percent of births with birth weight less than 2,500 grams (5 pounds, 9 ounces).

Main Menu - The top level Vitalnet menu. All parameters are summarized on the Main Menu, and you will always return to the Main Menu before producing a table.

Marriage rate - Number of marriages per 1,000 population. For example, if Smith County has 4,000 marriages, and 200,000 people, the marriage rate is 4 per 1,000. Due to data limitations, does not take into account the current marital status of the population.

MD - Doctor of Medicine (Physician) (birth attendant category)

Mean age of death - If the ages were 50, 51, and 58, the mean age of death is (50 + 51 + 58) / 3 = 53

Median population age - A measure of the overall age of a population. Half the population is younger than the median, half is older. Assuming a population of 100,000 people, 50,000 people would be older than the median age, 50,000 younger.

Multiple age groups - One age group for each table row (or column). Example: 0-19, 20-59, 60-99+.

Multiple cause mortality data - Data which include all causes of death listed on the death certificate. Contrast with underlying cause mortality data.

Multiple causes of death - All diseases or injuries which led directly to death, or all circumstances of the accident or violence which produced the fatal injury.

Multi-tables - Vitalnet option to automatically produce a series of tables. For example, there may be one table for each selected race.

Natural Breaks - Method for determining map ranges. Minimizes "squared deviations from class means".

NCHS - National Center for Health Statistics. US health statistics agency. Part of the CDC.

Neonatal death - Death of a liveborn infant within the first 27 days, 23 hours, and 59 minutes of life.

Neonatal death rate - Numerator = neonatal deaths x 1000. Denominator = number of liveborn infants.

Neonatal period - Period from birth through the first 27 days, 23 hours, and 59 minutes of life.

Neonate - A newborn infant during the first 27 days, 23 hours, and 59 minutes of life.

Percent total population in age group - A population statistic. Useful for assessing the relative age of the population. If the total population is 100,000, and 8,000 are under age 10, the percent of the total population under 10 is 8 percent.

Perinatal period - Period from the 20th completed week of gestation (140 days) through the first 27 days, 23 hours, and 59 minutes of life.

PHR - Public Health Region. Groupings of Texas counties. There are 11 PHRs.

Place of occurrence mortality data - Data compiled by the location the death occurred, without regard to the place of residence of the deceased. Vitalnet does not currently analyze for place of occurrence.

Place of residence mortality data - Data compiled by the place of residence of the deceased, without regard to the location where the death occurred. Vitalnet analyzes mortality data by place of residence.

Place of occurrence - The geographic location where a birth occurred.

Place of occurrence birth data - Data compiled by the location where the birth occurred, without regard to the place of residence of the mother.

Place of residence - The geographic location where a birth occurred.

Plurality - Number in a birth, such as twins or triplets.

Population - The number of people living in an area.

Postneonatal - Period between 28 days and one year of age.

Post term birth - Birth after the 41st week of gestation. Birth during or after the 42nd week of gestation.

Pregnancy outcome - A birth, fetal death, or abortion.

Pregnancy rate - The number of pregnancies per 1,000 total or female population.

Preterm birth - Birth occurring before the 38th week of gestation. Birth occurring during or before the 37th week of gestation.

Public Health Regions (PHR) - Groupings of Texas counties. There are 11 Public Health Regions.

Rows - Horizontal lines in a Vitalnet table, such as a row for each race group.

Row sort settings - Vitalnet rows may be sorted in ascending or descending order.

Set - A combination of one or more things. For example, several areas may be combined into an area set.

Single age group - Only one age group (30-49, for example) is selected. A single age group is used for tables that do not have age columns or age rows.

Standardized mortality ratio (SMR) - The ratio of the expected number of deaths to the observed number of deaths. The expected number of deaths is derived by applying a standard set of rates (usually state or national rates) to a population. SMRs help assess whether the mortality in a population is higher than expected.

Stand-alone PC - A desktop or laptop computer running off its own local hard disk. Vitalnet may be run from a stand-alone PC.

Statistic (Main Statistic) - The basic type of numerical result displayed in a table, chart, or map. For example, birth rate, death rate, population, pregnancy rate, etc.

Submenu - A menu accessed from a higher level menu. A submenu helps select or modify a parameter listed on the higher level menu.

Table - A set of results produced by Vitalnet. A table has several parts:
 
  1. Header - basic analysis settings
  2. Data section - numerical results
  3. Bar graphs - horizontal charts
  4. Footer - other analysis settings

Tabular chart - A section of a Vitalnet table. Gives an scaleable graphical representation of the data. May be omitted from the output table.

Term birth - Birth during the four week period after the 37th week of gestation and before the 42nd week of gestation. Birth during the 38th through 41st week of gestation.

TSV format - Tab-separated-value format. TSV files are readily imported into spreadsheet software. Each output item is separated by a tab from surrounding items, and each output text item is surrounded by "double quotes". A tab-separated-value file has "tsv" extension. Similar to CSV format.

Underlying cause - The disease or injury that initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury. A single underlying cause is assigned to each death.

Underlying cause mortality data - Data which include only the underlying cause of death listed on the death certificate. Contrast with multiple cause mortality data.

Unknown Values - Unknowns are automatically inserted into a Vitalnet table. For example, a separate row (or column) for unknown race. The rate is assigned as zero for an unknown category, since there is no population denominator to use. Some fields, such as sex for certain data sets, are never unknown, so unknowns are left off the table. When, such as for age-adjusted rates, the unknown variable (age) is different from the rows or columns, the number of unknowns for age is shown below the table.

Very low birth weight - A birth weight less than 1,500 grams (3 pounds, 5 ounces).

Very low birth weight percent - Percent of births with birth weight less than 1,500 grams (3 pounds, 5 ounces).

Vitalnet / VitalPro / VitalWeb - Vitalnet is data warehouse / data analysis software for analyzing health data sets. VitalPro is a Vitalnet system that runs directly on a PC, for example VitalPro for Win32. VitalWeb is a Vitalnet system that runs over the internet, for example VitalWeb Ajax.

Windows - Microsoft PC operating systems. VitalPro runs under any version of Windows.

World Wide Web (WWW) - A widely used part of the internet that may be easily accessed with a web browser. Vitalnet runs on the WWW.

Years of potential life lost (YPLL) - Sum of the years of life lost by persons who die "early". Early death is usually defined as death occurring before the age of 65 (the YPLL age limit). For example, death at age 40 (40.5) results in 24.5 YPLL to age 65. YPLL is a widely used measure of premature mortality.

YPLL age limit - The age used for calculating YPLL. The most common YPLL age limit is 65.

YPLL rate - YPLL per 100,000 population in the appropriate age category. The YPLL rate up to age 65 is calculated as follows: (YPLL up to age 65) / (population for age group 0-64). Not commonly used.