Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Abstract

Objective:To assess the quality of mortality information by analyzing the frequency of garbage codes (GC) registered as underlying cause-of-death in Belo Horizonte, Minas Gerais, Brazil. Methods: Data of deaths of residents from 2011 to 2013 were selected. GC causes were classified as proposed by the Global Burden of Disease Study (GBD) 2015. They were grouped into GCs from ICD-10 Chapter XVIII and GCs excluding codes of Chapter XVIII. Proportions of GC were calculated by sex, age, and place of occurrence. Results: In Belo Horizonte, 30.5% of the total of 44,123 deaths were GC. Higher proportion of these codes was observed in children (1 to 4 years) and in people aged over 60 years. The following leading GCs observed were: other ill-defined and unspecified causes of death (code R99), unspecified pneumonia ( J18.9), unspecified stroke (hemorrhagic or ischemic) (I64), and unspecified septicemia (A41.9). The proportions of GC were 28.7% and 36.9% in deaths that occurred in hospitals and at home, respectively. An important difference occurred in the GC group from Chapter XVIII of ICD-10: 1.7% occurred in hospitals and 16.9% at home. Conclusion: The high proportions of GC in mortality statistics in Belo Horizonte demonstrated its importance for assessing the quality of information on causes of death.

Fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas, Brasil, de 2006 a 2012

“…Similar variation was reported by Kanso et al 21 for the elderly population in AM. Nevertheless, the proportionate mortality from ill-defined causes observed in Manaus is high, both in this study and by other authors, standing at around 12%, fourfold the national average and the highest among Brazilian capitals 22 .…”

“…The predominance of the two categories, as well as their respective reverse ordering in Manaus and outside the capital were also observed in the analysis of mortality in the Brazilian elderly population 21 . In Belo Horizonte, Minas Gerais, other ill-defined and unspecified causes of mortality (R99) were certified in 5% of deaths between 2011 and 2013 22 . Regarding the most frequent nonspecific causes in AM between 2006 and 2012, essential (primary) hypertension (I10) and unspecified sepsis (A41.9) showed similar proportions in Belo Horizonte 22 and heart failure (I50) was prominent among deaths of Brazilian elderly 21 .…”

Melhoria da qualidade do registro da causa básica de morte por causas externas a partir do relacionamento de dados dos setores Saúde, Segurança Pública e imprensa, no estado do Rio de Janeiro, 2014

“…An investigation of ill-defined codes conducted between 2011 and 2013 in the municipality of Belo Horizonte also found a high proportion of external causes of undetermined intent and traffic accidents without type specification among young people aged 5-29 years old. 13 The higher proportion of cases of external causes of undetermined intent found by us in health establishments (13,916) or after linkage (14,218).…”

Survival Analysis of Hospitalized Elderly People with Fractures in Brazil Over One Year

“…First, it is a retrospective study that used secondary data and may lack information. Second, we identified 11 causes of death with incomplete or undefined diagnoses that do not indicate the specific cause/disease of death [31] in the DCs. Finally, the small number of participants for an epidemiological study stands out, but this institution is a large hospital and is a reference in emergency care, and moderate-and high-complexity emergency care in traumatology in central Brazil.…”