Mortalidade perinatal e infantil em Pelotas, Rio Grande do Sul: nossas estatísticas são confiáveis?

Barros, Fernando C.; Victoria, Cesar G.; Teixeira, Ana Maria B.; Filho, Miguel Puerto

doi:10.1590/s0102-311x1985000300007

Cited by 28 publications

(10 citation statements)

References 3 publications

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“…Among the deaths that were not recorded, the main reason was that "the family did not find it necessary", corroborating the results of previous studies 25,26 . However, the source in which the case was found influenced the confirmation process.…”

Section: Discussionsupporting

confidence: 87%

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Almeida

Szwarcwald

Frias

et al. 2017

Rev. bras. epidemiol.

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Introduction:The proactive search of deaths is a strategy for capturing events that were not informed to the Mortality Information System of Ministry of Health. Its importance to reduce underreporting of deaths and to evaluate the operation of the information system is widely known. Objective: To describe the methodology and main findings of the Proactive Search of Deaths, 2013, establishing the contribution of different information sources. Methods: The research was carried out in 79 Brazilian municipalities. We investigated several official and unofficial sources of information about deaths of municipality residents. Every information source investigated and all cases found in each source were typed in an on-line panel. The second stage of the research was the confirmation of cases to verify information of year and residence and to complete missing information. For all confirmed cases, we estimated the completeness of death registration and correction factors according to the adequacy level of mortality information. Results: We found 2,265 deaths that were not informed to the Mortality Information System. From those, 49.3% were found in unofficial sources, cemeteries and funeral homes. In some rural municipalities, precarious burial conditions were found in cemeteries in the middle of the forest and no registration of the deceased. Correction factors were inversely associated to the adequacy level of mortality information. Conclusion: The findings confirm the association between level of information adequacy and completeness of death registration, and indicate that the application of the proactive search is an effective method to capture deaths not informed to the Ministry of Health.

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Section: Discussionsupporting

confidence: 87%

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Almeida

Szwarcwald

Frias

et al. 2017

Rev. bras. epidemiol.

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“…The methods used for monitoring deaths and for cross referencing using several sources meant that under reporting was virtually eliminated 5 . Mortality records in Pelotas improved substantially during the two decades of our study 23,24,25 ; the official perinatal mortality There was an overall reduction in perinatal mortality in the period under study. This reduction was more pronounced between 1982 and 1993 than between 1993 and 2004.…”

Section: Discussionmentioning

confidence: 70%

Perinatal mortality in three population-based cohorts from Southern Brazil: trends and differences

et al. 2008

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Trends in perinatal mortality were studied in the city of Pelotas, Southern Brazil, using three population-based cohort studies carried out in 1982, 1993 and 2004. The objective of the present study was to analyze trends and differences in perinatal mortality during the 1982-2004 period. All hospital deliveries and perinatal deaths were monitored through daily visits to maternity wards. Cause of death was determined using information from hospital records and by interviewing physicians. Perinatal mortality fell by 43% in the two decades, with a greater reduction between 1982 and 1993. Intrapartum fetal deaths decreased by 72% and deaths from asphyxia fell from 4.5 per thousand in 1982 to 1.4 per thousand in 2004. In conclusion, reductions in perinatal mortality were also seen across all birth weight categories between 1982 and 1993, but the same was not true for the 1993 to 2004 period, when mortality increased in several categories above 2,000g.

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“…No entanto, esse indicador é freqüentemente afetado pelo sub-registro de nascimentos e óbi-tos, o que faz com que as estatísticas vitais em diversas regiões do Brasil não sejam fidedignas 1 . Mesmo para os óbitos registrados existe o problema da qualidade da informação sobre a causa básica.…”

Section: Introductionunclassified

“…Ressaltamos que, do total de 80 casos atestados como broncopneumonia pelos IMLs, 38 (48%) foram julgados pelos revisores como devidos a morte súbita, oito (10%) a gastroenterites e 24 (30%) a outras causas que não as especificadas na Tabela 8. Deixou-se de registrar 19 casos de gastroenterite, e em outros 15 óbitos, por esta causa, o médico legista registrou a causa básica como sendo "desidratação" DISCUSSÃO A metodologia utilizada permitiu detectar um sub-registro total de 8,3% dos óbitos estudados, concentrado principalmente na cidade de Pelotas, confirmando os achados de estudo anterior 1 . Este percentual de sub-registro chama a atenção, principalmente se levarmos em conta que apenas foram estudados óbitos pós-perinatais ocorridos em áreas urbanas, e que o Rio Grande do Sul é considerado como um dos Estados com melhores estatísticas vitais.…”

Section: Introductionunclassified

Avaliação da qualidade da informação sobre a causa básica de óbitos infantis no Rio Grande do Sul (Brasil)

et al. 1989

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A partir de dados coletados para um estudo de casos e controles sobre mortalidade infantil por doenças infecciosas e desnutrição realizado em Porto Alegre e Pelotas, RS (Brasil), comparou-se as causas de óbito constantes do atestado médico com as causas obtidas através de uma revisão detalhada, realizada pela equipe da investigação. Concluiu-se que as estatísticas oficiais não são fidedignas, tendo havido sobre-registro de broncopneumonias (CID 485X) e de septicemias (CID 038.9), e sub-registro de gastroenterites (CID 009.1) e de mortes súbitas (CID 798.0). A concordância entre os atestados refeitos e os oficiais, em termos de grupos de causas de óbito, foi de apenas 27.9%.

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Mortalidade perinatal e infantil em Pelotas, Rio Grande do Sul: nossas estatísticas são confiáveis?

Cited by 28 publications

References 3 publications

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Perinatal mortality in three population-based cohorts from Southern Brazil: trends and differences

Avaliação da qualidade da informação sobre a causa básica de óbitos infantis no Rio Grande do Sul (Brasil)

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