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

Abstract

Objective: : to describe improvement of the quality of data on the underlying cause of death from external causes, after performing Health, Public Security and Press sector database linkage in the State of Rio de Janeiro, Brazil, 2014. Methods: deterministic data linkage on deaths from external causes of undetermined intent and deaths from undetermined natural causes held on the Mortality Information System (SIM), Forensic Institute, Civil Police, Urgent Mobile Care Service (SAMU) and press databases. Results: of the 13,916 deaths from external causes, deaths from causes of undetermined intent were reduced from 5,836 (41.9%) to 958 (6.9%); while 222 (10.7%) of the 2,069 deaths from undetermined natural causes were reclassified to external causes; there was an increase in mortality due to traffic accidents (93.0%), assault (71.6%), legal intervention (744.7%), intentional self-harm (112%) and other accidents (29.9%). Conclusion: there was an improvement in the quality of the information by type of underlying cause of death from external causes, using a strategy that can be reproduced by other services.

Melhoria da classificação das causas externas inespecíficas de mortalidade baseada na investigação do óbito no Brasil em 2017

“…Regarding age, the UEC migrated mainly to ATT in the 0-14 age group, to homicides at 15-44 years old, and to other specified accident causes in the other age groups. Pedestrian accidents are among the ATTs with higher percentage increase after investigation at all ages, similar to that estimated by the GBD 23 study This demographic profile found in the clarification of the UEC is similar to the findings in the state of Rio de Janeiro and in Belo Horizonte and in places where data from external causes are routinely investigated through the retrieval of information from IFM and newspapers 7,14,24 .…”

“…In women, they migrated to other specified accident causes, ATT, especially pedestrians, and homicides. The clarification of undetermined intentions in the state of Rio de Janeiro resulted in the largest increase, especially of traffic accidents and homicides in 2014 24 . These differences may indicate heterogeneity in the results of investigations conducted in different areas of Brazil, due to different demographic and socioeconomic characteristics.…”

“…Certain data sources, by their own characteristics, result in unique diagnoses, such as police inquiries that favor the identification of homicides 17,[24][25][26] , and news from newspapers that favor the capture of ATT accidents 14 . Medicalrecords are an important source for clarifying causes, especially inspecialized units 7 and associated with home investigation 27 .…”

Estudo avaliativo da melhoria da qualidade da informação de morte em hospitais dos estados do Rio de Janeiro e de São Paulo, 2017

“…Although in RJ the external causes of undetermined intent occur mostly in health facilities, by legal determination they must be certified by legal medical institutes. Therefore, improving the quality of information on these deaths depends on information from security departments and/or alternative sources such as the media 13 . Thus, further integration between health departments and public safety is necessary, especially with regard to the terms used in both areas to know the intent that caused the injury, leading to death.…”

Dados para a saúde: impacto na melhoria da qualidade da informação sobre causas de óbito no Brasil

“…Several studies have sought to correct cause-of-death information by statistical methods, by using multiple causes or linkage between hospital data and mortality information systems [18][19][20][21] , in order to obtain a mortality profile that better reflects the reality of the population. This research project is included in this effort, as it generated empirical data for the correction of GCs and can serve as a guideline for the corrections that have been applied on cause-of-death data in Brazil, considering the reality of hospitals and based on the level of information in hospital records.…”