Classificações de evitabilidade dos óbitos infantis: diferentes métodos, diferentes repercussões?

Abstract

Abstract

Mortalidade infantil e classificação de sua evitabilidade por cor ou raça em Mato Grosso do Sul

“…The group of causes "reducible by adequate care to women in gestation and delivery and the newborn" had the worst results for the State and all categories of skin color or ethnicity, except for indigenous women. These deaths could be prevented with improved clinical resolubility, but also with regard to the organization of care in care networks, in order to ensure access to and the quality of services timely provided to pregnant woman and the newborn 29 , in addition to the adequate use of scientifically proven procedures during childbirth, which may reduce the child's death risk 30 .…”

Análise espacial dos óbitos infantis evitáveis no Espírito Santo, Brasil, 2006-2013*

“…Initially, the underlying causes of deaths coded according to the 10 th Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10), were classified as avoidable or non-avoidable, according to the ICE preventability method 9 since this method had greater capacity for distinguishing between avoidable and non-avoidable causes of death. 12 This method proposed eight groupings of causes of avoidable infant deaths, namely: congenital; suffocation; immaturity; infection; sudden infant death syndrome (SIDS); external causes; specific conditions; and other causes. 9 All causes of infant deaths were then classified as avoidable or non-avoidable according to these groups.…”

“…More information on ICE can be found in a previous publication. 12 After classification of infant deaths as avoidable or non-avoidable, we estimated absolute and relative frequencies for the following variables of interest: year of occurrence of infant death; type of death (neonatal or postneonatal mortality); the child's sex; ethnicity/skin color (white, black, brown, Asian, indigenous); type of delivery (vaginal, cesarean section); child's weight at birth (500-2,499g, 2,500-2,999g, 3,000-3999g, ≥4000g); and municipality of residence of the mother.…”

“…11 The objective of these preventability classifications is to reduce deaths and obtain a reliable assessment of the effectiveness of health care services for pregnant women and newborns, even in the face of their different criteria for classifying avoidable and non-avoidable deaths. 12 However, classifying deaths in this way is subject to the limitations of death certificate information, 13 which, in turn, is a complicating factor.…”

Análise Dos Fatores Relacionados À Mortalidade Infantil No Município De Chapecó, Santa Catarina, 2000 a 2012

“…13 Tendo em vista que a mortalidade no período neonatal representou 70% da MI no Brasil, no ano de 2007, destes, o componente neonatal precoce foi responsável por 50% das mortes e está intimamente ligado à qualidade de atenção…”