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[巴西米纳斯吉拉斯州不明原因死亡调查中的口头尸检]

[Verbal autopsy for investigating deaths from ill-defined causes in Minas Gerais State, Brazil].

作者信息

Campos Deise, França Elisabeth, Loschi Rosangela Helena, Souza Maria de Fátima Marinho de

机构信息

Universidade Federal de Minas Gerais, Rua Prata 208, apto. 301, Belo Horizonte, MG 30310-100, Brasil.

出版信息

Cad Saude Publica. 2010 Jun;26(6):1221-33. doi: 10.1590/s0102-311x2010000600015.

Abstract

Ill-defined causes of death can be related to problems in access to health services or poor quality of medical care and are indicators of data quality in the Mortality Information System (MIS). A sample of municipalities (counties) was selected from the Northeastern Macro-Region of Minas Gerais State, Brazil, with the aim of investigating deaths from ill-defined causes and deaths not reported to the Mortality Information System in 2007, using the verbal autopsy technique. The method allowed identifying 87% of the causes of investigated deaths, of which 17% (n = 37) were due to violent causes. At the end of the study, of the 779 investigated deaths, 9.5% (n = 74) were due to external causes found outside the MIS. The distribution of causes was similar when comparing deaths reported (versus not reported) to the MIS for natural causes, but different when external causes were included. The article concludes that the verbal autopsy method can be a valuable tool for improving the MIS, allowing the identification of causes of death and improving data completeness.

摘要

死因不明可能与获得医疗服务的问题或医疗质量差有关,并且是死亡信息系统(MIS)中数据质量的指标。从巴西米纳斯吉拉斯州东北部大区选取了一些市(县)作为样本,目的是采用死因推断技术调查2007年死因不明的死亡情况以及未报告给死亡信息系统的死亡情况。该方法能够确定87%的被调查死亡原因,其中17%(n = 37)是暴力原因导致的。在研究结束时,在779例被调查死亡中,9.5%(n = 74)是由于在死亡信息系统之外发现的外部原因导致的。对于自然原因,将报告给死亡信息系统(与未报告的情况)的死亡进行比较时,死因分布相似,但纳入外部原因时则不同。文章得出结论,死因推断方法可以成为改进死亡信息系统的宝贵工具,有助于确定死亡原因并提高数据完整性。

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