Nhoncanse Geiza César, Melo Débora Gusmão
Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
Cien Saude Colet. 2012 Apr;17(4):955-63. doi: 10.1590/s1413-81232012000400017.
The reliability of the information on congenital defects listed in birth certificates of the Live Birth Information System (SINASC) in the City of São Carlos, São Paulo, Brazil, was evaluated. A descriptive study that reviewed all 15,249 birth certificates from 2003 to 2007 compared the data with information from medical records and death certificates. Errors in accuracy and precision, mainly related to the description of the anomaly when it was transcribed from medical records to the birth certificates, in addition to coding and the input to SINASC, diminished the reliability of the birth certificates as a source of information on congenital defects. The results suggested that the involvement of the Municipal Health Department is essential to improve SINASC, because this is the location of the coding and input system, and training of the professionals who fill out the birth certificates. With guidance on the importance and function of the birth certificates, SINASC can become an excellent monitoring and surveillance system for congenital defects.
对巴西圣保罗州圣卡洛斯市活产信息系统（SINASC）出生证明中列出的先天性缺陷信息的可靠性进行了评估。一项描述性研究回顾了2003年至2007年的所有15249份出生证明，并将这些数据与病历和死亡证明中的信息进行了比较。准确性和精确性方面的错误，主要与从病历转录到出生证明时异常情况的描述有关，此外还涉及编码和输入SINASC的过程，这降低了出生证明作为先天性缺陷信息来源的可靠性。结果表明，市卫生部门的参与对于改进SINASC至关重要，因为它是编码和输入系统的所在地，也是对填写出生证明的专业人员进行培训的地方。有了关于出生证明重要性和功能的指导，SINASC可以成为一个出色的先天性缺陷监测和监督系统。
