Rocha Marli Souza, Oliveira Gisele Pinto de, Aguiar Fernanda Pinheiro, Saraceni Valéria, Pinheiro Rejane Sobrino
Cad Saude Publica. 2015 Apr;31(4):709-21. doi: 10.1590/0102-311x00101214.
The objective of this study was to analyze the multiple causes of death in a cohort of patients with tuberculosis (TB) and to introduce an investigation proposal death for TB from a list of presumable causes. We performed a probabilistic record linkage with the databases of the Information System for Notifiable Diseases (SINAN) 2006 and the Mortality Information System (SIM) 2006-2008. There were 825 deaths, of which 23% for death for TB, deaths due to TB with 16% and 61% without mention of TB. Two hundred and fifteen (42.7%) deaths occurred within the period of treatment, whose profile differed from the pattern of causes when TB was an associated cause, with high frequency of respiratory diseases, AIDS and ill-defined causes. We elaborated a proposal for correction of associated causes of death and an investigation proposal death for TB from a list of presumable causes. According to the proposal, 26 deaths could have modified the underlying cause. This study highlights the importance of record linkage to TB surveillance and improvement of information the SIM and SINAN.
本研究的目的是分析一组结核病（TB）患者的多种死亡原因，并从一系列可能的原因中提出一份结核病死亡调查建议。我们对2006年法定传染病信息系统（SINAN）数据库和2006 - 2008年死亡信息系统（SIM）进行了概率记录链接。共有825例死亡，其中23%为结核病死亡，16%为因结核病死亡，61%未提及结核病。215例（42.7%）死亡发生在治疗期间，其死因分布与结核病作为相关病因时的病因模式不同，呼吸系统疾病、艾滋病和死因不明的情况出现频率较高。我们制定了一份关于修正相关死亡原因的建议以及一份从一系列可能原因中提出的结核病死亡调查建议。根据该建议，26例死亡可能改变了根本死因。本研究强调了记录链接对结核病监测以及改进SIM和SINAN信息的重要性。
