2011年巴西圣保罗市公立产科病房活产信息系统中数据的覆盖范围、完整性和可靠性。
Coverage, completeness and reliability of the data in the Information System on Live Births in public maternity wards in the municipality in São Paulo, Brazil, 2011.
作者信息
Bonilha Eliana de Aquino, Vico Eneida Sanches Ramos, Freitas Marina de, Barbuscia Denise Machado, Galleguillos Tatiana Gabriela Brassea, Okamura Mirna Namie, Santos Patrícia Carla Dos, Lira Margarida Maria Tenório de Azevedo, Torloni Maria Regina
机构信息
Coordenação de Epidemiologia e Informação, Secretaria Municipal da Saúde de São Paulo, São Paulo, SP, Brasil.
Programa de Pós-Graduação em Saúde baseada em Evidências, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
出版信息
Epidemiol Serv Saude. 2018;27(1):e201712811. doi: 10.5123/s1679-49742018000100011. Epub 2018 Feb 15.
OBJECTIVE
to assess the coverage, completeness and reliability of data on live births in public maternity wards in São Paulo, Brazil.
METHODS
data recorded in the Information System on Live Births (Sinasc) were compared with data collected in a field study (gold standard) during three months in 2011 in four maternity wards in hospital from the SUS network; kappa coefficient was calculated to assess agreement.
RESULTS
5,785 birth records were analyzed; Sinasc coverage was 99.8% and completeness was 96.2%; kappa values showed excellent and good agreement for maternal age (0.99), type of pregnancy, sex and newborn sex and birth weight (0.98), type of delivery (0.97), 1 minute (0.96) and 5th (0.95) minutes, previous live births (0.87) and education level (0.62); regular agreement for prenatal care visits (0.60) and gestational age (0.56); and weak agreement for previous stillbirths (0.09).
CONCLUSION
in the assessed hospitals, Sinasc presented high coverage, completeness and reliability.
目的
评估巴西圣保罗公立产科病房活产数据的覆盖范围、完整性和可靠性。
方法
将活产信息系统（Sinasc）记录的数据与2011年在SUS网络医院的四个产科病房进行的为期三个月的实地研究（金标准）中收集的数据进行比较；计算kappa系数以评估一致性。
结果
分析了5785份出生记录；Sinasc的覆盖率为99.8%，完整性为96.2%；kappa值在产妇年龄（0.99）、妊娠类型、性别和新生儿性别及出生体重（0.98）、分娩类型（0.97）、1分钟（0.96）和5分钟（0.95）、既往活产（0.87）和教育程度（0.62）方面显示出极好和良好的一致性；产前检查次数（0.60）和孕周（0.56）为一般一致性；既往死产（0.09）为弱一致性。
结论
在所评估的医院中，Sinasc具有高覆盖率、完整性和可靠性。
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