2014年巴西伯南布哥州累西腓婴儿死亡根本原因与调查前后可预防性之间的一致性
Agreement between underlying cause and preventability of infant deaths before and after the investigation in Recife, Pernambuco State, Brazil, 2014.
作者信息
Marques Lays Janaina Prazeres, Pimentel Dayane da Rocha, Oliveira Conceição Maria de, Vilela Mirella Bezerra Rodrigues, Frias Paulo Germano, Bonfim Cristine Vieira do
机构信息
Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Instituto de Pesquisas Sociais, Fundação Joaquim Nabuco, Recife, PE, Brazil.
出版信息
Epidemiol Serv Saude. 2018;27(1):e20170557. doi: 10.5123/s1679-49742018000100007. Epub 2018 Feb 15.
OBJECTIVE
to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation.
METHODS
investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted.
RESULTS
183 infant deaths were analyzed, of which 117 (63.9%) had the underlying cause revised; before the investigation, 170 (92.2%) deaths were considered preventable, and after investigation, 178 (97.3%); there was reasonable agreement (0.338) regarding the underlying causes of death, and moderate (0.439) for preventability.
CONCLUSION
infant mortality surveillance enabled the improvement of vital events information, contributing to the progress in the specification of underlying causes of death and in the preventability of infant death.
目的
评估调查前后婴儿死亡情况的一致性，并描述其原因及可预防性。
方法
使用了2014年居住在巴西累西腓的一岁以下婴儿及其母亲的调查档案和死亡证明；采用科恩kappa指数对死亡根本原因进行一致性分析；还采用了巴西国家卫生系统干预措施可预防死亡原因清单。
结果
分析了183例婴儿死亡病例，其中117例（63.9%）的根本死因得到修订；调查前，170例（92.2%）死亡被认为是可预防的，调查后，178例（97.3%）；在死亡根本原因方面存在合理一致性（0.338），在可预防性方面为中等一致性（0.439）。
结论
婴儿死亡率监测有助于改善生命事件信息，推动在确定死亡根本原因和婴儿死亡可预防性方面取得进展。
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