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累西腓大流行期间新冠病毒病死亡监测评估

Assessment of COVID-19 death surveillance during the pandemic period in Recife.

作者信息

Ribeiro Adriana Carla de Luna, Oliveira Conceição Maria de, Macêdo Vilma Costa de, Frias Paulo Germano, Bonfim Cristine Vieira do

机构信息

Universidade Federal de Pernambuco. Recife, Pernambuco, Brazil.

Prefeitura do Recife, Secretaria de Saúde. Recife, Pernambuco, Brazil.

出版信息

Rev Bras Enferm. 2025 Jun 27;78(2):e20230408. doi: 10.1590/0034-7167-2023-0408. eCollection 2025.

Abstract

OBJECTIVE

To evaluate the surveillance of deaths due to COVID-19 during the pandemic in Recife, Pernambuco, between 2020 and 2021.

METHODS

Evaluative study of the analysis type, which analyzes the transformation of the surveillance of deaths due to COVID-19. Data collected through structured participant observation, consultation of public documents and records of the Mortality Information System.

RESULTS

89 deaths were investigated and discussed, of which 64 (71.9%) were attributed to COVID-19 as the underlying cause and 14 (15.7%) were reclassified. The investigation was carried out by telephone call and consultation of medical records. The technical group identified errors in 52 (58.4%) deaths. The online discussions and recommendations to managers had uncertain frequency.

FINAL CONSIDERATIONS

Death surveillance revealed improvements in the causes of death and recommended preventive measures to reduce mortality. The reassignment of professionals was observed, affecting the frequency of discussions and the implementation of recommendations. The findings reinforce the importance of initiatives that strengthen death surveillance.

摘要

目的

评估2020年至2021年期间,累西腓市(位于伯南布哥州)新冠疫情期间因新冠肺炎死亡的监测情况。

方法

采用分析类型的评估研究,分析新冠肺炎死亡监测的转变。通过结构化参与观察、查阅公共文件和死亡信息系统记录收集数据。

结果

对89例死亡病例进行了调查和讨论,其中64例(71.9%)的根本死因归因于新冠肺炎,14例(15.7%)被重新分类。通过电话和查阅病历进行调查。技术小组在52例(58.4%)死亡病例中发现了错误。在线讨论以及向管理人员提出的建议频率不确定。

最终结论

死亡监测显示了死亡原因方面的改善,并推荐了降低死亡率的预防措施。观察到专业人员的重新分配,影响了讨论的频率和建议的实施。研究结果强化了加强死亡监测举措的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c987/12208683/4ad4e0daa749/0034-7167-reben-78-02-e20230408-gf01.jpg

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