Análise das mortes por causas externas residuais em Cuiabá

• Autor(a) principal: Weis, Margani Cadore
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMT
• Texto Completo: http://ri.ufmt.br/handle/1/6068
• topic: Causas externas; Óbitos; Registros de mortalidade; Investigação; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM; External causes; Deaths; Mortality registries; Investigation

Introduction: Mortality in Brazil has been undergoing changes relating to its causes. It is worth highlighting the deaths related to external causes (accidents and violence), which correspond to a significant share in the causes of death, especially in the age group from 0 to 24 years, thus occupying the first positions. The registry of deaths is performed through the Death Certificate (DC) and its accurate fulfillment becomes essential for the knowledge and understanding of these events. When it comes to external cause, the non-specification of the circumstances of the death in DC make it impossible to know whether this had an accidental or an intentional cause, thus generating the deaths from non-natural residual causes, which cover the events whose the intention is indeterminate (Y10-Y34), the deaths from other external causes (W00-X59) and the blank deaths (when the type “external cause of death” is not filled in the field 48, block VII of DC). In these cases, the deaths undergo an investigation with the objective of identifying whether the death was accidental or intentional. Therefore, it is of paramount importance to make the accurate classification of the death for assessing the impact of violence and accidents on the population’s health. Objective: To analyze the deaths from residual causes among the death certificates from external causes in the population aged from 0 to 24 years, in Cuiabá, in 2013. Methodology: This is a cross-sectional study, with a quantitative approach. Data were collected in DC from external causes of the year 2013, processed by the Epi Info software and analyzed by means of occurrence measures and statistical significance. The study was approved by the Ethics Committee, under the opinion 829,672/2014. Results: Residual deaths from external causes in the population aged from 0 to 24 years, in Cuiabá, in 2013, amounted to 36 (22.3% of total deaths), with 3 from indeterminate intention (8.3%), 28 blanks (77.8%) and 5 classified as from other external cause (13.9%). Regarding the victims, there was a predominance of males (72.2%), race/color/ethnicity brown (72.2%), elementary school II (6th to 9th grade) (30.5%), aged from 20 to 24 years (30.6%) and originating from Cuiabá (69.4%). The deaths occurred most frequently in November (22.2%) and in the hospital (58.3%). Of the total of 36 deaths classified as residual causes, there was no fulfillment of the description of the event in 27 (75.0%) deaths. As for the description of the sources of information about the death, this information was not filled in DC in 29 (80.5%) of deaths. An amount of 35 (97.2%) deaths was investigated, where the most searched source of information was the report of the Legal Medical Institute (LMI) (65.7%); the prevalent investigation time ranged from 2 to 4 months (51.4%) and 30 (85.7%) deaths were reclassified after investigation. The following topics were mentioned as difficulties during the investigation: the blank fields in DC; the delay in releasing the MLI report or its non-fulfillment; the difficult access to the Police Report (PR). According to encoders, the search in more than one story brings reliability to the information, and the reclassification is hampered by the incompleteness of the investigation. Conclusion: The results reinforce the importance of coordination of methods and tools to capture, quantitatively and qualitatively, the event “death from external cause”.