Death surveillance and contributions to an improved definition of the underlying cause of neonatal death

Detalhes bibliográficos
Autor(a) principal: Pimentel, Dayane da Rocha
Data de Publicação: 2021
Outros Autores: Lima, Rosário Antunes Fonseca, Cardoso, Mirian Domingos, Oliveira, Conceição Maria de, Bonfim, Cristine Vieira do
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20391
Resumo: Objective: To analyze the improvement of the definition of the underlying cause of neonatal deaths before and after death surveillance in Recife, Pernambuco. Methods: A descriptive study that used data from medical certificates of death, confidential data sheets, summaries of investigations. The profiles and the relocation of the underlying cause of death were compared before and after the investigation through specific chapters and groups of the Tenth Revision of the International Classification of Diseases. The agreement was analyzed using the Kappa index. Results: Of the total 144 deaths investigated, 95 (66.0%) had their underlying cause redefined. During the general analysis of the neonatal component, a reasonable agreement index was identified (0.311; CI95%: 0.272-0.350). All ill-defined causes were clarified after surveillance. There was an increment of the preventability potential for all neonatal deaths, with an emphasis on early deaths, which reached 100% causes registered as preventable. Conclusion: Death surveillance made it possible to improve the specificity of the underlying causes described in the medical certificate of death and may contribute to the reorientation of the strategies to reduce neonatal mortality from the perspective of preventability.
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spelling Death surveillance and contributions to an improved definition of the underlying cause of neonatal deathVigilancia de la muerte y contribuciones para la mejoría de la definición de la causa básica de la muerte neonatalA vigilância do óbito e as contribuições para a melhoria da definição da causa básica do óbito neonatalMortalidade neonatalCausas de morteSistemas de informaçãoEstatísticas vitaisVigilância epidemiológica.Neonatal mortalityCauses of deathInformation systemsVital statisticsEpidemiological surveillance.Mortalidad neonatalCausas de muerteSistemas de informaciónEstadísticas vitalesVigilancia epidemiológica.Objective: To analyze the improvement of the definition of the underlying cause of neonatal deaths before and after death surveillance in Recife, Pernambuco. Methods: A descriptive study that used data from medical certificates of death, confidential data sheets, summaries of investigations. The profiles and the relocation of the underlying cause of death were compared before and after the investigation through specific chapters and groups of the Tenth Revision of the International Classification of Diseases. The agreement was analyzed using the Kappa index. Results: Of the total 144 deaths investigated, 95 (66.0%) had their underlying cause redefined. During the general analysis of the neonatal component, a reasonable agreement index was identified (0.311; CI95%: 0.272-0.350). All ill-defined causes were clarified after surveillance. There was an increment of the preventability potential for all neonatal deaths, with an emphasis on early deaths, which reached 100% causes registered as preventable. Conclusion: Death surveillance made it possible to improve the specificity of the underlying causes described in the medical certificate of death and may contribute to the reorientation of the strategies to reduce neonatal mortality from the perspective of preventability.Objetivo: Analizar la mejoría de la definición de la causa básica de las muertes neonatales antes y después de la vigilancia de la muerte en Recife, Pernambuco. Métodos: Estudio descriptivo en el que se utilizó datos provenientes del certificado médico de defunción y de los registros confidenciales y las síntesis de investigación. Se compararon los perfiles y la reasignación de la causa básica de las muertes neonatales antes y después de la investigación mediante los capítulos y bloques específicos de la Décima Revisión de la Clasificación Internacional de Enfermedades. Se analizó la concordancia por el índice Kappa. Resultados: Del total de 144 muertes investigadas, 95 (66,0 %) tuvieron la causa básica redefinida. En el análisis general del componente neonatal, se identificó índice de concordancia débil (0,311; IC95%: 0,272-0,350). Todas las causas mal definidas se aclararon después de la vigilancia. Se incrementó la posibilidad de evitación de todas las muertes neonatales, con énfasis en las tempranas, que alcanzaron el 100% de causas registradas como evitables. Conclusión: La vigilancia de la muerte permitió mejorar la especificidad de las causas básicas descritas en el certificado médico de defunción y puede contribuir a la reorientación de las estrategias de reducción de la mortalidad neonatal, desde la perspectiva de la posibilidad de evitación.Objetivo: Analisar a melhoria da definição da causa básica dos óbitos neonatais antes e após a vigilância do óbito no Recife, Pernambuco. Métodos: Estudo descritivo que se utilizou dados provenientes da declaração de óbito e das fichas confidenciais e sínteses de investigação. Comparou-se os perfis e a realocação da causa básica dos óbitos neonatais antes e após a investigação por meio dos capítulos e agrupamentos específicos da Décima Revisão da Classificação Internacional de Doenças. A concordância foi analisada pelo de índice Kappa. Resultados: Do total de 144 óbitos investigados, 95 (66,0%) tiveram a causa básica redefinida. Na análise geral do componente neonatal, foi identificado índice de concordância razoável (0,311; IC95%: 0,272-0,350). Todas as causas mal definidas foram esclarecidas após a vigilância. Houve incremento no potencial de evitabilidade para todos os óbitos neonatais, com destaque para os precoces que alcançaram 100% de causas registradas como preveníveis. Conclusão: A vigilância do óbito possibilitou melhoria da especificidade das causas básicas descritas na declaração de óbito e, pode contribuir para a reorientação das estratégias de redução da mortalidade neonatal, sob a perspectiva da evitabilidade.Research, Society and Development2021-10-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2039110.33448/rsd-v10i13.20391Research, Society and Development; Vol. 10 No. 13; e571101320391Research, Society and Development; Vol. 10 Núm. 13; e571101320391Research, Society and Development; v. 10 n. 13; e5711013203912525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/20391/19384Copyright (c) 2021 Dayane da Rocha Pimentel; Rosário Antunes Fonseca Lima; Mirian Domingos Cardoso; Conceição Maria de Oliveira; Cristine Vieira do Bonfimhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPimentel, Dayane da Rocha Lima, Rosário Antunes Fonseca Cardoso, Mirian Domingos Oliveira, Conceição Maria de Bonfim, Cristine Vieira do 2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/20391Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:03.366904Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
Vigilancia de la muerte y contribuciones para la mejoría de la definición de la causa básica de la muerte neonatal
A vigilância do óbito e as contribuições para a melhoria da definição da causa básica do óbito neonatal
title Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
spellingShingle Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
Pimentel, Dayane da Rocha
Mortalidade neonatal
Causas de morte
Sistemas de informação
Estatísticas vitais
Vigilância epidemiológica.
Neonatal mortality
Causes of death
Information systems
Vital statistics
Epidemiological surveillance.
Mortalidad neonatal
Causas de muerte
Sistemas de información
Estadísticas vitales
Vigilancia epidemiológica.
title_short Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
title_full Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
title_fullStr Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
title_full_unstemmed Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
title_sort Death surveillance and contributions to an improved definition of the underlying cause of neonatal death
author Pimentel, Dayane da Rocha
author_facet Pimentel, Dayane da Rocha
Lima, Rosário Antunes Fonseca
Cardoso, Mirian Domingos
Oliveira, Conceição Maria de
Bonfim, Cristine Vieira do
author_role author
author2 Lima, Rosário Antunes Fonseca
Cardoso, Mirian Domingos
Oliveira, Conceição Maria de
Bonfim, Cristine Vieira do
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Pimentel, Dayane da Rocha
Lima, Rosário Antunes Fonseca
Cardoso, Mirian Domingos
Oliveira, Conceição Maria de
Bonfim, Cristine Vieira do
dc.subject.por.fl_str_mv Mortalidade neonatal
Causas de morte
Sistemas de informação
Estatísticas vitais
Vigilância epidemiológica.
Neonatal mortality
Causes of death
Information systems
Vital statistics
Epidemiological surveillance.
Mortalidad neonatal
Causas de muerte
Sistemas de información
Estadísticas vitales
Vigilancia epidemiológica.
topic Mortalidade neonatal
Causas de morte
Sistemas de informação
Estatísticas vitais
Vigilância epidemiológica.
Neonatal mortality
Causes of death
Information systems
Vital statistics
Epidemiological surveillance.
Mortalidad neonatal
Causas de muerte
Sistemas de información
Estadísticas vitales
Vigilancia epidemiológica.
description Objective: To analyze the improvement of the definition of the underlying cause of neonatal deaths before and after death surveillance in Recife, Pernambuco. Methods: A descriptive study that used data from medical certificates of death, confidential data sheets, summaries of investigations. The profiles and the relocation of the underlying cause of death were compared before and after the investigation through specific chapters and groups of the Tenth Revision of the International Classification of Diseases. The agreement was analyzed using the Kappa index. Results: Of the total 144 deaths investigated, 95 (66.0%) had their underlying cause redefined. During the general analysis of the neonatal component, a reasonable agreement index was identified (0.311; CI95%: 0.272-0.350). All ill-defined causes were clarified after surveillance. There was an increment of the preventability potential for all neonatal deaths, with an emphasis on early deaths, which reached 100% causes registered as preventable. Conclusion: Death surveillance made it possible to improve the specificity of the underlying causes described in the medical certificate of death and may contribute to the reorientation of the strategies to reduce neonatal mortality from the perspective of preventability.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20391
10.33448/rsd-v10i13.20391
url https://rsdjournal.org/index.php/rsd/article/view/20391
identifier_str_mv 10.33448/rsd-v10i13.20391
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20391/19384
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 13; e571101320391
Research, Society and Development; Vol. 10 Núm. 13; e571101320391
Research, Society and Development; v. 10 n. 13; e571101320391
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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