Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro

Detalhes bibliográficos
Autor(a) principal: Sousa, Ludmilla Monfort Oliveira
Data de Publicação: 2011
Outros Autores: Pinheiro, Rejane Sobrino
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32927
Resumo: OBJECTIVE: To analyze underreporting of deaths and hospital admissions from tuberculosis to the Information System for Notifiable Diseases (SINAN). METHODS: Cases with tuberculosis as basic or associated cause of death were selected from the Brazilian Mortality Information System (SIM) and hospital admissions for tuberculosis as main or secondary cause from the Hospital Information System of the Brazilian Unified Health System (SIH-SUS), for residents in the municipality of Rio de Janeiro in 2004. Probabilistic record linkage was carried out between the SIM and SIH-SUS databases and the SINAN for the years 2002 to 2004. RESULTS: Out of the 542 deaths from tuberculosis in the period, 234 (43.2%) were not registered in the SINAN for the two previous years. As for the 1,079 admissions, 238 (22.1%) failed to be notified. Seventy-one deaths were related to these admissions: 47 were registered out of the SIH-SUS by death, 24 occurred after discharge and seven remained unnotified in the SINAN. The elderly were 1.6 times (95%CI 1.074;2.516) less likely to be notified than younger patients, and those with at least a college education were 3.6 times (95%CI 1.384;11.022) less likely to be notified than those with no formal education. Patients under 15 were 4.8 times (95%CI 2.757;8.452) less likely to be notified than those aged between 15 and 59 years. Some regional health administration divisions showed a percentage of unnotified deaths of over 50% and this percentage ranged from 37.8% to 12.7% for hospital admissions. CONCLUSIONS: The data suggest problems in the detection of cases and point to obstacles in adequate and timely treatment, as well as to quality flaws in the information system, with differences among regions in the municipality.
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spelling Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro Óbitos e internaciones por tuberculosis no notificados en el Sistema de Información de Agravios de Notificación en el municipio de Rio de Janeiro, Sureste de Brasil Óbitos e internações por tuberculose não notificados no município do Rio de Janeiro Tuberculose^i1^sepidemioloTuberculose^i1^smortalidNotificação de DoençasSub-RegistroSistema de RegistrosSistemas de Informação HospitalarRegistros de MortalidadeTuberculosis^i3^sepidemioloTuberculosis^i3^smortaliNotificación de EnfermedadOmisiones de RegistroSistema de RegistrosSistemas de Información en HospitalRegistros de MortalidadTuberculosis^i2^sepidemiolTuberculosis^i2^smortalDisease NotificationUnderregistrationRegistriesHospital Information SystemsMortality Registries OBJECTIVE: To analyze underreporting of deaths and hospital admissions from tuberculosis to the Information System for Notifiable Diseases (SINAN). METHODS: Cases with tuberculosis as basic or associated cause of death were selected from the Brazilian Mortality Information System (SIM) and hospital admissions for tuberculosis as main or secondary cause from the Hospital Information System of the Brazilian Unified Health System (SIH-SUS), for residents in the municipality of Rio de Janeiro in 2004. Probabilistic record linkage was carried out between the SIM and SIH-SUS databases and the SINAN for the years 2002 to 2004. RESULTS: Out of the 542 deaths from tuberculosis in the period, 234 (43.2%) were not registered in the SINAN for the two previous years. As for the 1,079 admissions, 238 (22.1%) failed to be notified. Seventy-one deaths were related to these admissions: 47 were registered out of the SIH-SUS by death, 24 occurred after discharge and seven remained unnotified in the SINAN. The elderly were 1.6 times (95%CI 1.074;2.516) less likely to be notified than younger patients, and those with at least a college education were 3.6 times (95%CI 1.384;11.022) less likely to be notified than those with no formal education. Patients under 15 were 4.8 times (95%CI 2.757;8.452) less likely to be notified than those aged between 15 and 59 years. Some regional health administration divisions showed a percentage of unnotified deaths of over 50% and this percentage ranged from 37.8% to 12.7% for hospital admissions. CONCLUSIONS: The data suggest problems in the detection of cases and point to obstacles in adequate and timely treatment, as well as to quality flaws in the information system, with differences among regions in the municipality. OBJETIVO: Analizar la subnotificación de óbitos e internaciones por tuberculosis en el Sistema de Información de Agravios de Notificación (Sinan). MÉTODOS: Se seleccionaron los óbitos del Sistema de Información sobre Mortalidad (SIM) con causa básica o asociada a tuberculosis y las internaciones del Sistema de Informaciones Hospitalarias del Sistema Único de Salud con causa principal o secundaria tuberculosis de residentes en el municipio de Rio de Janeiro (Sureste de Brasil) en 2004. Se realizó asociación probabilística de las bases de datos del SIM y SIH-SUS con la del Sinan, referentes a los años de 2002 a 2004. RESULTADOS: De los 542 óbitos por tuberculosis en el período, 234 (43,2%) no fueron registrados en el Sinan en los dos años anteriores. De las 1.079 internaciones, 238 (22,1%) no fueron notificadas. Se relacionaron a las internaciones 71 óbitos: 47 durante la internación por tuberculosis, 24 posterior a la internación. Siete no fueron notificados en el Sinan. Los ancianos presentaron 1,6 veces (IC 95% 1,074;2,516) la probabilidad de no notificación con relación a los más jóvenes, y personas con nivel superior o más de escolaridad presentaron 3,6 veces la probabilidad (IC 95% 1,384;11,022) de no ser notificados con relación a los que no tenían ningún año de estudio. Los menores de 15 años reflejaron 4,8 veces la probabilidad (IC 95% 2,757;8,452) de no notificación con respecto a los que tenían de 15 a 59 años. Algunas divisiones regionales de salud presentaron porcentaje de óbitos no notificados por encima del 50% y ese porcentaje varió entre 37,8% a 12,7% para internaciones. CONCLUSIONES: Los datos sugieren problemas en la detección de casos y apuntan barreras de acceso al tratamiento oportuno y adecuado y fallas en la calidad del sistema de información, con diferencias entre las regiones del municipio. OBJETIVO: Analisar a subnotificação de óbitos e internações por tuberculose no Sistema de Informação de Agravos de Notificação (Sinan). MÉTODOS: Foram selecionados os óbitos do Sistema de Informação sobre Mortalidade (SIM) com tuberculose como causa básica ou associada e as internações do Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS) com causa principal ou secundária tuberculose de residentes no município do Rio de Janeiro em 2004. Foi realizada associação probabilística das bases de dados do SIM e SIH-SUS com a do Sinan, referentes aos anos de 2002 a 2004. RESULTADOS: Dos 542 óbitos por tuberculose no período, 234 (43,2%) não foram registrados no Sinan nos dois anos anteriores. Das 1.079 internações, 238 (22,1%) não foram notificadas. Foram relacionados às internações 71 óbitos: 47 ocorreram durante a internação por tuberculose, 24 após a internação. Sete não foram notificados no Sinan. Os idosos tiveram 1,6 vez (IC95% 1,074;2,516) a chance de não notificação dos mais jovens, e pessoas com nível superior ou mais escolaridade tiveram 3,6 vezes a chance (IC95% 1,384;11,022) daqueles com nenhum ano de estudo de não serem notificadas. Os menores de 15 anos tiveram 4,8 vezes a chance (IC95% 2,757;8,452) de não notificação daqueles entre 15 e 59 anos. Algumas divisões regionais de saúde apresentaram percentual de óbitos não notificados acima de 50% e esse percentual variou entre 37,8% e 12,7% para internações. CONCLUSÕES: Os dados sugerem problemas na detecção de casos e apontam barreiras de acesso ao tratamento oportuno e adequado e falhas na qualidade do sistema de informação, com diferenças entre as regiões do município. Universidade de São Paulo. Faculdade de Saúde Pública2011-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3292710.1590/S0034-89102011000100004Revista de Saúde Pública; Vol. 45 No. 1 (2011); 31-39 Revista de Saúde Pública; Vol. 45 Núm. 1 (2011); 31-39 Revista de Saúde Pública; v. 45 n. 1 (2011); 31-39 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32927/35499https://www.revistas.usp.br/rsp/article/view/32927/35500Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSousa, Ludmilla Monfort OliveiraPinheiro, Rejane Sobrino2012-07-11T22:31:16Zoai:revistas.usp.br:article/32927Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T22:31:16Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
Óbitos e internaciones por tuberculosis no notificados en el Sistema de Información de Agravios de Notificación en el municipio de Rio de Janeiro, Sureste de Brasil
Óbitos e internações por tuberculose não notificados no município do Rio de Janeiro
title Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
spellingShingle Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
Sousa, Ludmilla Monfort Oliveira
Tuberculose^i1^sepidemiolo
Tuberculose^i1^smortalid
Notificação de Doenças
Sub-Registro
Sistema de Registros
Sistemas de Informação Hospitalar
Registros de Mortalidade
Tuberculosis^i3^sepidemiolo
Tuberculosis^i3^smortali
Notificación de Enfermedad
Omisiones de Registro
Sistema de Registros
Sistemas de Información en Hospital
Registros de Mortalidad
Tuberculosis^i2^sepidemiol
Tuberculosis^i2^smortal
Disease Notification
Underregistration
Registries
Hospital Information Systems
Mortality Registries
title_short Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
title_full Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
title_fullStr Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
title_full_unstemmed Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
title_sort Unnotified deaths and hospital admissions for tuberculosis in the municipality of Rio de Janeiro
author Sousa, Ludmilla Monfort Oliveira
author_facet Sousa, Ludmilla Monfort Oliveira
Pinheiro, Rejane Sobrino
author_role author
author2 Pinheiro, Rejane Sobrino
author2_role author
dc.contributor.author.fl_str_mv Sousa, Ludmilla Monfort Oliveira
Pinheiro, Rejane Sobrino
dc.subject.por.fl_str_mv Tuberculose^i1^sepidemiolo
Tuberculose^i1^smortalid
Notificação de Doenças
Sub-Registro
Sistema de Registros
Sistemas de Informação Hospitalar
Registros de Mortalidade
Tuberculosis^i3^sepidemiolo
Tuberculosis^i3^smortali
Notificación de Enfermedad
Omisiones de Registro
Sistema de Registros
Sistemas de Información en Hospital
Registros de Mortalidad
Tuberculosis^i2^sepidemiol
Tuberculosis^i2^smortal
Disease Notification
Underregistration
Registries
Hospital Information Systems
Mortality Registries
topic Tuberculose^i1^sepidemiolo
Tuberculose^i1^smortalid
Notificação de Doenças
Sub-Registro
Sistema de Registros
Sistemas de Informação Hospitalar
Registros de Mortalidade
Tuberculosis^i3^sepidemiolo
Tuberculosis^i3^smortali
Notificación de Enfermedad
Omisiones de Registro
Sistema de Registros
Sistemas de Información en Hospital
Registros de Mortalidad
Tuberculosis^i2^sepidemiol
Tuberculosis^i2^smortal
Disease Notification
Underregistration
Registries
Hospital Information Systems
Mortality Registries
description OBJECTIVE: To analyze underreporting of deaths and hospital admissions from tuberculosis to the Information System for Notifiable Diseases (SINAN). METHODS: Cases with tuberculosis as basic or associated cause of death were selected from the Brazilian Mortality Information System (SIM) and hospital admissions for tuberculosis as main or secondary cause from the Hospital Information System of the Brazilian Unified Health System (SIH-SUS), for residents in the municipality of Rio de Janeiro in 2004. Probabilistic record linkage was carried out between the SIM and SIH-SUS databases and the SINAN for the years 2002 to 2004. RESULTS: Out of the 542 deaths from tuberculosis in the period, 234 (43.2%) were not registered in the SINAN for the two previous years. As for the 1,079 admissions, 238 (22.1%) failed to be notified. Seventy-one deaths were related to these admissions: 47 were registered out of the SIH-SUS by death, 24 occurred after discharge and seven remained unnotified in the SINAN. The elderly were 1.6 times (95%CI 1.074;2.516) less likely to be notified than younger patients, and those with at least a college education were 3.6 times (95%CI 1.384;11.022) less likely to be notified than those with no formal education. Patients under 15 were 4.8 times (95%CI 2.757;8.452) less likely to be notified than those aged between 15 and 59 years. Some regional health administration divisions showed a percentage of unnotified deaths of over 50% and this percentage ranged from 37.8% to 12.7% for hospital admissions. CONCLUSIONS: The data suggest problems in the detection of cases and point to obstacles in adequate and timely treatment, as well as to quality flaws in the information system, with differences among regions in the municipality.
publishDate 2011
dc.date.none.fl_str_mv 2011-02-01
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://www.revistas.usp.br/rsp/article/view/32927
10.1590/S0034-89102011000100004
url https://www.revistas.usp.br/rsp/article/view/32927
identifier_str_mv 10.1590/S0034-89102011000100004
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32927/35499
https://www.revistas.usp.br/rsp/article/view/32927/35500
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 45 No. 1 (2011); 31-39
Revista de Saúde Pública; Vol. 45 Núm. 1 (2011); 31-39
Revista de Saúde Pública; v. 45 n. 1 (2011); 31-39
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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