Quality of data on myocardial infarction deaths, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31732 |
Resumo: | OBJECTIVE: To evaluate the quality of data on acute myocardial infarction deaths from mortality information systems. METHODS: Data on in-hospital acute myocardial infarction mortality collected from database of the Mortality Information System (SIM) and Hospital Information System (SIH), in 2000, were analyzed. Then data collected from medical records from two hospitals affiliated to the Unified Health System (SUS) in Rio de Janeiro, Brazil, were also analyzed. Medical records, death certificates, and hospital admission forms (AIH) were compared using the World Health Organization criteria of acute myocardial infarction diagnosis. Agreement among different sources was analyzed using Cohen's Kappa statistics and intraclass correlation coefficient. RESULTS: In-hospital death registries in SIM are much larger than in SIH/SUS. There were identified three mechanisms that could explain most of the observed discrepancy: missing hospital admission forms (32.9%), different main diagnosis registered in SIH/SUS (19.2%), and under reporting of deaths in hospital admission forms (3.3%). The medical records review could confirm the diagnoses of acute myocardial infarction in 67.1% of all deaths reported in death certificates. The sensitivity of data on acute myocardial infarction deaths in death certificates was about 90% for both health information systems analyzed. CONCLUSIONS: There is a need for actions to improve the quality of data registered in SIH/SUS such as standardization of criteria for issuing hospital admission forms during hospital emergencies and training local staff on registration systems. |
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Quality of data on myocardial infarction deaths, Brazil Qualidade dos dados sobre óbitos por infarto agudo do miocárdio, Rio de Janeiro Infarto do miocárdioSistemas de informaçãoMortalidade hospitalarSistemas de informação hospitalarRegistros médicosAtestados de óbitoNotificação de doençasSub-registroQualidadeMyocardial infarctionInformation systemsHospital mortalityHospital information systemsMedical recordsDeath certificatesDisease notificationUnderreportingQuality OBJECTIVE: To evaluate the quality of data on acute myocardial infarction deaths from mortality information systems. METHODS: Data on in-hospital acute myocardial infarction mortality collected from database of the Mortality Information System (SIM) and Hospital Information System (SIH), in 2000, were analyzed. Then data collected from medical records from two hospitals affiliated to the Unified Health System (SUS) in Rio de Janeiro, Brazil, were also analyzed. Medical records, death certificates, and hospital admission forms (AIH) were compared using the World Health Organization criteria of acute myocardial infarction diagnosis. Agreement among different sources was analyzed using Cohen's Kappa statistics and intraclass correlation coefficient. RESULTS: In-hospital death registries in SIM are much larger than in SIH/SUS. There were identified three mechanisms that could explain most of the observed discrepancy: missing hospital admission forms (32.9%), different main diagnosis registered in SIH/SUS (19.2%), and under reporting of deaths in hospital admission forms (3.3%). The medical records review could confirm the diagnoses of acute myocardial infarction in 67.1% of all deaths reported in death certificates. The sensitivity of data on acute myocardial infarction deaths in death certificates was about 90% for both health information systems analyzed. CONCLUSIONS: There is a need for actions to improve the quality of data registered in SIH/SUS such as standardization of criteria for issuing hospital admission forms during hospital emergencies and training local staff on registration systems. OBJETIVO: Avaliar a qualidade da informação sobre óbito por infarto agudo do miocárdio nos sistemas de informação hospitalar e de mortalidade. MÉTODOS: Foram analisados dados sobre mortalidade hospitalar por infarto agudo do miocárdio, em 2000, utilizando as bases de dados do Sistema de Informação de Mortalidade (SIM) e do Sistema de Informação Hospitalar (SIH/SUS); e numa segunda etapa utilizaram-se de dados obtidos de levantamento direto de prontuários médicos de dois hospitais do Sistema Único de Saúde no município do Rio de Janeiro. Foi feita comparação entre prontuários, declarações de óbitos e formulários de autorização de internação hospitalar. Utilizou-se para confirmação do diagnóstico de infarto agudo do miocárdio critérios da Organização Mundial de Saúde. A concordância entre as informações presentes na declaração de óbito, autorização de internação hospitalar e prontuários foi utilizado o teste de Kappa de Cohen e o coeficiente de correlação intraclasse (ICC). RESULTADOS: O total de óbitos hospitalares por infarto agudo do miocárdio registrados no SIM é expressivamente maior que no SIH/SUS. Foram identificados três fontes que explicam grande parte da discrepância observada: ausência de emissão de autorização de internação hospitalar (32,9%), notificação de outro diagnóstico principal no SIH/SUS (19,2%) e subnotificação do óbito na autorização de internação hospitalar (3,3%). O diagnóstico de infarto foi confirmado em 67,1% dos casos de notificados na declaração de óbito. A sensibilidade da informação sobre óbito por infarto do miocárdio foi de aproximadamente 90% em ambos os sistemas de informação analisados. CONCLUSÕES: Os resultados mostraram ser necessário implementar medidas voltadas para a melhoria da qualidade da informação no SIH/SUS, tais como a padronização de critérios para emissão da autorização de internação hospitalar nas emergências e o treinamento das equipes dos sistemas de registro. Universidade de São Paulo. Faculdade de Saúde Pública2004-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3173210.1590/S0034-89102004000300008Revista de Saúde Pública; Vol. 38 No. 3 (2004); 385-391 Revista de Saúde Pública; Vol. 38 Núm. 3 (2004); 385-391 Revista de Saúde Pública; v. 38 n. 3 (2004); 385-391 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31732/33636Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMelo, Enirtes Caetano PratesTravassos, ClaudiaCarvalho, Marilia Sá2012-07-08T22:05:52Zoai:revistas.usp.br:article/31732Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:05:52Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Quality of data on myocardial infarction deaths, Brazil Qualidade dos dados sobre óbitos por infarto agudo do miocárdio, Rio de Janeiro |
title |
Quality of data on myocardial infarction deaths, Brazil |
spellingShingle |
Quality of data on myocardial infarction deaths, Brazil Melo, Enirtes Caetano Prates Infarto do miocárdio Sistemas de informação Mortalidade hospitalar Sistemas de informação hospitalar Registros médicos Atestados de óbito Notificação de doenças Sub-registro Qualidade Myocardial infarction Information systems Hospital mortality Hospital information systems Medical records Death certificates Disease notification Underreporting Quality |
title_short |
Quality of data on myocardial infarction deaths, Brazil |
title_full |
Quality of data on myocardial infarction deaths, Brazil |
title_fullStr |
Quality of data on myocardial infarction deaths, Brazil |
title_full_unstemmed |
Quality of data on myocardial infarction deaths, Brazil |
title_sort |
Quality of data on myocardial infarction deaths, Brazil |
author |
Melo, Enirtes Caetano Prates |
author_facet |
Melo, Enirtes Caetano Prates Travassos, Claudia Carvalho, Marilia Sá |
author_role |
author |
author2 |
Travassos, Claudia Carvalho, Marilia Sá |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Melo, Enirtes Caetano Prates Travassos, Claudia Carvalho, Marilia Sá |
dc.subject.por.fl_str_mv |
Infarto do miocárdio Sistemas de informação Mortalidade hospitalar Sistemas de informação hospitalar Registros médicos Atestados de óbito Notificação de doenças Sub-registro Qualidade Myocardial infarction Information systems Hospital mortality Hospital information systems Medical records Death certificates Disease notification Underreporting Quality |
topic |
Infarto do miocárdio Sistemas de informação Mortalidade hospitalar Sistemas de informação hospitalar Registros médicos Atestados de óbito Notificação de doenças Sub-registro Qualidade Myocardial infarction Information systems Hospital mortality Hospital information systems Medical records Death certificates Disease notification Underreporting Quality |
description |
OBJECTIVE: To evaluate the quality of data on acute myocardial infarction deaths from mortality information systems. METHODS: Data on in-hospital acute myocardial infarction mortality collected from database of the Mortality Information System (SIM) and Hospital Information System (SIH), in 2000, were analyzed. Then data collected from medical records from two hospitals affiliated to the Unified Health System (SUS) in Rio de Janeiro, Brazil, were also analyzed. Medical records, death certificates, and hospital admission forms (AIH) were compared using the World Health Organization criteria of acute myocardial infarction diagnosis. Agreement among different sources was analyzed using Cohen's Kappa statistics and intraclass correlation coefficient. RESULTS: In-hospital death registries in SIM are much larger than in SIH/SUS. There were identified three mechanisms that could explain most of the observed discrepancy: missing hospital admission forms (32.9%), different main diagnosis registered in SIH/SUS (19.2%), and under reporting of deaths in hospital admission forms (3.3%). The medical records review could confirm the diagnoses of acute myocardial infarction in 67.1% of all deaths reported in death certificates. The sensitivity of data on acute myocardial infarction deaths in death certificates was about 90% for both health information systems analyzed. CONCLUSIONS: There is a need for actions to improve the quality of data registered in SIH/SUS such as standardization of criteria for issuing hospital admission forms during hospital emergencies and training local staff on registration systems. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-06-01 |
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/31732 10.1590/S0034-89102004000300008 |
url |
https://www.revistas.usp.br/rsp/article/view/31732 |
identifier_str_mv |
10.1590/S0034-89102004000300008 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31732/33636 |
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 |
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. 38 No. 3 (2004); 385-391 Revista de Saúde Pública; Vol. 38 Núm. 3 (2004); 385-391 Revista de Saúde Pública; v. 38 n. 3 (2004); 385-391 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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1800221782236463104 |