DEATH SURVEILLANCE IN PERNAMBUCO: ADDRESSING THE SENSITIVITY BETWEEN HOSPITAL EPIDEMIOLOGICAL SURVEILLANCE AND THE MORTALITY INFORMATION SYSTEM


DEATH SURVEILLANCE IN PERNAMBUCO: ADDRESSING THE SENSITIVITY BETWEEN HOSPITAL EPIDEMIOLOGICAL SURVEILLANCE AND THE MORTALITY INFORMATION SYSTEM


Janaina Larissa Santana Andrade¹*, Lucilene Rafael Aguiar², Romildo Siqueira de Assunção², Maria do Carmo Oliveira Rocha², Patricia Ismael de Carvalho²

¹Instituto Aggeu Magalhães – Fundação Oswaldo Cruz; ²Secretaria Estadual de Saúde de Pernambuco


Objective: Describe the sensitivity of notification and investigation of deaths eligible in the Mortality Information System and occurred in hospitals that make up the State Hospital Epidemiological Surveillance Network of Pernambuco.

Methods: Fetal, infant, maternal and women of childbearing deaths that occurred in 2015 in the 29 hospitals of the State Network VEH/PE were selected. For analysis, the notification, investigation and updating of the SIM WEB module was considered, relating the SIM bases and spreadsheets of the VEH/PE Network and sensitivity was estimated by the capture and recapture method.

Results: 54,0% of the deaths in Pernambuco came from the VEH/PE Network. 80,0% of infant and maternal deaths were reported by the VEH/PE Network immediately. In the set of analyzed deaths, the capture and recapture method estimated a slight loss in capture, with a sensitivity of 99,9% for both sources of record. And, in the investigation, greater sensitivity, for the VEH/PE spreadsheet (98,6%). The SIM had a lower magnitude (2,9%) of underreporting in the collection and a higher proportion (43,3%) of underreporting in the information from the hospital investigation source in the SIM WEB module.

Conclusion: These results can contribute to reducing the underreporting of capture and information on hospital investigation in the SIM WEB module and allow knowledge about the causes and circumstances that determined or favored the occurrence of death in order to analyze the avoidability, planning and evaluation of maternal and child health actions.


Keywords: Public Health Surveillance, Death Certificates, Information Systems

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How to cite this article:
Janaina Larissa Santana Andrade, Lucilene Rafael Aguiar, Romildo Siqueira de Assunção, Maria do Carmo Oliveira Rocha, Patricia Ismael de Carvalho. DEATH SURVEILLANCE IN PERNAMBUCO: ADDRESSING THE SENSITIVITY BETWEEN HOSPITAL EPIDEMIOLOGICAL SURVEILLANCE AND THE MORTALITY INFORMATION SYSTEM.Research Journal of Emergency Medicine, 2021, 4:12.


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