Deaths with leprosy as the underlying cause recorded in Brazil: use of data base linkage to enhance information/Obitos registrados com causa basica hanseniase no Brasil: uso do relacionamento de bases de dados para melhoria da informacao

• Published in: Ciência & saude coletiva p. 1017
• Main Authors: Rocha, Margarida Cristiana Napoleao, de Lima, Raquel Barbosa, Stevens, Antony, Gutierrez, Maria Margarita Urdaneta, Garcia, Leila Posenato
• Format: Journal Article
• Language: Spanish
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01-04-2015
• Subjects: Brasil
• ISSN: 1413-8123
• DOI: 10.1590/1413-81232015204.20392014

This study sought to describe the characteristics of deaths with leprosy as the underlying cause recorded in the Mortality Information System (SIM) and compare these characteristics with the groups of cases where the cause of death was reported, or failed to be reported, in the National Case Registration Database (Sinan). Deaths with leprosy as the underlying cause occurring in Brazil in the 2004-2009 period, and cases of leprosy from 1975 to 2010 were included. The probabilistic bases of SIM and Sinan were compared. Of the 1,463 deaths from leprosy recorded in SIM, 44.2% were not recorded in Sinan. Of the total number of deaths, the majority were men (72.5%), aged 60 or older (56.6%), occurring in hospitals (65.3%) and with due care (45.8%). Of the 820 deaths identified in Sinan, 92% were patients with multibacillary disease, 45.2% were discharged as cured by Sinan and 38.9% died. Deaths due to leprosy were found on SIM that were not notified to Sinan. The data base linkage enabled identification of ancillary records and inconsistencies between the systems. Key words Leprosy/mortality, Leprosy/epidemiology, Mortality records, Disease notification, Information systems, Descriptive epidemiology O presente estudo objetivou descrever as caracteristicas dos obitos que tiveram como causa basica a hanseniase, registrados no Sistema de Informacoes sobre Mortalidade (SIM), e comparar estas caracteristicas entre os grupos de obitos cujos casos foram notificados e nao notificados no Sistema de Informacao sobre Agravos de Notificacao (Sinan). Foram incluidos os obitos com causa basica hanseniase, ocorridos no Brasil no periodo 2004-2009, e os casos registrados de hanseniase entre 1975-2010. Realizou-se o relacionamento probabilistico das bases do SIM e Sinan. Dos 1.463 obitos por hanseniase registrados no SIM, 44,2% nao foram encontrados no Sinan. Do total dos obitos, a maioria foi de homens (72,5%), com 60 ou mais anos de idade (56,6%), ocorridos em hospitais (65,3%) e com assistencia (45,8%). Dos 820 obitos identificados no Sinan, 92% foram multibacilares, 45,2% tinham alta por cura no Sinan e 38,9%, obito. Foram encontrados obitos por hanseniase que estao registrados no SIM, mas nao foram notificados no Sinan. O relacionamento das bases permitiu identificacao de subregistros e inconsistencias entre os sistemas. Palavras-chave Hanseniase/mortalidade, Hanseniase/epidemiologia, Registros de mortalidade, Notificacao de doencas, Sistemas de informacao, Epidemiologia descritiva