Quality of data on myocardial infarction deaths, Brazil

Revista de saúde pública
Enirtes Caetano Prates MeloMarilia Sá Carvalho

Abstract

To evaluate the quality of data on acute myocardial infarction deaths from mortality information systems. 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. 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 ...Continue Reading

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Citations

Oct 24, 2009·Cadernos de saúde pública·Claudia Risso de Araujo LimaMárcia Elizabeth Marinho da Silva
Feb 24, 2011·Revista de saúde pública·Arn MigowskiRegina Maria de Aquino Xavier
Nov 17, 2016·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Juliana Pires MachadoIuri da Costa Leite
Jul 17, 2021·The Cochrane Database of Systematic Reviews·Lavanya VasudevanSimon Lewin
Aug 19, 2021·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Diego Rodrigues Mendonça E SilvaEduardo Algranti

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