Epidemiologia e Serviços de Saúde

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RESEARCH NOTE • Epidemiol. Serv. Saúde 32 (2) • 2023 • https://doi.org/10.1590/S2237-96222023000200006 linkcopiar

Evaluación de la incompletitud de los registros de defunción por causas externas del Sistema de Información de Mortalidad en Rio Grande do Sul, Brasil, 2000-2019

Autoría SCIMAGO INSTITUTIONS RANKINGS

Objetivo: evaluar la incompletitud de los datos del Sistema de Información de Mortalidad (SIM) para las defunciones por causas externas (CEs) en Rio Grande do Sul, Brasil, 2000-2019.

Métodos: estudio ecológico con datos del SIM por causas externas, totales y por accidentes de tránsito, homicidios, suicidios y caídas; se utilizó la regresión de Prais-Winsten para evaluar la tendencia de incompletitud, con un nivel de significancia del 5%.

Resultados: se evaluaron 146.882 muertes; sexo (0,1%), lugar de muerte (0,1%) y edad (0,4%) mostraron menos incompletitud en 2019; la tendencia de la proporción de incompletitud disminuyó para el lugar de ocurrencia y la educación, aumentó para el estado civil y se mantuvo estable para edad y raza/color del piel para todo tipo de muertes evaluadas.

Conclusión: las variables analizadas lograron alta calidad de información, con excepción del estado civil y educación, que persistieron con incompletitud insatisfactoria para las muertes por CE (total y subgrupos).

Palabras clave:
Sistemas de Información; Certificado de Defunción; Estadísticas Vitales; Causas Externas; Estudio Ecológico

Sociodemographic variables and cause s of death	Incompleteness (%)
	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
	6,485	6,522	6,853	6,808	6,932	6,869	6,909	7,136	7,344	7,289	7,209	7,079	7,537	7,693	7,876	7,842	8,379	8,586	7,973	7,561
Age
External causes	0.3	0.4	0.3	0.3	0.3	0.2	0.4	0.6	1.1	0.7	0.6	0.8	0.6	0.5	0.3	0.5	0.3	0.4	0.6	0.5
Transport accidents	0.2	0.3	0.3	0.2	0.3	0.1	0.2	0.3	0.5	0.2	0.1	0.3	0.4	0.2	0.1	0.1	0.1	0.1	0.2	0.1
Homicides	0.3	0.3	0.4	0.2	0.2	0.2	0.5	0.9	1.4	1.3	1.2	1.4	0.9	1.1	0.4	0.8	0.6	0.9	1.1	0.9
Suicides	0.3	0.1	-	0.2	0.1	0.1	0.1	0.1	-	-	-	0.2	-	0.1	-	0.1	-	0.1	0.1	-
Falls	0.4	-	-	-	-	-	-	-	-	0.4	-	-	-	-	-	-	-	-	-	-
Place of death
External causes	1.2	1.0	0.8	0.5	0.6	0.7	0.8	0.4	0.5	0.6	0.4	0.4	0.4	0.3	0.3	0.2	0.2	0.3	0.2	0.1
Transport accidents	0.6	0.5	0.3	0.2	0.1	0.1	0.1	0.1	-	0.3	0.1	0.2	0.5	0.2	0.2	-	-	0.2	0.1	-
Homicides	1.5	1.3	1.2	0.8	1.0	1.2	0.9	0.4	0.9	0.5	0.5	0.4	0.3	0.5	0.3	0.2	0.3	0.5	0.2	0.2
Suicides	1.5	1.0	0.5	0.3	0.6	0.6	0.8	0.7	0.5	0.9	0.7	0.3	0.2	0.4	0.5	0.4	0.3	0.2	0.2	-
Falls	0.4	0.7	-	0.3	-	-	0.8	-	0.4	-	0.2	0.3	-	-	-	-	-	0.2	0.1	0.0
Race/skin color
External causes	2.0	1.5	1.2	0.9	0.9	0.8	1.0	1.1	1.4	1.1	1.2	1.6	1.4	1.7	1.4	1.7	1.7	1.4	1.8	1.9
Transport accidents	1.5	1.3	0.6	0.5	0.7	0.2	0.6	0.6	1.3	0.9	1.1	1.4	0.9	1.2	1.0	1.6	0.8	1.1	0.9	1.1
Homicides	1.9	2.1	1.3	0.6	0.8	0.6	0.8	1.1	1.6	1.0	1.3	1.2	2.1	2.1	1.5	1.4	1.7	1.0	1.5	2.1
Suicides	1.9	1.2	0.4	0.5	0.1	0.3	0.7	1.0	0.9	0.8	0.4	1.1	1.0	0.6	1.1	0.8	0.9	0.7	0.9	1.0
Falls	4.9	0.3	2.3	1.8	1.1	1.2	0.5	0.4	1.2	1.6	1.0	2.7	1.2	3.1	1.3	3.6	2.4	3.3	4.0	2.7
Marital status
External causes	6.6	6.4	7.0	7.0	6.4	7.1	7.7	9.0	8.8	8.5	8.9	11.4	11.3	12.4	10.8	11.1	9.9	10.1	12.5	11.3
Transport accidents	6.1	5.4	6.3	5.8	5.2	6.1	7.3	7.8	7.8	7.2	8.4	11.6	11.9	13.2	11.8	11.1	10.1	11.3	12.3	10.0
Homicides	7.0	6.1	7.2	5.9	4.5	6.4	7.1	6.9	7.6	7.5	7.8	9.4	9.6	10.0	9.3	9.5	8.1	8.4	11.9	11.8
Suicides	4.4	3.2	4.3	5.1	4.6	5.4	5.6	5.9	6.1	7.0	7.5	12.1	11.2	12.7	9.5	11.3	9.0	8.8	10.6	9.6
Falls	3.8	2.4	3.4	3.9	4.1	2.9	4.0	5.9	5.3	3.8	7.3	6.8	7.8	9.5	7.4	8.3	7.9	8.8	10.3	8.4
Schooling
External causes	56.2	56.2	58.2	57.7	56.0	57.9	56.3	57.6	55.2	54.1	52.8	44.4	39.4	38.2	38.1	40.2	36.4	36.4	37.7	35.2
Transport accidents	58.5	56.9	59.4	58.1	56.1	55.6	55.9	55.6	52.9	51.8	51.3	46.0	44.5	42.7	40.5	43.1	40.1	39.8	39.9	38.8
Homicides	60.0	58.2	62.2	61.8	60.0	63.7	59.8	63.0	60.2	57.9	56.8	42.9	34.8	35.6	34.6	38.5	33.5	34.1	38.1	34.8
Suicides	54.3	54.8	55.0	55.9	55.1	55.5	52.3	54.7	51.3	49.2	50.1	44.2	40.8	40.5	40.4	42.6	39.1	38.2	37.7	35.7
Falls	55.1	56.0	56.9	55.4	49.7	52.8	48.7	49.3	49.6	49.4	50.6	38.4	40.9	34.5	35.3	31.8	30.2	29.1	30.7	26.0

Sociodemographic variables and cause s of death	Δ%^a	95%CI^b	Adjusted R²^c	p-value^d	Trend
Age
External causes	46.1	45.9;46.3		0.451	Stable
Transport accidents	-71.7	-71.9;-71.5	0.149	0.097	Stable
Homicides	192.4	191.9;192.8	0.031	0.169	Stable
Place of death
External causes	-92.2	-92.4;-91.9	0.796	< 0.001	Decreasing
Transport accidents	-82.1	-82.5;-81.7	0.294	0.044	Decreasing
Homicides	-84.6	-85.2;-84.0	0.780	< 0.001	Decreasing
Suicides	-89.0	-89.7;-88.2	0.527	0.002	Decreasing
Falls	-78.4	-79.2;-77.7	0.297	0.010	Decreasing
Race/skin color
External causes	-4.2	-4.7;-3.8	0.398	0.306	Stable
Transport accidents	-25.8	-26.5;-25.0	0.119	0.430	Stable
Homicides	8.3	7.4;9.2	0.182	0.465	Stable
Suicides	-47.1	-48.0;-46.1	0.181	0.792	Stable
Falls	-45.7	-48.5;-42.9	0.123	0.074	Stable
Marital status
External causes	70.1	69.2;71.1	0.591	< 0.001	Increasing
Transport accidents	64.4	62.6;66.2	0.309	0.005	Increasing
Homicides	67.2	65.4;69.0	0.569	< 0.001	Increasing
Suicides	118.6	116.6;120.6	0.375	0.001	Increasing
Falls	120.6	117.9;123.4	0.871	< 0.001	Increasing
Schooling
External causes	-37.4	-39.0;-35.8	0.863	< 0.001	Decreasing
Transport accidents	-33.7	-37.0;-30.5	0.949	< 0.001	Decreasing
Homicides	-42.1	-45.2;-39.0	0.744	0.002	Decreasing
Suicides	-34.3	-38.2;-30.4	0.915	< 0.001	Decreasing
Falls	-52.8	-59.3;-46.3	0.899	< 0.001	Decreasing

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Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 (61) 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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