AI Article Synopsis
- - The study analyzes how investigating deaths with ill-defined causes (garbage codes) in Belo Horizonte, Brazil, influences mortality data and public health planning.
- - In 2017, an investigation was conducted on 1,395 out of 3,038 deaths reported with garbage codes, leading to a 35.5% reduction in these cases and increased recognition of specific causes like heart disease and strokes.
- - The findings emphasize the need for ongoing physician training in accurate cause-of-death certification to enhance mortality statistics and ultimately improve health outcomes.
Article Abstract
Introduction: Deaths certified with ill-defined causes or garbage codes (GC) compromise the analysis of mortality and its use for planning and evaluation of public health policies. The hospital investigation of these causes is one of the strategies qualifying the profile of mortality in the country.
Objective: To evaluate the change in the hospital mortality profile after investigation of deaths certified with GC in 2017 in Belo Horizonte, Brazil.
Methods: A sample of hospital deaths reported with GC in the Mortality Information System (SIM) of Belo Horizonte in 2017 was investigated and subsequently certified by a physician to compare the mortality profile before and after investigation.
Results: After investigating 1,395 deaths out of 3,038 reported with GC, a reduction of 35.5% of these causes was observed. Groups of all ages presented decreases in GC occurrence. A higher proportional increase was observed for deaths due to ischemic heart diseases, Alzheimer's disease, chronic obstructive pulmonary disease, ischemic and hemorrhagic stroke, and external causes of death (accidental falls, homicides and traffic/transport accidents).
Conclusion: The investigation on reported hospital deaths is one of the strategies to improve mortality statistics, reducing the occurrence of GC among reported deaths and changing the mortality profile in these facilities. The importance of continuous physician training in cause-of-death certification is emphasized.
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| http://dx.doi.org/10.1590/1980-549720190009.supl.3 | DOI Listing |
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