期刊论文详细信息
Revista Brasileira de Epidemiologia
Early neonatal hospital mortality in Minas Gerais: association with healthcare variables and the issue of underreporting
França, Elisabeth2  Loschi, Rosangela Helena1  Campos, Deise1 
[1] Universidade Federal de Minas Gerais;Universidade Federal de Minas Gerais, Minas Gerais
关键词: Neonatal mortality;    Socioeconomic factors;    Information systems;    Death registration;    Underreporting;    SUS (BR);   
DOI  :  10.1590/S1415-790X2007000200010
学科分类:过敏症与临床免疫学
来源: SciELO
PDF
【 摘 要 】

INTRODUCTION: Early neonatal deaths are related to access to good quality prenatal, hospital delivery and newborn health care. In Minas Gerais, Brazil, hospitals are heterogeneously distributed, which may result in various levels of neonatal mortality among the State's regions.
OBJECTIVE: To investigate early neonatal hospital mortality in the Hospital Information System (SIH/SUS) and assess possible associations between early neonatal hospital mortality rates (ENMR_SIH) and variables regarding care to pregnant women and the newborn in strata of homogeneous cities.
METHOD: The SIH/SUS was used to obtain the number of births and deaths according to place of residence. Cities were grouped according to micro-region and population size, totaling 199 groups. The CART (Classification and Regression Tree) identified three strata of homogeneous city groups according to socioeconomic factors. For each stratus, a Spearman correlation matrix was used to evaluate associations between rates and health care indicators.
RESULTS: The ENMR_SIH for Minas Gerais was 10.9/1000 live births. A greater probability of an ENMR_SIH under 8/1000 live births was observed in areas with poorer socioeconomic conditions. A positive correlation between the ENMR_SIH and cribs per woman in fertile age and the proportion of low birth weight in Strata 1, and between the ENMR_SIH and physicians per inhabitant in Strata 3 was observed.
CONCLUSION: Issues concerning access to healthcare, underreporting of deaths and the misclassification of live births as stillbirths may be reflected in rates. The number of births and deaths registered in the SIH/SUS justifies studies on the data collected and investments in the quality of those records.

【 授权许可】

CC BY   

【 预 览 】
附件列表
Files Size Format View
RO201911300220623ZK.pdf 345KB PDF download
  文献评价指标  
  下载次数:5次 浏览次数:20次