Avaliação da completitude dos instrumentos de investigação do óbito infantil no município de Arapiraca, Alagoas

Abstract

OBJETIVO: Avaliar a completitude dos instrumentos de investigação do óbito infantil no nível municipal. MÉTODOS: Estudo avaliativo, descritivo da completitude e grau de preenchimento das fichas de investigação de óbitos não fetais de menores de um ano residentes em Arapiraca, Alagoas (outubro de 2009 a dezembro de 2010). Para cada variável calculou-se percentual de completitude (Epi-Info v. 3.4.2) e grau de preenchimento. RESULTADOS: Dos 81 óbitos existentes, 54,32% foram investigados através da ficha domiciliar e 8,64, 7,41 e 3,70% através das fichas ambulatorial, hospitalar e síntese, respectivamente. O grau de preenchimento global de cada ficha foi considerado ruim, variando de 70,34% (ambulatorial) a 76,12% (domiciliar) CONCLUSÃO: As investigações do óbito infantil não foram realizadas satisfatoriamente, evidenciando obstáculos no processo de implantação das fichas de investigação. Apesar do pequeno número de casos, o ineditismo quanto à avaliação de um novo instrumento pode contribuir na legitimação do sistema de vigilância do óbito em consolidação no País.

Um olhar sobre a vigilância dos óbitos fetais do Jaboatão dos Guararapes, Pernambuco, Brasil, em 2014

“…The Hospital Form had a higher frequency of filling-in, different from the reality found in another municipality of the Northeast with child deaths in 2009 and 2010 15 . This can be explained by the fact that the majority of stillbirths of residents in Jaboatão in 2014 were born in Recife and in establishments that had Hospital Epidemiology Group which, given the mandatory character form contributed to collection of important information from the Outpatient and Hospital Forms, since their blocks deal with data on the care given in those establishments.…”

“…The information on the outpatient data had a lower number of forms filled in (1:8) and also the worst degree of filling-in (61.5%) of the forms analyzed. Caetano, Vanderlei and Frias (2013) also found lower completeness in the Outpatient Form for infant deaths in Arapiraca, in the State of Alagoas 15 . Surveys on quality of medical records in Basic Healthcare Units indicated that information of implications in continuity of care were precarious 19 .…”

“…The low percentage of filling-in of this form points to the difficulties in the consolidation of cases 12,15 . The lack of training of the team and the lack of support from the medical professional for the due corrections in this stage of the investigation are some of the reasons already reported by other investigators 12 .…”

“…The closing of the cases with discussion is essential for consolidating the analysis of the case 15 , and also for disclosure of the results and submission of the recommendations to the managers of the various sectors involved 4,12 . Further, it is necessary to incentivate the correction of the information even in the cases in which the deaths were not concluded with investigation.…”

Assessment of infant mortality surveillance: case study

“…10 In the surveillance assessments conducted in Brazil, the strategy is considered a management tool capable of providing information to health teams, generating critical awareness on the offered care, and enhancing information systems. 11,16,17 Moreover, it can be used to plan interventions for the main problems and barriers of the care system and to reduce preventable deaths and iniquities. 6 Given its potential, mortality surveillance generates special interest for the monitoring actions required to achieve the Sustainable Development Goals.…”