Autor: |
Soares Filho AM; Faculdade de Ciências da Saúde, Universidade de Brasília. Campus Universitário Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil. afilho_2006@hotmail.com., Duarte E; Faculdade de Ciências da Saúde, Universidade de Brasília. Campus Universitário Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil. afilho_2006@hotmail.com., Adair T; Melbourne School of Population and Global Health, University of Melbourne. Carlton Victoria Australia., Bermúdez XPD; Faculdade de Ciências da Saúde, Universidade de Brasília. Campus Universitário Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil. afilho_2006@hotmail.com., Merchan-Hamann E; Faculdade de Ciências da Saúde, Universidade de Brasília. Campus Universitário Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil. afilho_2006@hotmail.com. |
Jazyk: |
angličtina |
Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2022 Apr; Vol. 27 (4), pp. 1289-1300. Date of Electronic Publication: 2021 May 26. |
DOI: |
10.1590/1413-81232022274.10422021 |
Abstrakt: |
This article aims to analyze the association between characteristics of death - type of certifier and place of death - and the odds of an external cause death being certified as unspecified in Brazil. Cross-sectional study of deaths due to external causes from the Mortality Information System, 2017. Unspecified external cause (UEC) is the outcome variable in the models. Type of certifier physician, place of death and the interaction of these variables were the explanatory variables. Confounders were controlled by multiple logistic regression. UEC were the initial underlying cause for 22% of the 159,720 deaths from external causes in Brazil and 31% of hospital deaths issued by coroners. After adjustment for confounders, the odds of UEC in a hospital death certified by a coroner was 98% greater (OR=1.98; 95%CI: 1.53; 2.56) than in a home/street death issued by another certifier. This was greater than the odds for certifications by coroners (OR=1.23; 95%CI: 1.14; 1.33) and hospital deaths (OR=1.44; 95%CI: 1.32; 1.58). External causes certified by coroners and/or occurring in hospitals have a higher presence of UEC than other deaths; and indicate the need for coordinated initiatives by the health and public security sectors. |
Databáze: |
MEDLINE |
Externí odkaz: |
|