Predictive factors for recording the death of women of childbearing age in the Hospital Information System (SIH/SUS), Brazil, 2012-2020.

Autor:	Marques JA; Pontifícia Universidade Católica do Paraná, Postgraduate Program in Urban Management - Curitiba (PR), Brazil., Domingues RMSM; Fundação Oswaldo Cruz, Evandro Chagas National Institute of Infectious Diseases - Rio de Janeiro (RJ), Brazil., Dias MAB; Fundação Oswaldo Cruz, Fernandes Figueira National Institute of Women's, Children's and Adolescents' Health - Rio de Janeiro (RJ), Brazil., Coeli CM; Universidade Federal do Rio de Janeiro, Institute of Collective Health Studies - Rio de Janeiro (RJ), Brazil., Pinheiro RS; Universidade Federal do Rio de Janeiro, Institute of Collective Health Studies - Rio de Janeiro (RJ), Brazil., Saraceni V; Municipal Health Department of Rio de Janeiro - Rio de Janeiro (RJ), Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2024 Nov 22; Vol. 27, pp. e240051. Date of Electronic Publication: 2024 Nov 22 (Print Publication: 2024).
DOI:	10.1590/1980-549720240051
Abstrakt:	Objective: To estimate the death registration coverage of women of childbearing age (WCA) in the Hospital Information System (SIH), according to the hospital of occurrence and to verify the predictors associated with coverage. Methods: Descriptive ecological study with public data from SIH, Mortality Information System (SIM) and National Registry of Health Establishments (CNES), 2012-2020. Deaths in WCA hospitalizations in SIH were compared to those in SIM. Coverage was calculated by the proportion of deaths in SIH in relation to SIM. Supervised classification models - decision tree and random forest - were used to identify hospital characteristics related to coverage. Results: WCA death registration coverage was estimated at 78.0 and 71.8% after excluding hospitals with >100% coverage. Lower coverage was observed in the North region (67.7%) and higher in the South (76.9%). There was an increase in coverage from 69.0% to 74.4% in the period examined. The main factors predicting coverage were urgency/emergency facility, administrative management level, hospital complexity, proportion of adult beds covered by SUS and teaching activity, with lower coverage in those with an urgency/emergency facility and greater coverage in those of higher complexity, in federal hospitals, those with teaching activity and higher proportion of adult beds covered by SUS. Flaws in the CNES registration were identified in SIM. Conclusion: The coverage of WCA death registration in SIH in the country is high and growing. Regional differences reinforce the need for strategies to improve the quality of information systems.
Databáze:	MEDLINE
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