The evolution of mortality from ill-defined causes among the elderly population in four major Brazilian cities, 1996-2007
The evolution of mortality from ill-defined causes among the elderly population in four major Brazilian cities, 1996-2007
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DOI：
10.1590/s0102-30982010000100006
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发表时间：
2010-06-01
期刊：
影响因子：
--
通讯作者：
Campos, Lorenza Nogueira
中科院分区：
文献类型：
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作者：
Abreu, Daisy Maria Xavier de;Sakurai, Emília;Campos, Lorenza Nogueira
本文的目的是研究1996年至2007年间，巴西贝洛奥里藏特、里约热内卢、<e:1>圣保罗和阿雷格里港等城市60岁以上人口因不明原因死亡的演变情况。根据《国际疾病分类》（IDC-10）第十八章的代码，分析了这一期间因不明原因导致的死亡比例的演变，以及这些死亡按年龄组的分布情况，并分析了这类原因在老年人死亡总数中的地位。对不明原因及其在医院发生的机会比（95%）也进行了评估。1996年至2007年期间，上述城市因不明原因死亡比例的演变表明，里约热内卢的老年人因不明原因死亡比例最高，在该年龄组的所有死因中排名第四。此外，在里约热内卢的医院里因不明原因死亡的比例几乎是其他城市的两倍。正如预期的那样，死亡原因分类不明确与在医院发生的死亡呈负相关。调查结果表明，信息质量良好，但也表明在向老年人提供医疗服务方面经常存在问题。
The objective of this article is to study the evolution of mortality from ill-defined causes in the population over age 60 in the Brazilian cities of Belo Horizonte, Rio de Janeiro, São Paulo and Porto Alegre between 1996 and 2007. The evolution of the proportion of deaths due to ill-defined causes during this period was analyzed, as well as the distribution of these deaths by age group, according to the codes in Chapter XVIII of the International Disease Classification (IDC-10) and the position of this group of causes in the total number of deaths of elderly persons. The chance ratio (95%) for ill-defined causes and their occurrence in hospitals was also evaluated. The evolution of the proportion of deaths from ill-defined causes between 1996 and 2007 in the cities mentioned indicated that the highest proportion of deaths from ill-defined causes in the elderly was in Rio de Janeiro, where such deaths are in 4th place among all causes for this age group. In addition, the percentage of deaths from ill-defined causes that occurred in hospitals in Rio de Janeiro was almost twice as high as that in the other cities. As expected, the classification of cause of death as ill-defined was negatively associated with deaths that occurred in hospitals. The findings show good quality of information but indicate frequent problems in providing medical attention to the elderly population.