RESUMO
OBJECTIVE: To evaluate differences in the number of cases of perinatal mortality in Catalonia (Spain) recorded in 2 health information systems, as well as trends in this phenomenon. METHODS: Data were obtained from the mortality statistics (Health Department and the Catalan Institute of Statistics) and the minimum data set (MDS) for hospital discharges of the Catalan Health Service from 2000-2003. The frequencies are given for the cases reported and for cases following the legal criteria for reporting. RESULTS: The mortality statistics registered 27.2% fewer perinatal deaths, 44.77% fewer fetal deaths and 13.5% more early neonatal deaths than the MDS. These percentages were lower when only the cases following the legal criteria for reporting were considered. CONCLUSION: The differences between the two sources were related to low birth weight, prematurity, and the place of occurrence. Use of hospital data might improve the quality of perinatal mortality statistics.
Assuntos
Prontuários Médicos , Mortalidade Perinatal/tendências , Humanos , Recém-Nascido , EspanhaRESUMO
Objetivo: Evaluar la diferencia en muertes perinatales (MP) ocurridas en Cataluña y su evolución según 2 fuentes de información sanitaria.Métodos: Los datos proceden de la estadística de mortalidad (Departament de Salut e Institut dEstadística de Catalunya) y del Conjunto Mínimo Básico de Datos de Altas Hospitalarias (CMBDAH) del Servei Català de la Salut del período 2000-2003. Se describen las frecuencias totales de MP según si cumplen o no criterio legal de declaración.Resultados: La estadística de mortalidad registró un 27,2% menos de MP, un 44,77% menos de muertes fetales y un 13,5% más de muertes neonatales precoces que el CMBDAH. Estos porcentajes son menores considerando sólo los casos con criterios legales de declaración.Conclusión: Las diferencias de casos entre ambas fuentesestán relacionadas con características del recién nacido: bajo peso al nacer, prematuridad y lugar en que se produjo. Los datos hospitalarios podrían mejorar la estadística de mortalidad perinatal
Objective: To evaluate differences in the number of casesof perinatal mortality in Catalonia (Spain) recorded in 2 health information systems, as well as trends in this phenomenon.Methods: Data were obtained from the mortality statistics (Health Department and the Catalan Institute of Statistics) and the minimum data set (MDS) for hospital discharges of the Catalan Health Service from 2000-2003. The frequencies are given for the cases reported and for cases following the legal criteriafor reporting.Results: The mortality statistics registered 27.2% fewer perinatal deaths, 44.77% fewer fetal deaths and 13.5% more early neonatal deaths than the MDS. These percentages were lower when only the cases following the legal criteria for reporting were considered.Conclusion: The differences between the two sources wererelated to low birth weight, prematurity, and the place of occurrence. Use of hospital data might improve the quality of perinatal mortality statistics