Confiabilidade do registro de cesarianas na maternidade de um hospital universitário de referência em atendimento terciário à gestação de alto risco

• Ano de defesa: 2013
• Autor(a) principal: Cecilio, Angela Mendes
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Programa de Pós-graduação em Ciências Médicas; Ciências Médicas
• Palavras-chave em Português: Sistemas de informação hospitalar; Parto; Reprodutibilidade dos testes; Registros médicos; Parto Normal; Cesárea; Hospital information systems; Childbirth; Reproducibility of results; Medical records; CNPQ::CIENCIAS DA SAUDE::MEDICINA::SAUDE MATERNO-INFANTIL
• Link de acesso: https://app.uff.br/riuff/handle/1/20604

Introduction: Health Information Systems are designed to produce information for the development of policies for the health sector. In relation to the procedures for delivery, data from AIH comprise the database published by DATASUS. WHO recommends that the rate of cesarean section does not exceed 15% and are much higher in Brazil. The systems automatically reject DATASUL AIH cesarean above 27 % of total births. Objective: To evaluate the reliability record of caesarian sections in Antônio Pedro University Hospital (HUAP) and the level of reliability of information regarding procedures normal delivery and caesarean. Materials and Methods: A total of four data sources: databases MV 2000, composed of the SISAIH Mirrors of AIH and Reduced sheet Service of Obstetrics. The undercount of births was calculated for each data source. We estimated the correlation between two raters for each mode of delivery (Cohen's kappa) and among multiple raters (Fleiss' kappa). Results:There was an undercount in the system MV2000, around 10%. Regarding caesareans, we obtained a 85.76 % undercount of Mirrors in AIH and 86.34 % in AIH Reduced. The agreement was intermediate between two assessors, except when we compared the databases and database SISAIH DATASUS (99.37%). The concordance of the four observers performed very strong when vaginal delivery was evaluated and very weak in the case of cesarean delivery. Conclusions: No data source was 100% reliable, since there was underreporting in all. The agreement between the data sources were deemed unsatisfactory among HUAP's internal records and data expressed in databases DATASUS, especially in relation to the procedure of cesarean section.