Epidemiologia da Febre de Chikungunya em pessoas idosas no Rio Grande do Norte: da morbimortalidade à avaliação dos sistemas de informação
Chikungunya fever is a disease that can present clinical signs for a period of up to three years after its initial presentation. It was first reported in the 1950s in the region of Tanzania and the first case was reported in Brazil in 2010. Since then, Brazil has been living in an endemic situati...
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| Materialtyp: | Dissertação |
| Språk: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Länkar: | https://repositorio.ufrn.br/handle/123456789/49517 |
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| Sammanfattning: | Chikungunya fever is a disease that can present clinical signs for a period of up to three years
after its initial presentation. It was first reported in the 1950s in the region of Tanzania and the
first case was reported in Brazil in 2010. Since then, Brazil has been living in an endemic
situation, having recorded more than 800,000 cases of the disease. However, the Health
Information Systems involved in the notifications of the disease, deaths and hospitalizations
need to evaluate the quality of the recorded data. Thus, the objective of this study is to evaluate
Chikungunya Fever in elderly people in Rio Grande do Norte regarding the epidemiological
profile and quality of the Epidemiological Surveillance Systems, in the period between 2016
and 2020. This study is characterized by being a cross-sectional analytical epidemiological and
evaluation of the quality of health information systems, being analyzed the attributes of
completeness, reliability, consistency, non-duplication and opportunity. The study was carried
out in Rio Grande do Norte, with elderly people, aged 60 years or older, affected by the disease
and residing in the state, in the period between 2016 and 2020. The research data were provided
by the Subcoordination of Epidemiological Surveillance of the State Department of Public
Health, taken from the Information Systems on Diseases, on Mortality and on Hospital
Admissions. There were 4,994 cases of elderly people affected by Chikungunya Fever in the
State of Rio Grande do Norte, between 2016 and 2020, with predominance of females (63.3%),
with a mean age of 70.5 years (±8.2 years), black and mixed race (62.1%), with 49.4% having
not completed elementary school. In the period, 47 deaths (0.94%) were registered in the
Mortality Information System, with Chikungunya fever as the cause of death. In the evaluation
of the quality of the data, it was observed that the general average of the completeness of all the
evaluated municipalities was bad (67.34%). The reliability of the data was compromised by the
great variation of the Intraclass Correlation Coefficient between the health regions. Likewise,
data consistency was considered poor. There were 117 duplicate cases (2.29%), which classify
them as acceptable. As for the opportunity, no system was considered adequate in terms of
timely notification. Thus, it can be concluded that the sociodemographic and epidemiological
profiles found in this study are equivalent to those of Chikungunya Fever in Brazil. It is also
inferred that the health information systems involved in the notifications of illness, deaths, and
hospitalizations due to Chikungunya Fever in elderly people in Rio Grande do Norte did not
present good quality in terms of their completeness, reliability, consistency, and timeliness. In this way, it is necessary to implement permanent education actions for the professionals who
carry out the notifications, by the health secretariats to improve the quality of the data. |
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