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[Methodological proposal for evaluation of death records from COVID-19]
Neir Antunes Paes1, Assel Muratovna Shigayeva Ferreira1, Lucas de Almeida Moura2
1Universidade Federal da Paraíba, João Pessoa, Brasil.
Cadernos De Saude Publica
|January 18, 2023
Summary
This study improved COVID-19 death record quality in Brazil by adjusting for under-registration and misclassified deaths. The adjusted data revealed a 37.4% increase in COVID-19 fatalities in Paraíba State.
Area of Science:
- Public Health
- Epidemiology
- Biostatistics
Context:
- Vital statistics in Brazil face challenges with death record coverage and completeness.
- The COVID-19 pandemic in 2020 increased uncertainties regarding the quality of death records.
- Accurate death record data is crucial for understanding pandemic impact.
Purpose:
- To evaluate and enhance the quality of COVID-19 death records in Brazil.
- To propose a methodological approach for improving death record accuracy.
- To assess the real impact of the COVID-19 pandemic through improved data.
Summary:
- A three-stage methodology was applied: estimating under-registration, redistributing deaths from nonspecific causes (Garbage Codes), and reallocating ill-defined causes to COVID-19.
- Official records from Brazil's Mortality Information System in Paraíba State for 2020 were utilized.
- The study identified 1,281 additional COVID-19 deaths, representing a 37.4% increase over the initially recorded 3,426 deaths.
Impact:
- The proposed method effectively improved the quality of COVID-19 death records.
- The approach is simple, applicable, and valuable for government managers and researchers.
- This contributes to a more accurate understanding of the pandemic's true effect in any geographic area.
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