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Resumo Apesar de duas decadas e meia de implantacao do Sistema de Informacoes sobre Mortalidade (SIM) no Brasil, as estatisticas de mortalidade ainda apresentam problemas de confiabilidade, pois, mesmo em unidades de saude de referencia, existem Declaracoes de Obito (DO), que apresentam distorcoes nos registros. O objetivo do estudo foi avaliar a qualidade da DO quanto ao grau de preenchimento das variaveis e verificar o ganho de informacao posresgate no prontuario medico em unidade de saude terciaria em Recife (Pernambuco- PE). Foram comparadas as DO originais com as corrigidas no primeiro semestre de 1999. Os resultados mostraram omissoes no preenchimento das variaveis indispensaveis e essenciais entre 0,7 e 10,9%, com resgate completo de informacao no prontuario. Para as variaveis exclusivas de menores de um ano, as omissoes ficaram entre 27 e 47% e os ganhos de informacao obtidos foram inferiores a 50%, chegando a total ausencia, apesar de sua fundamental importância para analises clinico- epidemiologicas dos fatores de risco para a mortalidade infantil. As omissoes no preenchimento das variaveis contidas na DO e o ganho pouco satisfatorio de informacoes pos-resgate nos prontuarios refletem o desconhecimento medico de seu papel, sendo prioritaria a implementacao dos nucleos de epidemiologia hospitalar, garantindo treinamento e educacao continuada ao corpo clinico institucional. Palavras-Chave Mortalidade Infantil; Declaracao de Obito; Avaliacao da Qualidade; Sistemas de Informacao. Summary After more than two decades of use, the Mortality Information System in Brazil still has problems of credibility. Distortions in the registration of Death Certificates (DC) are observed even at reference health centers. The objective of this study was to evaluate the completeness of DC and the gain of recovering abscent data from medical records in a tertiary health care unit in Recife, Pernambuco-Brazil. The study was conducted during the first semester of 1999. Original DC were compared before and after they had been corrected. Essential variables of the DC were unfilled in 0.7 to 10.9%. Compared to those obtained all missing data were recovered from the medical records. The information for children under one year of age was absent in 27 to 47% and data could be recovered in less than 50% of the medical records, being absent in most cases despite of the clinical and epidemiological importance for the analysis of infant mortality risk factors. The uncompleteness of DC and the unsatisfactory recovery of missing data from medical records underscare the lack of recognition by doctors of their role in generating information. Hospital Epidemiology Units should be developed to offer training and continuing education to clinical staff.

informe epidemiologico do sus

&lt;a name="topo"&gt;&lt;/a&gt;Avaliação da qualidade de preenchimento das declarações de óbito em unidade terciária de atenção à saúde materno-infantil