Do que morrem os pacientes com tuberculose: Causas múltiplas de morte de uma coorte de casos notificados e uma proposta de investigação de causas presumíveis

Abstract

The objective of this study was to analyze the multiple causes of death in a cohort of patients with tuberculosis (TB) and to introduce an investigationproposal death for TB from a list of presumable causes. We performed a probabilisticrecord linkage with the databases of the Information System for Notifiable Diseases (SINAN) 2006 and the Mortality Information System (SIM) 2006-2008. There were 825 deaths, of which 23% for death for TB, deaths due to TB with 16% and 61% without mention of TB. Two hundred and fifteen (42.7%) deaths occurred within the period of treatment, whose profile differed from the pattern of causes when TB was an associated cause, with high frequency of respiratorydiseases, AIDS and ill-defined causes. We elaborated a proposal for correction of associatedcauses of death and an investigation proposal death for TB from a list of presumable causes. According to the proposal, 26 deaths could have modified the underlying cause. This study highlights the importance of record linkageto TB surveillance and improvement of informationthe SIM and SINAN.