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Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil

OBJECTIVE: Describe the coding process of death causes for people living with HIV/AIDS, and classify deaths as related or unrelated to immunodeficiency by applying the Coding Causes of Death in HIV (CoDe) system. METHODS: A cross-sectional study that codifies and classifies the causes of deaths occu...

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Autores principales: Alves, Diana Neves, Bresani-Salvi, Cristiane Campello, Batista, Joanna d’Arc Lyra, Ximenes, Ricardo Arraes de Alencar, Miranda, Demócrito de Barros, de Melo, Heloísa Ramos Lacerda, de Albuquerque, Maria de Fátima Pessoa Militão
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602274/
https://www.ncbi.nlm.nih.gov/pubmed/28954163
http://dx.doi.org/10.11606/S1518-8787.2017051000124
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author Alves, Diana Neves
Bresani-Salvi, Cristiane Campello
Batista, Joanna d’Arc Lyra
Ximenes, Ricardo Arraes de Alencar
Miranda, Demócrito de Barros
de Melo, Heloísa Ramos Lacerda
de Albuquerque, Maria de Fátima Pessoa Militão
author_facet Alves, Diana Neves
Bresani-Salvi, Cristiane Campello
Batista, Joanna d’Arc Lyra
Ximenes, Ricardo Arraes de Alencar
Miranda, Demócrito de Barros
de Melo, Heloísa Ramos Lacerda
de Albuquerque, Maria de Fátima Pessoa Militão
author_sort Alves, Diana Neves
collection PubMed
description OBJECTIVE: Describe the coding process of death causes for people living with HIV/AIDS, and classify deaths as related or unrelated to immunodeficiency by applying the Coding Causes of Death in HIV (CoDe) system. METHODS: A cross-sectional study that codifies and classifies the causes of deaths occurring in a cohort of 2,372 people living with HIV/AIDS, monitored between 2007 and 2012, in two specialized HIV care services in Pernambuco. The causes of death already codified according to the International Classification of Diseases were recoded and classified as deaths related and unrelated to immunodeficiency by the CoDe system. We calculated the frequencies of the CoDe codes for the causes of death in each classification category. RESULTS: There were 315 (13%) deaths during the study period; 93 (30%) were caused by an AIDS-defining illness on the Centers for Disease Control and Prevention list. A total of 232 deaths (74%) were related to immunodeficiency after application of the CoDe. Infections were the most common cause, both related (76%) and unrelated (47%) to immunodeficiency, followed by malignancies (5%) in the first group and external causes (16%), malignancies (12 %) and cardiovascular diseases (11%) in the second group. Tuberculosis comprised 70% of the immunodeficiency-defining infections. CONCLUSIONS: Opportunistic infections and aging diseases were the most frequent causes of death, adding multiple disease burdens on health services. The CoDe system increases the probability of classifying deaths more accurately in people living with HIV/AIDS.
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spelling pubmed-56022742017-09-22 Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil Alves, Diana Neves Bresani-Salvi, Cristiane Campello Batista, Joanna d’Arc Lyra Ximenes, Ricardo Arraes de Alencar Miranda, Demócrito de Barros de Melo, Heloísa Ramos Lacerda de Albuquerque, Maria de Fátima Pessoa Militão Rev Saude Publica Original Articles OBJECTIVE: Describe the coding process of death causes for people living with HIV/AIDS, and classify deaths as related or unrelated to immunodeficiency by applying the Coding Causes of Death in HIV (CoDe) system. METHODS: A cross-sectional study that codifies and classifies the causes of deaths occurring in a cohort of 2,372 people living with HIV/AIDS, monitored between 2007 and 2012, in two specialized HIV care services in Pernambuco. The causes of death already codified according to the International Classification of Diseases were recoded and classified as deaths related and unrelated to immunodeficiency by the CoDe system. We calculated the frequencies of the CoDe codes for the causes of death in each classification category. RESULTS: There were 315 (13%) deaths during the study period; 93 (30%) were caused by an AIDS-defining illness on the Centers for Disease Control and Prevention list. A total of 232 deaths (74%) were related to immunodeficiency after application of the CoDe. Infections were the most common cause, both related (76%) and unrelated (47%) to immunodeficiency, followed by malignancies (5%) in the first group and external causes (16%), malignancies (12 %) and cardiovascular diseases (11%) in the second group. Tuberculosis comprised 70% of the immunodeficiency-defining infections. CONCLUSIONS: Opportunistic infections and aging diseases were the most frequent causes of death, adding multiple disease burdens on health services. The CoDe system increases the probability of classifying deaths more accurately in people living with HIV/AIDS. Faculdade de Saúde Pública da Universidade de São Paulo 2017-09-11 /pmc/articles/PMC5602274/ /pubmed/28954163 http://dx.doi.org/10.11606/S1518-8787.2017051000124 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Alves, Diana Neves
Bresani-Salvi, Cristiane Campello
Batista, Joanna d’Arc Lyra
Ximenes, Ricardo Arraes de Alencar
Miranda, Demócrito de Barros
de Melo, Heloísa Ramos Lacerda
de Albuquerque, Maria de Fátima Pessoa Militão
Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title_full Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title_fullStr Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title_full_unstemmed Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title_short Use of the Coding Causes of Death in HIV in the classification of deaths in Northeastern Brazil
title_sort use of the coding causes of death in hiv in the classification of deaths in northeastern brazil
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602274/
https://www.ncbi.nlm.nih.gov/pubmed/28954163
http://dx.doi.org/10.11606/S1518-8787.2017051000124
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