Journal Information
Vol. 9. Issue 50.
Pages 302-310 (September - October 1995)
Vol. 9. Issue 50.
Pages 302-310 (September - October 1995)
Open Access
Los registros de mortalidad como fuente para, la detección de alteraciones de salud de, probable etiología laboral
Death Certificate Records as Source for the Detection of Probable Occupational Health Disorders
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Carlos Ruiz Frutos1,*, Carmen Garcia Gil2
1 Departamento de Medicina Preventiva y Salud Pública. Universidad de Huelva
2 Departamento de Medicina Preventiva y Salud Pública. Universidad de Sevilla
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Resumen

El objetivo del estudio es valorar la utilidad de los registros de mortalidad existentes en Andalucía como fuente para la identificación de alteraciones de salud de «probable etiología laboral». Se ha adaptado y completado la metodología propuesta por Rutstein en 1983. Se examinaron los certificados de defunción inscritos en el Registro de Mortalidad del Ayuntamiento de Sevilla (período 1987–89) y el Registro de Mortalidad de Andalucía (período 1975–85), encontrándose que el 8,1% y el 8,6% de los certificados, respectivamente, tenían uno de los diagnósticos incluidos en la Lista de Sucesos Centinela en Salud Ocupacional («posible» etiología laboral). La buena cumplimentación del dato ocupación en el registro del Ayuntamiento de Sevilla ha permitido concluir su utilidad, para identificar muertes de «probable» etiología laboral, mientras que por motivo opuesto hemos concluido que el Registro de Mortalidad de Andalucía es poco útil, empeorándose aún más durante el último período estudiado (1980–85).

Palabras clave:
Sucesos centinela
Vigilancia
Epidemiología
Mortalidad
Certificados de defunción
Laboral
Summary

Study aim was to assess Andalucian death certificate records to find potential occupational disease problems. Methodology proposed by Rutstein (1983) has been adapted. We had checked Seville City Council Mortality Registry (1987–89) and Andalucian Mortality Registry (1975–85). In the former 8,1% of diagnoses and in the latter 8,6% of diagnoses have one included in the Sentinel Health Event (occupational) List. Accurate ocupation data in the Seville City Council Mortality provides appropRiate information about occupational diseases. Limitations of the occupational data in the Andalucian Mortality Registries make it impossible to find the majority of potential occupational diseases, and occupation data was even worse during the second period of study (1980–85).

Key words:
Sentinel events
Surveillance
Epidemiology
Mortality
Death certificates
Occupational
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