Concordância da causa básica e da evitabilidade dos óbitos infantis antes e após a investigação no Recife, Pernambuco, 2014*

Lays Janaina Prazeres Marques, Dayane da Rocha Pimentel, Conceição Maria de Oliveira, Mirella Bezerra Rodrigues Vilela, Paulo Germano Frias, Cristine Vieira do Bonfim

to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation. investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted. 183 infant deaths were analyzed, of which 117 (63.9%) had the underlying cause revised; before the investigation, 170 (92.2%) deaths were considered preventable, and after investigation, 178 (97.3%); there was reasonable agreement (0.338) regarding the underlying causes of death, and moderate (0.439) for preventability. infant mortality surveillance enabled the improvement of vital events information, contributing to the progress in the specification of underlying causes of death and in the preventability of infant death.