Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.

We evaluated the sensitivity of the dengue surveillance system in detecting hospitalized cases in ten capital cities in Brazil from 2008 to 2013 using a probabilistic record linkage of two independent information systems hospitalization (SIH-SUS) adopted as the gold standard and surveillance (SINAN)...

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Main Authors: Giovanini Evelim Coelho, Priscila Leite Leal, Matheus de Paula Cerroni, Ana Cristina Rocha Simplicio, João Bosco Siqueira
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-05-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC4871568?pdf=render
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author Giovanini Evelim Coelho
Priscila Leite Leal
Matheus de Paula Cerroni
Ana Cristina Rocha Simplicio
João Bosco Siqueira
author_facet Giovanini Evelim Coelho
Priscila Leite Leal
Matheus de Paula Cerroni
Ana Cristina Rocha Simplicio
João Bosco Siqueira
author_sort Giovanini Evelim Coelho
collection DOAJ
description We evaluated the sensitivity of the dengue surveillance system in detecting hospitalized cases in ten capital cities in Brazil from 2008 to 2013 using a probabilistic record linkage of two independent information systems hospitalization (SIH-SUS) adopted as the gold standard and surveillance (SINAN). Sensitivity was defined as the proportion of cases reported to the surveillance system amid the suspected hospitalized cases registered in SIH-SUS. Of the 48,174 hospitalizations registered in SIH-SUS, 24,469 (50.7%) were reported and registered in SINAN, indicating an overall sensitivity of 50.8% (95%CI 50.3-51.2). The observed sensitivity for each of the municipalities included in the study ranged from 22.0% to 99.1%. The combination of the two data sources identified 71,161 hospitalizations, an increase of 97.0% over SINAN itself. Our results allowed establishing the proportion of underreported dengue hospitalizations in the public health system in Brazil, highlighting the use of probabilistic record linkage as a valuable tool for evaluating surveillance systems.
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spelling doaj.art-a89a9d44a8f4423baa5c70e587e5f9632022-12-21T19:03:08ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352016-05-01105e000470510.1371/journal.pntd.0004705Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.Giovanini Evelim CoelhoPriscila Leite LealMatheus de Paula CerroniAna Cristina Rocha SimplicioJoão Bosco SiqueiraWe evaluated the sensitivity of the dengue surveillance system in detecting hospitalized cases in ten capital cities in Brazil from 2008 to 2013 using a probabilistic record linkage of two independent information systems hospitalization (SIH-SUS) adopted as the gold standard and surveillance (SINAN). Sensitivity was defined as the proportion of cases reported to the surveillance system amid the suspected hospitalized cases registered in SIH-SUS. Of the 48,174 hospitalizations registered in SIH-SUS, 24,469 (50.7%) were reported and registered in SINAN, indicating an overall sensitivity of 50.8% (95%CI 50.3-51.2). The observed sensitivity for each of the municipalities included in the study ranged from 22.0% to 99.1%. The combination of the two data sources identified 71,161 hospitalizations, an increase of 97.0% over SINAN itself. Our results allowed establishing the proportion of underreported dengue hospitalizations in the public health system in Brazil, highlighting the use of probabilistic record linkage as a valuable tool for evaluating surveillance systems.http://europepmc.org/articles/PMC4871568?pdf=render
spellingShingle Giovanini Evelim Coelho
Priscila Leite Leal
Matheus de Paula Cerroni
Ana Cristina Rocha Simplicio
João Bosco Siqueira
Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
PLoS Neglected Tropical Diseases
title Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
title_full Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
title_fullStr Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
title_full_unstemmed Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
title_short Sensitivity of the Dengue Surveillance System in Brazil for Detecting Hospitalized Cases.
title_sort sensitivity of the dengue surveillance system in brazil for detecting hospitalized cases
url http://europepmc.org/articles/PMC4871568?pdf=render
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