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. 2016 Mar-Apr;20(2):149-54.
doi: 10.1016/j.bjid.2015.11.010. Epub 2016 Feb 2.

Georeferencing of deaths from sepsis in the city of São Paulo

Décio Diament  1 , Fernando Colombari  2 , Adriana Serra Cypriano  2 , Luis Fernando Lisboa  2 , Bento Fortunato Cardoso Dos Santos  2 , Miguel Cendoroglo Neto  2 , Ary Serpa Neto  2 , Eliezer Silva  2
Affiliations

Georeferencing of deaths from sepsis in the city of São Paulo

Décio Diament et al. Braz J Infect Dis. 2016 Mar-Apr.

Abstract

Objective: The aim of the present study was to obtain information about deaths due to sepsis in São Paulo from 2004 to 2009 and their relationship with geographical distribution.

Methods: Causes of death, both main and secondary, were defined according to the codes of the International Classification of Disease version 10 (ICD-10) contained in the database. Sepsis, septic shock, multiple organ failure, pneumonia, urinary tract infection, peritonitis and other intraabdominal infections, skin and soft tissue infections (including surgical wound infection) and meningitis were considered as immediate cause of death or as the condition leading to the immediate cause of death related or associated to sepsis.

Results: In the analyzed period, there was a 15.3% increase in the absolute number of deaths from sepsis in São Paulo. The mean number of deaths during this period was 28,472±1566. Most deaths due to sepsis and sepsis-related diseases over the studied period occurred in a hospital or health care facility, showing that most of the patients received medical care during the event that led to death. We observed a significant concentration of deaths in the most populous regions, tending more toward the center of the city.

Conclusions: Georeferencing data from death certificates or other sources can be a powerful tool to uncover regional epidemiological differences between populations. Our study revealed an even distribution of sepsis all over the inhabited areas of São Paulo.

Keywords: Georeferencing; Infection; Mortality; Sepsis.

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Figures

Fig. 1
Fig. 1
(A) Estimated São Paulo city population density in 2009; (B) estimated human development index by city districts in 2009; (C) total distribution of deaths due to sepsis and illnesses potentially related to sepsis in São Paulo in 2009.
Fig. 2
Fig. 2
(A) Georeferencing origin–destiny of deaths occurring in the seven private hospitals with the highest mortality; (B) Georeferencing origin–destiny of deaths occurring in the seven public hospitals with the highest mortality.
See this image and copyright information in PMC

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