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0208/2024 - Determinants of Garbage Codes as the cause of death in a nationally representative cohort of older adults: ELSI-Brazil.
Determinantes de Códigos Garbage como causa da morte em coorte nacional representativa de adultos mais velhos: ELSI-Brasil.

Author:

• Elaine Leandro Machado - Machado, E. L. - <elainemachado77@gmail.com>
ORCID: https://orcid.org/0000-0002-3226-3476

Co-author(s):

• Juliana Vaz de Melo Mambrini - Mambrini, JVM - <juliana.mambrini@minas.fiocruz.br>
ORCID: https://orcid.org/0000-0002-0420-3062
• Tiago Campos Silva - Silva, T. C. - <tiago.campos@saude.mg.gov.br>
ORCID: https://orcid.org/0009-0009-9590-6617
• Luciana de Souza Braga - Braga, LS - <lucianaszbraga@gmail.com>
ORCID: https://orcid.org/0000-0003-4499-6316
• Giovanny Vinícius Araújo de França - de França, G. V. A. - <nutrigio@gmail.com>
ORCID: https://orcid.org/0000-0002-7530-2017
• Maria Fernanda Lima-Costa - Lima-Costa, MF - <lima-costa@cpqrr.fiocruz.br>
ORCID: https://orcid.org/0000-0002-3474-2980


Abstract:

Datathe ELSI-Brazil, conducted on a national sample of the population aged 50 or over, were used with the aim objective of examining the presence of garbage codes (CG) as a cause of death in the Mortality Information System (SIM) and their association with pre-existing sociodemographic and health characteristics. 872 deaths were identified among the 9,412 baseline participants in the cohort, of which 29.1% were classified as GC. Using Poisson regression adjusted for age and/or sex, it was observed that age (PR [Prevalence Ratio] 1.45; 95% CI 1.04-2.01 and PR=1.46; 95% CI 1.05- 2.03, for 70-79 and 80+ years, respectively), race/brown color (RP= 1 .27; 95% CI 1.01-1.61), previous medical diagnosis of stroke (PR = 1.53; 95% CI 1.21-1.94) and functional limitation (PR = 1.41; CI 95 % 1.34-1.73) were associated with GC registration. These results suggest that actions aimed at identifying the chain of events that result in stroke and/or functional limitation may have an impact on improving the recording of the underlying cause of death among older Brazilian adults.

Keywords:

Cohort Study, Aging, Mortality Records, Causes of Death.

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Machado, E. L., Mambrini, JVM, Silva, T. C., Braga, LS, de França, G. V. A., Lima-Costa, MF. Determinants of Garbage Codes as the cause of death in a nationally representative cohort of older adults: ELSI-Brazil.. Cien Saude Colet [periódico na internet] (2024/May). [Citado em 05/12/2025]. Está disponível em: http://www.cienciaesaudecoletiva.com.br/en/articles/determinants-of-garbage-codes-as-the-cause-of-death-in-a-nationally-representative-cohort-of-older-adults-elsibrazil/19256?id=19256



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