<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742020000200050</article-id>
<article-id pub-id-type="doi">10.5123/s1679-49742020000200001</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Análise da aplicação de uma rotina determinística para a identificação de gestações múltiplas no Sistema de Informações sobre Nascidos Vivos]]></article-title>
<article-title xml:lang="es"><![CDATA[Análisis de la aplicación de una rutina determinista para la identificación de gestaciones múltiples en el Sinasc, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of the application of a deterministic routine for identifying multiple pregnancies on SINASC, Brazil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[Fernanda Pinheiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[Patrícia Viana Guimarães]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillen]]></surname>
<given-names><![CDATA[Luis Carlos Torres]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Helena Pereira da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Luís Guilherme Santos Buteri]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camargo Jr]]></surname>
<given-names><![CDATA[Kenneth Rochel de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[Rejane Sobrino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coeli]]></surname>
<given-names><![CDATA[Cláudia Medina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Rio de Janeiro Programa de Pós-Graduação em Saúde Coletiva ]]></institution>
<addr-line><![CDATA[Rio de Janeiro RJ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministério da Saúde Hospital Federal de Bonsucesso ]]></institution>
<addr-line><![CDATA[Rio de Janeiro RJ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Estado do Rio de Janeiro Instituto de Medicina Social ]]></institution>
<addr-line><![CDATA[Rio de Janeiro RJ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742020000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742020000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742020000200050&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  analisar a aplicação de rotina determinística na identificação de gemelares no Sistema de Informações sobre Nascidos Vivos (Sinasc) do Brasil.  Métodos:  de duplicação do Sinasc e linkage com a base de mortalidade (óbitos fetais) do estado do Rio de Janeiro, 2007-2008; empregou-se rotina determinística mediante chave baseada em informações maternas e do nascimento (Sinasc), complementada por revisão manual.  Resultados:  dos 433.874 registros do Sinasc, 9.036 (2,1%) estavam classificados como nascidos vivos de gravidez múltipla; após implementação da rotina proposta, foram reclassificados como gemelares 385 registros e 286 como não gemelares; a acurácia da informação de gestação múltipla no Sinasc foi boa (sensibilidade=95,8%; especificidade=99,9%); a aplicação da rotina, sem a etapa de revisão manual, aumentou a sensibilidade em 4,2%, sem mudança importante da especificidade.  Conclusão:  a despeito de a acurácia da informação sobre gestação múltipla no Sinasc ser boa, sugere-se o emprego dessa rotina como opção para melhorar a classificação dos gemelares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  evaluación de la aplicación de rutina determinista en la identificación de gestación gemelar en el Sistema de Información sobre Nacidos Vivos (Sinasc) de Brasil.  Métodos:  de duplicación del Sinasc y conexión con la base de mortalidad (muertes fetales), en el estado del Rio de Janeiro, 2007-2008; se empleó una rutina determinista por medio de clave con informaciones maternas y del nacimiento (Sinasc), complementada por revisión manual.  Resultados:  de 433.874 registros del Sinasc, 9.036 (2,1%) estaban clasificados como recién nacidos de gestación múltiple; después de la implementación de la rutina sugerida, 385 registros fueron reclasificados como gemelares y 286 como no gemelares; la exactitud de la información de gestación múltiple en el Sinasc fue buena (sensibilidad=95,8%; especificidad=99,9%); la aplicación de la rutina sin la etapa de revisión manual, aumentó la sensibilidad en 4,2%, sin cambio importante de la especificidad.  Conclusión:  a pesar de la exactitud de la información sobre gestación múltiple en el Sinasc haber sido buena, sugerimos el uso de esta rutina como una opción para mejorar la clasificación de los gemelares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  to evaluate the application of a deterministic routine for identifying multiple pregnancies on the Brazilian Live Birth Information System (SINASC).  Methods:  SINASC data deduplication and linkage with the mortality database (fetal deaths) for Rio de Janeiro state for the period 2007-2008; we used a deterministic routine, using a key based on SINASC maternal and birth information, complemented by manual review.  Results:  of the 433,874 SINASC records, 9,036 (2.1%) were classified as multiple pregnancy newborns; after implementing the routine, we reclassified 385 records as twins, and 286 as singletons; accuracy of multiple pregnancy information on the SINASC database was high (sensitivity=95.8%; specificity=99.9%); applying the routine without the manual review process increased sensitivity by 4.2%, with no significant change of specificity.  Conclusion:  despite the accuracy of information regarding multiple pregnancy held on SINASC, we suggest the use of this routine as an option for improving classification of twins.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Sistemas de Informação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Integração de Sistemas]]></kwd>
<kwd lng="pt"><![CDATA[Avaliação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Gravidez Múltipla]]></kwd>
<kwd lng="es"><![CDATA[Sistemas de Información en Salud]]></kwd>
<kwd lng="es"><![CDATA[Integración de Sistemas]]></kwd>
<kwd lng="es"><![CDATA[Evaluación en Salud]]></kwd>
<kwd lng="es"><![CDATA[Embarazo Múltiple]]></kwd>
<kwd lng="en"><![CDATA[Health Information Systems]]></kwd>
<kwd lng="en"><![CDATA[Systems Integration]]></kwd>
<kwd lng="en"><![CDATA[Health Evaluation]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy, Multiple]]></kwd>
</kwd-group>
</article-meta>
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