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      Distribuição Espacial de Mortalidade por Insuficiência Cardíaca no Brasil, 1996-2017

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Resumo

          Fundamento

          Insuficiência cardíaca (IC) é uma das principais causas de mortalidade e morbidade no mundo, e está associada ao alto uso de recursos e custos com saúde. No Brasil, a prevalência de IC é de aproximadamente 2 milhões de pacientes, e sua incidência é de aproximadamente 240.000 novos casos por ano.

          Objetivo

          A investigação objetivou analisar a tendência espaço-temporal da mortalidade causada por IC no Brasil, de 1996 a 2017.

          Métodos

          Este é um estudo ecológico desenvolvido com dados secundários sobre mortalidade por IC no Brasil. Durante o período, 1.242.014 casos de morte causada por IC foram analisados. A existência da autocorrelação espacial de casos foi calculada utilizando o Índice de Moran Global (IMG) e, quando significativo, o Índice de Moran Local, considerando p <0,05. O risco relativo dos grupos foi calculado.

          Resultados

          A taxa de mortalidade causada por IC foi diversificada em regiões brasileiras, com ênfase no sul, sudeste e nordeste. O IMG indicou autocorrelação espacial positiva (p=0,01) em todos os períodos. Cidades localizadas no sul, sudeste, nordeste e centro-oeste mostraram maior risco relativo para mortalidade causada por IC, e a maioria das cidades do norte foi classificada como um fator protetivo contra esta causa de morte.

          Conclusões

          O estudo demonstrou declínio nas taxas de mortalidade no território nacional. A maior concentração de taxas de mortalidade está nas regiões norte e nordeste, enfatizando as áreas prioritárias de vulnerabilidade no planejamento e estratégias de controle de serviços de saúde.

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          Most cited references37

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          2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

          Piotr Ponikowski, Adriaan A. Voors, Stefan D. Anker … (2016)
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            Cardiovascular Health in Brazil: Trends and Perspectives.

            Antonio Luiz P. Ribeiro, Bruce Duncan, Luisa Brant … (2016)
            Brazil is a large country, with an evolving economy, but marked social inequalities. The population is formed by an admixture of native Brazilians, Europeans, and Africans; is predominantly urban; and faces rapid aging. Time trends related to health behaviors show a substantial reduction in smoking rates, but a rising prevalence of overweight and obesity, unhealthy eating habits, and insufficient physical activity. The high prevalence of hypertension and the increasing prevalence of diabetes mellitus are also causes for concern. Cardiovascular disease (CVD) has been the leading cause of mortality since the 1960s and has accounted for a substantial percentage of all hospitalizations. In 2011, CVD was responsible for 31% of all deaths, with ischemic heart disease (31%) and cerebrovascular diseases (30%) being the leading CVD causes. Despite an increase in the overall number of CVD deaths, the age-adjusted mortality rates for CVD declined 24% between 2000 and 2011. Health care delivered by Brazil's universal public health system, which focuses on primary prevention, has contributed to this achievement. However, the decline in age-adjusted mortality differs according to race, sex, and socioeconomic status with black individuals and lower-income populations sustaining the greatest impact of CVD, especially at younger ages. With one of the world's largest public health systems in terms of population coverage, Brazil has the means to implement actions to confront the high burden of CVD, focusing on health promotion and comprehensive care. Insufficient funding, low education levels, and social inequalities remain as the main barriers to be overcome.
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              I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes

              Denilson de Albuquerque, João de Souza-Neto, Fernando Bacal … (2015)
              Background Heart failure (HF) is one of the leading causes of hospitalization in adults in Brazil. However, most of the available data is limited to unicenter registries. The BREATHE registry is the first to include a large sample of hospitalized patients with decompensated HF from different regions in Brazil. Objective Describe the clinical characteristics, treatment and prognosis of hospitalized patients admitted with acute HF. Methods Observational registry study with longitudinal follow-up. The eligibility criteria included patients older than 18 years with a definitive diagnosis of HF, admitted to public or private hospitals. Assessed outcomes included the causes of decompensation, use of medications, care quality indicators, hemodynamic profile and intrahospital events. Results A total of 1,263 patients (64±16 years, 60% women) were included from 51 centers from different regions in Brazil. The most common comorbidities were hypertension (70.8%), dyslipidemia (36.7%) and diabetes (34%). Around 40% of the patients had normal left ventricular systolic function and most were admitted with a wet-warm clinical-hemodynamic profile. Vasodilators and intravenous inotropes were used in less than 15% of the studied cohort. Care quality indicators based on hospital discharge recommendations were reached in less than 65% of the patients. Intrahospital mortality affected 12.6% of all patients included. Conclusion The BREATHE study demonstrated the high intrahospital mortality of patients admitted with acute HF in Brazil, in addition to the low rate of prescription of drugs based on evidence.
              Article 0 comments Cited 77 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Arq Bras Cardiol
                Journal ID (iso-abbrev): Arq Bras Cardiol
                Journal ID (publisher-id): abc
                Title: Arquivos Brasileiros de Cardiologia
                Publisher: Sociedade Brasileira de Cardiologia - SBC
                ISSN (Print): 0066-782X
                ISSN (Electronic): 1678-4170
                Publication date (Electronic, pub): 17 November 2021
                Publication date (Electronic, collection): January 2022
                Volume: 118
                Issue: 1
                Pages: 41-51
                Affiliations
                [1 ] orgnameUniversidade Estadual do Ceará orgdiv1Programa de Pós-Graduação Cuidados Clínicos em Enfermagem e Saúde Fortaleza CE Brasil original Universidade Estadual do Ceará - Programa de Pós-Graduação Cuidados Clínicos em Enfermagem e Saúde , Fortaleza , CE – Brasil
                [2 ] orgnameUniversidade Estadual do Piauí Teresina Piauí Brasil original Universidade Estadual do Piauí – Enfermagem, Teresina , Piauí – Brasil
                [3 ] orgnameHospital de Messejana Dr. Carlos Alberto Studart Gomes Fortaleza CE Brasil original Hospital de Messejana Dr. Carlos Alberto Studart Gomes , Fortaleza , CE – Brasil l
                [4 ] orgnameUniversidade Estadual do Ceará orgdiv1Centro de Educação Fortaleza CE Brasil original Universidade Estadual do Ceará - Centro de Educação , Fortaleza , CE – Brasil
                [1 ] Brazil original Universidade Estadual do Ceará - Programa de Pós-Graduação Cuidados Clínicos em Enfermagem e Saúde, Fortaleza, CE – Brazil
                [2 ] Brazil original Universidade Estadual do Piauí – Enfermagem, Teresina, Piauí – Brazil
                [3 ] Brazil original Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE – Brazil
                [4 ] Brazil original Universidade Estadual do Ceará - Centro de Educação, Fortaleza, CE – Brazil
                Author notes
                Correspondência: Thiago Santos Garces • Universidade Estadual do Ceará – Enfermagem - Av. Dr. Silas Munguba, 1700. CEP 60714-903, Itaperi, Fortaleza, CE – Brasil E-mail: thiagogarces0812@ 123456hotmail.com

                Contribuição dos autores

                Concepção e desenho da pesquisa: Cestari VRF, Garces TS, Maranhão TA, Souza Neto JD, Pereira MLD, Pessoa VLMP, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV, Moreira TMM; Obtenção de dados: Cestari VRF, Garces TS, Sousa GJB; Análise e interpretação dos dados: Cestari VRF, Garces TS, Sousa GJB, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV; Análise estatística: Garces TS, Sousa GJB, Maranhão TA; Redação do manuscrito: Cestari VRF, Sales JTL, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV, Damasceno LLV; Revisão crítica do manuscrito quanto ao conteúdo intelectual importante: Maranhão TA, Souza Neto JD, Pereira MLD, Pessoa VLMP, Sales JTL, Florêncio RS, Damasceno LLV, Moreira TMM.

                Potencial conflito de interesse

                Não há conflito com o presente artigo

                Mailing Address: Thiago Santos Garces • Universidade Estadual do Ceará – Enfermagem - Av. Dr. Silas Munguba, 1700. Postal Code 60714-903, Itaperi, Fortaleza, CE – Brazil E-mail: thiagogarces0812@hotmail.com

                Author Contributions

                Conception and design of the research: Cestari VRF, Garces TS, Maranhão TA, Souza Neto JD, Pereira MLD, Pessoa VLMP, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV, Moreira TMM; Acquisition of data: Cestari VRF, Garces TS, Sousa GJB; Analysis and interpretation of the data: Cestari VRF, Garces TS, Sousa GJB, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV; Statistical analysis: Garces TS, Sousa GJB, Maranhão TA; Writing of the manuscript: Cestari VRF, Sales JTL, Florêncio RS, Souza LC, Vasconcelos GG, Sobral MGV, Damasceno LLV; Critical revision of the manuscript for intellectual content: Maranhão TA, Souza Neto JD, Pereira MLD, Pessoa VLMP, Sales JTL, Florêncio RS, Damasceno LLV, Moreira TMM.

                Potential Conflict of Interest

                No potential conflict of interest relevant to this article was reported.

                Author information
                https://orcid.org/0000-0002-7955-0894
                https://orcid.org/0000-0002-1670-725X
                https://orcid.org/0000-0003-0291-6613
                https://orcid.org/0000-0003-4003-1365
                https://orcid.org/0000-0003-3119-7187
                https://orcid.org/0000-0002-3338-9425
                https://orcid.org/0000-0003-1598-4412
                https://orcid.org/0000-0003-1754-1009
                https://orcid.org/0000-0003-1424-0649
                Article
                Publisher ID: abc.20201325
                DOI: 10.36660/abc.20201325
                PMC ID: 8959057
                PubMed ID: 35195207
                SO-VID: dff0ce88-663e-4194-94b3-e79184d8aca1
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 12 December 2020
                Date accepted : 24 February 2021
                Page count
                Figures: 10, Tables: 2, Equations: 0, References: 33
                Categories
                Subject: Artigo Original

                Keywords: insuficiência cardíaca,análise espacial,estudos ecológicos,epidemiologia
                Data availability:
                Keywords: insuficiência cardíaca, análise espacial, estudos ecológicos, epidemiologia

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