Soares Gabriel Porto, Brum Júlia Dias, Oliveira Gláucia Maria Moraes de, Klein Carlos Henrique, Silva Nelson Albuquerque de Souza E
Universidade Federal do Rio de Janeiro, Programade Pós-Graduação em Medicina (Cardiologia).
Rev Panam Salud Publica. 2010 Oct;28(4):258-66. doi: 10.1590/s1020-49892010001000004.
to evaluate mortality from all causes, diseases of the circulatory system (DCS), ischemic heart disease (IHD), and cerebrovascular diseases (CVD) from 1980 to 2006 in Rio de Janeiro, Rio Grande do Sul, São Paulo, and their capitals, taking into consideration the impact of deaths due to ill-defined causes.
population and mortality data were obtained from the Unified Health System's Data Bank (DATASUS). Mortality from the diseases of interest and from ill-defined causes was adjusted by the direct method for adults older than 20 years of age. Since the mortality rates from ill-defined causes increased markedly after 1990, proportional mortality rates from ill-defined causes were calculated. Linear regression models were used for analysis of trends.
a relevant decline in all-cause mortality was observed in the three states and capitals. Rio de Janeiro and its capital had the highest rates of all-cause mortality. DCS mortality declined more than all-cause mortality. Proportional mortality from ill-defined causes in Rio de Janeiro and its capital was higher than in all other states and capitals starting in 1990. CVD mortality fell in the study period, especially in Rio de Janeiro and its capital. The state of Rio de Janeiro also had the highest IHD mortality rates until 1993. Among the capitals, São Paulo presented the highest IHD mortality rates starting in 1992.
the decline in all-cause mortality resulted mainly from the decline in DCS mortality. In turn, the decline in DCS mortality was partly due to the reduction in CVD mortality, especially in the state of Rio de Janeiro.
评估1980年至2006年里约热内卢、南里奥格兰德、圣保罗及其首府因各种原因、循环系统疾病（DCS）、缺血性心脏病（IHD）和脑血管疾病（CVD）导致的死亡率，并考虑死因不明所致死亡的影响。
人口和死亡率数据来自统一卫生系统数据库（DATASUS）。采用直接法对20岁以上成年人的相关疾病和死因不明所致的死亡率进行调整。由于1990年后死因不明所致的死亡率显著上升，因此计算了死因不明所致的比例死亡率。使用线性回归模型分析趋势。
在这三个州及其首府均观察到全因死亡率的显著下降。里约热内卢及其首府的全因死亡率最高。DCS死亡率的下降幅度超过了全因死亡率。自1990年起，里约热内卢及其首府死因不明所致的比例死亡率高于所有其他州及其首府。在研究期间，CVD死亡率下降，尤其是在里约热内卢及其首府。直到1993年，里约热内卢州的IHD死亡率也最高。在各首府中，自1992年起圣保罗的IHD死亡率最高。
全因死亡率的下降主要是由于DCS死亡率的下降。反过来，DCS死亡率的下降部分归因于CVD死亡率的降低，尤其是在里约热内卢州。
