巴西心血管疾病住院患者特征：一项纵向研究。

Characterization of Brazilian hospital admissions due to cardiovascular diseases: a longitudinal study.

机构信息

Programa de Pós Graduação em Ciências da Reabilitação, Faculdade de Ciências da Saúde do Trairi (FACISA)/Universidade Federal do Rio Grande do Norte (UFRN), Rua Vila do Trairi S/N, CEP, Santa Cruz, Rio Grande do Norte, 59200-000, Brazil.

出版信息

BMC Cardiovasc Disord. 2020 Jun 29;20(1):311. doi: 10.1186/s12872-020-01588-w.

DOI:10.1186/s12872-020-01588-w

PMID:32600334

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7325147/

Abstract

BACKGROUND

Cardiovascular diseases (CVD) are the main cause of death and comorbidities worldwide. It is estimated that three quarters of all deaths related to CVD occur in low and middle income countries such as Brazil. Furthermore, it is estimated that emerging countries will present the highest worldwide prevalence of such diseases by 2050. In view of the above, this study aims to characterize Brazilian hospital admission distribution classified by the ICD-10 in adults between 2008 and 2017 in Brazil.

METHODS

This is a longitudinal descriptive study in which all data regarding hospital admissions registered in the Brazilian Hospital Information System of "Sistema Único de Saúde" (SIH/SUS) due to cardiovascular diseases (ICD-10) were included. All admissions from private or public services linked to the SUS from 2008 and 2017 were evaluated. The following variables were collected: number of hospital admissions, place of hospitalization classified by the ICD-10 and mortality rate at the federal level and according to regions. Absolute values and frequency of hospital admissions were grouped according to sex, age and living region as well as the number of deaths. The extracted data was stored in a Microsoft Excel 2013 program spreadsheet. Statistical analysis was performed by GraphPad Prism version 5.0 software.

RESULTS

There was a total of 11,345,821 hospital admissions due to CVD registered between 2008 and 2017. Individuals from 50 to 79 years old were the most affected. Heart failure (21.3%), other ischemic heart diseases (13.3%) and stroke (11.4%) were responsible for almost half of the hospital admissions associated to CVD. The number of registered deaths caused by any CVD was 867,838 and the national mortality rate was 7.82.

CONCLUSION

CVD were responsible for around 10% of all hospital admissions in Brazil between 2008 and 2017. Moreover, it was possible to observe a decrease in hospital admissions as well as mortality rate over time after implementing governmental strategies to prevent cardiovascular diseases.

摘要

背景

心血管疾病（CVD）是全球范围内主要的死亡和合并症原因。据估计，四分之三与 CVD 相关的死亡发生在巴西等中低收入国家。此外，据估计，到 2050 年，新兴国家将出现全球 CVD 发病率最高的情况。鉴于上述情况，本研究旨在对 2008 年至 2017 年期间巴西成年人按 ICD-10 分类的住院分布情况进行特征描述。

方法

这是一项纵向描述性研究，其中纳入了巴西“单一健康系统”（Sistema Único de Saúde，SUS）的巴西医院信息系统（SIH/SUS）中因心血管疾病（ICD-10）而登记的所有住院数据。评估了 2008 年至 2017 年期间来自 SUS 私立或公立医院的所有住院治疗。收集了以下变量：住院人数、按 ICD-10 分类的住院地点和死亡率（按联邦和地区分类）。根据性别、年龄和居住地区以及死亡人数对住院人数和频率进行了分组。提取的数据存储在 Microsoft Excel 2013 程序电子表格中。使用 GraphPad Prism 版本 5.0 软件进行统计分析。

结果

2008 年至 2017 年期间共登记了 11345821 例 CVD 住院治疗。50 至 79 岁的个体受影响最大。心力衰竭（21.3%）、其他缺血性心脏病（13.3%）和中风（11.4%）导致近一半的 CVD 相关住院治疗。任何 CVD 引起的死亡人数为 867838 人，全国死亡率为 7.82%。