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1998-2019 年巴西儿童和青少年因哮喘住院和死亡的时间趋势。

Time trend of Brazilian hospital admissions and deaths due to asthma among children and teenagers, 1998-2019.

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), Santa Cruz, Rio Grande do Norte, Brazil.

出版信息

PLoS One. 2021 Mar 15;16(3):e0248472. doi: 10.1371/journal.pone.0248472. eCollection 2021.

DOI:10.1371/journal.pone.0248472
PMID:33720970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7959376/
Abstract

BACKGROUND

Asthma is one of the most prevalent non-communicable diseases worldwide. The aim of this study was to characterize the distribution of Brazilian hospital admissions due to asthma among children and teenagers between 1998 and 2019, as well as to analyze hospital admission incidence and mortality rate during the period according to the geographic region, age group and gender.

METHODS

This is a descriptive time trend study using secondary data regarding hospital admissions and lethality registered in the Brazilian System of Hospital Information of the Brazilian Public Health System (SIH/SUS) due to asthma (ICD-10) in subjects aged from 0 to 19 years old between 1998 and 2019. The following variables were collected: number and place of hospital admissions classified by the ICD-10, absolute values and frequency by age group, gender and lethality. Statistical analysis was performed by GraphPad Prism version 5.0 software.

RESULTS

The total number of hospital admissions due to asthma was 3,138,064. It was observed that children aged between 1 to 4 years, living in the Northeast region and males showed the highest number of hospitalizations. A 74.37% reduction over a 21-year period was found. The lethality rate found in the study was 0.06, with the highest rates being from the Northeast region, males and < 1-year-old.

CONCLUSION

Hospital admissions were more prevalent in young children, male gender and in the Northeast region. A decrease of hospital admissions and lethality rate was observed in all groups over time. This profile is important for implementing government strategies to lower hospital admissions and decrease costs.

摘要

背景

哮喘是全球最常见的非传染性疾病之一。本研究旨在描述 1998 年至 2019 年期间巴西因哮喘住院的儿童和青少年的分布情况,并分析该期间按地理位置、年龄组和性别划分的住院发病率和死亡率。

方法

这是一项使用巴西公共卫生系统医院信息系统(SIH/SUS)中因哮喘(ICD-10)住院和死亡率的二级数据进行的描述性时间趋势研究,纳入 1998 年至 2019 年期间 0 至 19 岁的患者。收集了以下变量:按 ICD-10 分类的住院人数和地点、按年龄组、性别和死亡率的绝对值和频率。统计分析使用 GraphPad Prism 版本 5.0 软件进行。

结果

因哮喘住院的总人数为 3,138,064 人。观察到 1 至 4 岁的儿童、居住在东北部地区和男性的住院人数最多。在 21 年期间,住院人数减少了 74.37%。研究中发现的死亡率为 0.06%,死亡率最高的是东北部地区、男性和<1 岁的患者。

结论

住院治疗更常见于幼儿、男性和东北部地区。随着时间的推移,所有组的住院人数和死亡率均呈下降趋势。这种情况对于实施政府降低住院率和降低成本的策略很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/60e3fe935cbd/pone.0248472.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/23f24009d3d0/pone.0248472.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/536d87d97537/pone.0248472.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/e1d9cd90157e/pone.0248472.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/c4793093175e/pone.0248472.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/3fb70ab80439/pone.0248472.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/60e3fe935cbd/pone.0248472.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/23f24009d3d0/pone.0248472.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/536d87d97537/pone.0248472.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/e1d9cd90157e/pone.0248472.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/c4793093175e/pone.0248472.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/3fb70ab80439/pone.0248472.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/7959376/60e3fe935cbd/pone.0248472.g006.jpg

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