Universidade Federal do Rio de Janeiro - Cardiologia, Rio de Janeiro, RJ - Brasil.
Arq Bras Cardiol. 2021 Nov;117(5):944-951. doi: 10.36660/abc.20200902.
Studies on mortality from heart failure (HF) in Brazil and in the country's Geographic Regions (GRs) are scarce.
To analyze the temporal progression of HF mortality rates by sex and age group in Brazil and its GRs and Federative Units (FUs) from 1980 to 2018, and the associations between mortality rates at each FU and the Municipal Human Development Index (MHDI).
Time series analysis of deaths due to HF categorized by sex and age groups in Brazil and Brazilian GRs and FUs from 1980 to 2018. Death and population data were obtained from the DATASUS for estimation of crude and standardized mortality rates per 100,000 inhabitants (direct method, Brazilian population in the year 2000). We calculated the 3-year moving averages of the standardized rates. The MHDIs of the FUs in 1991 and 2010 were obtained from Atlas Brasil and were correlated with mortality rates using Pearson's correlation at a 5% significance level.
Mortality due to HF decreased in Brazil after 2008, reaching a similar level at the end of 2018 in the GRs and FUs, and was higher in men during almost all periods and age groups, except for those over the age of 60 years after 1995 in the South region. There was an inverse relationship between MHDI and reduction in mortality rates (0.73).
There was a progressive reduction in mortality rates due to HF in Brazil from 2008 to 2018, with similar levels in 2018 in the GRs and FUs and higher rates in men. These reductions appear to be related more to the 2010 MHDI than the percentage increase over time.
关于巴西和其地理区域（GRs）心力衰竭（HF）死亡率的研究很少。
分析 1980 年至 2018 年巴西及其 GRs 和联邦单位（FUs）按性别和年龄组划分的 HF 死亡率的时间变化趋势，以及每个 FU 的死亡率与城市人类发展指数（MHDIs）之间的关系。
对 1980 年至 2018 年巴西和巴西 GRs 和 FUs 按性别和年龄组分类的 HF 死亡人数进行时间序列分析。死亡和人口数据来自 DATASUS，用于估计每 10 万人的粗死亡率和标准化死亡率（直接法，2000 年巴西人口）。我们计算了标准化率的 3 年移动平均值。1991 年和 2010 年 FU 的 MHDIs 从 Atlas Brasil 获得，并使用 Pearson 相关系数在 5%的显著性水平上与死亡率进行相关分析。
2008 年后，巴西因 HF 导致的死亡率下降，2018 年底在 GRs 和 FUs 中达到相似水平，且在几乎所有时期和年龄组中，男性死亡率均高于女性，除了 1995 年后南部地区 60 岁以上的人群。MHDIs 与死亡率降低呈负相关（0.73）。
2008 年至 2018 年，巴西因 HF 导致的死亡率呈渐进式下降，2018 年在 GRs 和 FUs 中达到相似水平，男性死亡率较高。这些减少似乎与 2010 年的 MHDIs 有关，而不是与随时间的百分比增加有关。
