Graduate Program in Nursing, Faculty of Nursing, Federal University of Goiás, Goiânia, Goiás, Brazil.
Graduate Program in Health Sciences, Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil.
J Thromb Thrombolysis. 2023 Jan;55(1):156-165. doi: 10.1007/s11239-022-02724-3. Epub 2022 Nov 6.
Aging is one of the main risk factors for venous thromboembolism (VTE). Changes in prevention, diagnosis, and treatment strategies for this condition in recent years require an analysis of its rates in health services. The objective of this study was to analyze a temporal trend of hospitalizations for VTE in Brazilian older adults. This ecological time series study used data from the Hospital Information System (HIS) on VTE hospitalizations from 2010 to 2020, selecting admissions with the main diagnosis of pulmonary thromboembolism (PTE) (I.26.0, I.26.9) and deep vein thrombosis (DVT) (I.80.0, I80.1, I80.2, I80.3, I80.8, I80.9). Hospitalization rates were calculated for each year and the Prais-Winsten. In Brazil, the trend of hospitalizations for VTE decreased, with an annual percentage change of - 40.71 (confidence interval [CI] - 50.46; - 29.04). DVT decreased, with an annual percentage change of - 43.14 (95% confidence interval [CI] - 51.36; - 33.54). All Brazilian regions showed a downward trend in hospitalizations for VTE and DVT, except for the Northeast region, which remained stable. Conversely, the trend of hospitalizations for PTE showed an upward in Brazil, with an annual percentage change of 4.33 (95% CI 1.26; 7.48). An upward trend was observed in hospitalizations for PTE in the Northeast region, and a stationary trend was observed in the other regions. The results showed a downward trend in hospitalization rates for DVT and an upward trend for PTE. The study indicates regional differences in rates and trends.
老龄化是静脉血栓栓塞症 (VTE) 的主要危险因素之一。近年来，该疾病预防、诊断和治疗策略的变化要求对其在卫生服务中的发生率进行分析。本研究旨在分析巴西老年人群 VTE 住院率的时间趋势。这是一项生态时间序列研究，使用来自医院信息系统 (HIS) 的 VTE 住院数据，选择主要诊断为肺血栓栓塞症 (PTE) (I.26.0、I.26.9) 和深静脉血栓形成 (DVT) (I.80.0、I80.1、I80.2、I80.3、I80.8、I80.9) 的住院病例。计算了每年的住院率和 Prais-Winsten。在巴西，VTE 住院率呈下降趋势，年变化百分比为-40.71%（置信区间 [CI] -50.46%；-29.04%）。DVT 下降，年变化百分比为-43.14%（95%置信区间 [CI] -51.36%；-33.54%）。除了保持稳定的东北部地区外，巴西所有地区的 VTE 和 DVT 住院率均呈下降趋势。相反，巴西的 PTE 住院率呈上升趋势，年变化百分比为 4.33%（95%CI 1.26%；7.48%）。东北部地区 PTE 的住院率呈上升趋势，其他地区呈稳定趋势。结果显示 DVT 的住院率呈下降趋势，PTE 的住院率呈上升趋势。该研究表明住院率和趋势存在地区差异。
