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巴西近期哮喘死亡率上升:公共卫生系统的一个警示信号。

Recent increase in asthma mortality in Brazil: a warning sign for the public health system.

作者信息

Brum Marcos, Henz Jordana, Boeira Mariana, Soares Simoni, Friedrich Frederico, Pitrez Paulo Márcio

机构信息

. Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS - Porto Alegre (RS) Brasil.

. Santa Casa de Misericórdia de Porto Alegre, Pavilhão Pereira Filho, Porto Alegre (RS) Brasil.

出版信息

J Bras Pneumol. 2024 Dec 6;50(5):e20240138. doi: 10.36416/1806-3756/e20240138. eCollection 2024.

DOI:10.36416/1806-3756/e20240138
PMID:39661833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11601068/
Abstract

OBJECTIVE

To provide an update on asthma mortality trends in Brazil and its regions between 2014 and 2021.

METHODS

This was a retrospective descriptive observational study based on asthma mortality data from the Brazilian National Ministry of Health Mortality Database for the 2014-2021 period.

RESULTS

In the study period, there were 18,584 asthma deaths in Brazil, with an annual increase of 2.5%, corresponding to 0.03 deaths/100,000 population (95% CI, 0.01-0.04; p = 0.01). The northeastern region of the country had the highest prevalence of asthma deaths (1.50 deaths/100,000 population), and the southern region showed the greatest variation in the study period (44%). We observed a higher proportion of deaths among females and elderly patients, and when analyzing asthma deaths by place of occurrence, we observed that 28% of all deaths occurred at home.

CONCLUSIONS

Asthma mortality remains high and shows an increasing trend for the first time in the past decades. This constitutes an important public health concern, given the treatable nature of the disease.

摘要

目的

提供2014年至2021年巴西及其各地区哮喘死亡率趋势的最新情况。

方法

这是一项基于巴西国家卫生部2014 - 2021年期间死亡率数据库中哮喘死亡率数据的回顾性描述性观察研究。

结果

在研究期间,巴西有18584例哮喘死亡病例,年增长率为2.5%,相当于每10万人中有0.03例死亡(95%置信区间,0.01 - 0.04;p = 0.01)。该国东北部地区哮喘死亡率最高(每10万人中有1.50例死亡),南部地区在研究期间变化最大(44%)。我们观察到女性和老年患者的死亡比例较高,在按发生地点分析哮喘死亡情况时,我们发现所有死亡病例中有28%发生在家中。

结论

哮喘死亡率仍然很高,并且在过去几十年中首次呈现上升趋势。鉴于该疾病的可治疗性,这构成了一个重要的公共卫生问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/0b8dd65dba4c/1806-3756-jbpneu-50-05-e20240138-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/6b1c86be2a6c/1806-3756-jbpneu-50-05-e20240138-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/e26f76674a2a/1806-3756-jbpneu-50-05-e20240138-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/eec6719b5e60/1806-3756-jbpneu-50-05-e20240138-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/af69716e3b1e/1806-3756-jbpneu-50-05-e20240138-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/dc2f05415a94/1806-3756-jbpneu-50-05-e20240138-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/0b8dd65dba4c/1806-3756-jbpneu-50-05-e20240138-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/6b1c86be2a6c/1806-3756-jbpneu-50-05-e20240138-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/e26f76674a2a/1806-3756-jbpneu-50-05-e20240138-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/eec6719b5e60/1806-3756-jbpneu-50-05-e20240138-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/af69716e3b1e/1806-3756-jbpneu-50-05-e20240138-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/dc2f05415a94/1806-3756-jbpneu-50-05-e20240138-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac87/11601068/0b8dd65dba4c/1806-3756-jbpneu-50-05-e20240138-gf6.jpg

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