The pace of reduction of cardiovascular mortality in Brazil (1990 to 2017) is slowing down

Lotufo, Paulo A.

doi:10.1590/1516-3180.2018.1371090219

Cited by 7 publications

(10 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The region saw a decline in CMRCVD over the period, and this reduction tended to occur first among women (Brant et al 2017). We speculate that the fall in CMRCVD in more developed regions of the country may be explained by the control of risk factors, improved education and health conditions, early diagnosis of cardiovascular risk, and the search for a better quality of life (Ribeiro, Minardi Mitre Cotta, and Rocha Ribeiro 2012;Rasella et al 2014;Lotufo 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Meanwhile, the less developed North and Northeast regions observed an increase in CVD mortality overtime (see Figures A-1 and B-1 in the supplementary material). This spatial heterogeneity over the period appears to be associated with access to proper healthcare and strongly related to socioeconomic factors (Mansur and Favarato 2016;Baptista, Queiroz, and Rigotti 2018;Lotufo 2019). In addition, males have higher mortality rates than females in approximately 72% of micro-regions.…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, analysis of the period 2001-2015 found an increase in the crude mortality rate from cardiovascular disease (CMRCVD). As these are less developed regions, the increase in CVD mortality rates might be related to the population's increased life expectancy and an increased prevalence of cardiovascular risk factors such as educational level, health conditions, institutional factors, the environment, and the socioeconomic situation to which the population is exposed Borges 2017;França et al 2017;Lotufo 2019), as well as improvements in death registration and vital statistics (Mathers et al 2005;França et al 2008;Luy 2010;Queiroz et al 2017;Schmertmann and Gonzaga 2018).…”

Section: Resultsmentioning

confidence: 99%

“…While the number of deaths from CVD in Brazil increased from 258,338.97 in 1990 to 388,268.09 in 2017, the percentage has remained fairly stable, 28.89% and 28.78%, respectively (Global Burden of Disease Collaborative Network 2019). However, despite CVD being the main cause of mortality in Brazil (Lotufo 2019), CVD mortality rates are not uniformly distributed within the country (Borges 2017;Baptista, Queiroz, and Rigotti 2018;Baptista and Queiroz 2019). Brazil is marked by important regional disparities resulting from socioeconomic inequality and limited access to health services (Souza et al 2018).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Baptista¹,

Queiroz²

2019

DemRes

View full text Add to dashboard Cite

BACKGROUND Cardiovascular disease (CVD) is one of the most serious health issues and the leading cause of death in Brazil, accounting for 30% of all deaths. Previous research shows that CVD mortality rates are not uniformly distributed across Brazil and have been changing over time. There is also previous evidence from other countries that economic development and improvements in the educational level have important effects in reducing CVD mortality. OBJECTIVE The goal of this paper is to contribute to this discussion by investigating the relation between CVD mortality and economic development over time and space, measured by gross domestic product (GDP) per capita, in Brazilian micro-regions from 2001 to 2015. METHODS We used data from the Mortality Information System (SIM-DATASUS) from 2001 to 2015. GDP data by micro-region were extracted from the Sistema IBGE de Recuperação Automática (SIDRA). Bivariate maps were used to establish the relationship between CVD mortality and GDP per capita. RESULTS The results show that GDP per capita increased in all micro-regions between 2001 and 2015. The results also suggest a rapid decline in CVD mortality in the South and Southeast micro-regions and a slower decline in the Central-West region. Meanwhile, the less developed North and Northeast regions showed an increase in CVD mortality over time. This spatial heterogeneity over the examined period appears to be associated with access to proper healthcare and strongly related to socioeconomic factors. In Baptista & Queiroz: The relation between cardiovascular mortality and development 1438 http://www.demographic-research.org addition, males have higher mortality rates than females in approximately 72% of micro-regions. CONTRIBUTION This study provides useful clues for policymakers establishing public health planning and effective measures for the prevention of deaths from cardiovascular disease. The reduction of CVD mortality can positively impact GDP growth because it can increase life expectancy and consequently enable people to contribute to the Brazilian economy for a longer time.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Baptista¹,

Queiroz²

2019

DemRes

View full text Add to dashboard Cite

show abstract

“…In the year 2000, it corresponded to 16.2%, in 2005 to 16.1%, and in 2010, to 15.3%. [10][11][12] However, we are still very distant from the North American reality, where mortality varied between 5% and 6% in 2009. 1 Based on the rationale we describe, the Latin America Telemedicine Infarct Network (LATIN) program was implemented in the city of Aparecida de Goiânia, in the metropolitan region of Goiânia, located in the state of Goiás, which has only one cath lab service.…”

Section: Introductionmentioning

confidence: 91%

Results of an infarction care telemedicine program

França¹,

Borges²,

Amaral³

et al. 2020

J Transcat Intervent

View full text Add to dashboard Cite

Background: In Brazil, myocardial infarction affects approximately 300 thousand individuals per year, with mortality rate of 30%, and 80% of deaths occur in the first 24 hours. The telemedicine systems, such as Latin America Telemedicine Infarct Network, aim to optimize the stages from triage to treatment. Communication among the emergency care units and tertiary care services is known to be difficult, and the system aims to interconnect triage, physician and transport, facilitating transfer of patients to the cath lab. Therefore, implementing a telemedicine system for myocardial infarction and assessment of cardiovascular outcomes is justified. The objective of this study was to analyze the implementation of a telemedicine program, the characteristics of the population and the time intervals for treatment and transfer, in addition to in-hospital mortality. Methods: A cohort study with 110 individuals diagnosed as ST-segment elevation myocardial infarction in five emergency care units in the city of Aparecida de Goiânia, from November 2015 to August 2018. Results: In the period described, 110 patients were treated, mean age of 58±11 years, 72.2% were male, 53.6% hypertensive, 23.6% diabetic, 27.3% active smokers and 6.4% had a history of previous infarction. Of the patients admitted, 90.9% were submitted to primary percutaneous coronary intervention, and 8.2% of total number of patients died within the first 30 days. Conclusion: Implementing a telemedicine system resulted in reduced mortality as compared to the public health system. Despite better care, we observed longer transfer time, which justifies the need to implement fibrinolytic therapy in secondary care units. RESUMO -Introdução:No Brasil, o infarto agudo do miocárdio acomete aproximadamente 300 mil pessoas ao ano, com mortalidade de 30%, sendo 80% destas nas primeiras 24 horas. Os sistemas de telemedicina, a exemplo do Latin America Telemedicine Infarct Network, objetivam otimizar as etapas, desde a triagem ao tratamento. Sabendo da dificuldade de comunicação entre unidades de pronto atendimento e serviço terciário, o sistema busca interligar triagem, médico e transporte, facilitando a transferência do paciente à hemodinâmica. Desse modo, justifica-se a implementação de sistema de telemedicina voltado ao infarto agudo do miocárdio e à avaliação de desfechos cardiovasculares. O objetivo do presente trabalho foi analisar a implementação de um programa de telemedicina, bem como as características da população e os tempos envolvidos no tratamento e na transferência, além da mortalidade hospitalar. Métodos: Estudo de coorte com 110 indivíduos diagnosticados com infarto agudo do miocárdio com supradesnivelamento do segmento ST em cinco unidades de pronto atendimento do município de Aparecida de Goiânia, no período entre novembro de 2015 e agosto de 2018. Resultados: No período descrito, foram tratados 110 pacientes, com média de idade de 58±11 anos, sendo 72,2% do sexo masculino, 53,6% hipertensos, 23,6% diabéticos, 27,3% tabagistas ativos e 6,4% com história...

show abstract

Patterns of Geographic Variation of Mortality by Causes of Death for Small Areas in Brazil, 2010

Queiroz

Freire

Lima

et al. 2020

Population Change and Public Policy

View full text Add to dashboard Cite

The pace of reduction of cardiovascular mortality in Brazil (1990 to 2017) is slowing down

Cited by 7 publications

References 6 publications

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Results of an infarction care telemedicine program

Patterns of Geographic Variation of Mortality by Causes of Death for Small Areas in Brazil, 2010

Contact Info

Product

Resources

About