Análise de séries temporais da mortalidade por doenças isquêmicas do coração e cerebrovasculares, nas cinco regiões do Brasil, no período de 1981 a 2001

Marinho, Fátima; Alencar, Airlane Pereira; Malta, Déborah Carvalho; Moura, Lenildo de; Mansur, Antônio de Pádua

doi:10.1590/s0066-782x2006001900009

Cited by 35 publications

(36 citation statements)

References 8 publications

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“…Although stroke deaths have declined in the last decades 2,3 , recent mortality data also reveal cerebrovascular disease as the third cause of premature death after coronary heart disease and homicides 4 . However, the decrease in stroke mortality is not equally distributed across the country and it occurs mainly on the poorest areas of the country and among Blacks 5,6,7 .…”

mentioning

confidence: 99%

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Benseñor

Goulart

Szwarcwald

et al. 2015

Arq. Neuro-Psiquiatr.

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108

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There is scarce data about prevalence of stroke in Brazil. The National Health Survey (PNS) is a community-based epidemiological survey, with a nationally representative sample to assess the absolute numbers with respective prevalence rates of stroke and post-stroke disabilities. It was estimated 2,231.000 stroke and 568,000 stroke cases with severe disabilities. The point prevalences was 1.6% and 1.4% in men and women, respectively. The prevalences of post-stroke disabilities were 29.5% for men and 21.5% for women. Stroke prevalence rates increased with aging, low education level, among people living in urban areas with no difference according to self-reported skin color. The degree of post-stroke disability was not statistically different according to sex, race, education level or living area. This new data from PNS show high stroke prevalence rates especially in older individuals without formal education and urban dweller, but the degree of stroke disability was not determined by the sociodemographic characteristics of the Brazilian population.

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confidence: 99%

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Benseñor

Goulart

Szwarcwald

et al. 2015

Arq. Neuro-Psiquiatr.

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108

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“…Ressalta-se aqui uma redução de mortalidade menor no gênero masculino para as DIC (21,9%). Os resultados encontrados nesse estudo permitiram identificar que em cada triênio a magnitude dos coeficientes por DIC foi maior para o gênero masculino, aumentando com o avançar da idade em ambos os sexos para o estado, sendo esses achados corroborados por diversos autores que avaliaram as tendências de mortalidade em outros estados e municípios do Brasil [15][16][17][18] . Verificou-se no presente trabalho que a mortalidade por DIC aumentou e, para a população masculina, esse aumento já supera as DCBV no estado do Paraná.…”

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Mortalidade por doenças cardiovasculares segundo gênero e idade no Estado do Paraná, Brasil: 1979 a 1981 e 2006 a 2008

Müller

Gimeno

2015

Cad. saúde colet.

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Cad. Saúde Colet., 2015, Rio de Janeiro, 23 (1): 11-6 AbstractObjectives: In this epidemiological ecological study, it was compared the mortality from cardiovascular disease in the state of Paraná, between the three-year periods 1979-1981 and 2006-2008. Methods: Data of cardiovascular deaths occurred in the state of Paraná in the period 1979-2008 were obtained from the Mortality Information System of the Ministry of Health. The magnitude of mortality and the change between the triennium were described using the mortality rates and the relative percentage variation. The Poisson regression model to estimate the change in mortality between the periods was used. Results: During the investigation, it was found, regardless of age and gender, reduction in the occurrence of cardiovascular deaths. In both genders, the mortality rates increased with increasing age. Among men, mortality from ischemic heart disease was higher than for cerebrovascular diseases. Conclusion: The decrease in mortality for the group of cardiovascular diseases may mean greater access to services and diagnostic and therapeutic methods.

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“…In Latin America, stroke incidence rates adjusted for age vary between 35 and 183 per 100,000 6 , and, in Brazil, vary between 137 and 168 per 100,000 inhabitants [7][8][9] . In two recent studies of stroke-related mortality, a steady drop in mortality rates were observed in the last two decades 10,11 . Although the reasons for this drop are unknown, classically mortality rates are directly related to changes in incidence or lethality rates 11 .…”

Section: Epidemiological Aspectsmentioning

confidence: 99%

“…In two recent studies of stroke-related mortality, a steady drop in mortality rates were observed in the last two decades 10,11 . Although the reasons for this drop are unknown, classically mortality rates are directly related to changes in incidence or lethality rates 11 . Incidence rates are influenced by socio-economical conditions and quality of primary prevention, while lethality is dependent on disease severity of the sample and quality of hospital care 11 .…”

Section: Epidemiological Aspectsmentioning

confidence: 99%

“…Although the reasons for this drop are unknown, classically mortality rates are directly related to changes in incidence or lethality rates 11 . Incidence rates are influenced by socio-economical conditions and quality of primary prevention, while lethality is dependent on disease severity of the sample and quality of hospital care 11 . Any combination of these factors may have improved in Brazil during this time period.…”

Section: Epidemiological Aspectsmentioning

confidence: 99%

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Guidelines for acute ischemic stroke treatment: part I

Oliveira‐Filho

Martins

Pontes-Neto

et al. 2012

Arq. Neuro-Psiquiatr.

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These guidelines are a result of several meetings from the Brazilian Stroke Society (Sociedade Brasileira de Doenças Cerebrovasculares -SBDCV, website www.sbdcv.org.br), which represents the Scientific Department in cerebrovascular diseases of the Brazilian Academy of Neurology, responsible for technical opinions and educational projects related to cerebrovascular diseases. Members from SBDCV participated in web-based discussion forum with pre-defined themes, followed by a formal onsite meeting in which controversies and final position statements were discussed. Finally, a writing group was created to revise and translate the final document, which was approved by all members of the SBDCV. The final text aims to guide specialists and non-specialists in stroke care in managing patients with acute ischemic stroke. The hemorrhagic stroke guideline has been previously published by the same group 1 . In the final recommendations, Oxford classification for evidence level and recommendation grade was used: EVIDENCE LEVELS1. Randomized controlled clinical trial (RCT) or systematic review (SR) of RCT with clinical endpoints. 2. RCT or SR of lower quality: with substitute, validated endpoints; with subgroup analysis or with a posteriori hypotheses; with clinical endpoints, but with methodological flaws.3. RCT with substitute, non-validated endpoints case-control studies. 4. Study with clinical endpoint, but with a higher potential bias (as in experiment without comparison group and other observational studies). 5. Representative forum or expert opinion without abovementioned evidence. RECOMMENDATION GRADESA Systematic review (homogeneous) of RCT; or single RCT with narrow confidence interval; or therapeutic results of "all or nothing" type. B Systematic review (homogeneous) of cohort studies; or cohort study and RCT of lower quality; or outcomes research or ecological study; or systematic review (homogeneous) of case-control studies; or case-control study. C Case reports (including cohort or case-control study of lower quality). D Expert opinion without critical evaluation, based on physiological or animal studies.In this first part of the guidelines, specific topics included were: epidemiology, stroke as a medical emergency, education, pre-hospital management, emergency management, neuroimaging and laboratory evaluation. A translated version of these guidelines in Portuguese is available in the Society's webpage (www.sbdcv.org.br).

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Análise de séries temporais da mortalidade por doenças isquêmicas do coração e cerebrovasculares, nas cinco regiões do Brasil, no período de 1981 a 2001

Abstract: The risk of death due to cerebrovascular and ischemic heart diseases declined in the Southwest and South, which are the more developed regions of Brazil, whereas the risk increased in the less developed ones, mainly in the Northeast region.

Cited by 35 publications

References 8 publications

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Mortalidade por doenças cardiovasculares segundo gênero e idade no Estado do Paraná, Brasil: 1979 a 1981 e 2006 a 2008

Guidelines for acute ischemic stroke treatment: part I

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