Mortalidade por insuficiência cardíaca: análise ampliada e tendência temporal em três estados do Brasil

Gaui, Eduardo Nagib; Klein, Carlos Henrique; Oliveira, Gláucia Maria Moraes de

doi:10.1590/s0066-782x2010000100010

Cited by 21 publications

(17 citation statements)

References 22 publications

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“…The decreasing mortality rates due to HF in this study were in accordance with other results published in the few studies about the subject that were conducted in Brazil 10,17,18 , in which mortality due to HF was also analyzed in DDs.…”

Section: Discussionsupporting

confidence: 92%

“…For some conditions, such as HF, mortality can be underestimated, when we do not use the multiple cause analysis, which contemplates all causes mentioned in the DD 10,26,27 .…”

Section: Discussionmentioning

confidence: 99%

“…Most publications about the magnitude of HF as a cause of death in Brazil derive from cohort studies 7,8 and from analyses concerning hospital mortality 9 . According to death records in Rio de Janeiro, São Paulo and Rio Grande do Sul, specific mortality rates due to HF in these States, both for men and women, declined in all ages, except for individuals aged 80 years old or more 10 .…”

Section: Introductionmentioning

confidence: 99%

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Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

Gaui¹,

Oliveira²,

Klein³

2014

Arquivos Brasileiros De Cardiologia

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BackgroundCirculatory system diseases are the first cause of death in Brazil.ObjectiveTo analyze the evolution of mortality caused by heart failure, by ischemic heart diseases and by ill-defined causes, as well as their possible relations, in Brazil and in the geoeconomic regions of the country (North, Northeast, Center-West, South and Southeast), from 1996 to 2011.MethodsData were obtained from DATASUS and death declaration records with codes I20 and I24 for acute ischemic diseases, I25 for chronic ischemic diseases, and I50 for heart failure, and codes in chapter XIII for ill-defined causes, according to geoeconomic regions of Brazil, from 1996 to 2011.ResultsMortality rates due to heart failure declined in Brazil and its regions, except for the North and the Northeast. Mortality rates due to acute ischemic heart diseases increased in the North and Northeast regions, especially from 2005 on; they remained stable in the Center-West region; and decreased in the South and in the Southeast. Mortality due to chronic ischemic heart diseases decreased in Brazil and in the Center-West, South and Southeast regions, and had little variation in the North and in the Northeast. The highest mortality rates due to ill-defined causes occurred in the Northeast until 2005.ConclusionsMortality due to heart failure is decreasing in Brazil and in all of its geoeconomic regions. The temporal evolution of mortality caused by ischemic heart diseases was similar to that of heart failure. The decreasing number of deaths due to ill-defined causes may represent the improvement in the quality of information about mortality in Brazil. The evolution of acute ischemic heart diseases ranged according to regions, being possibly confused with the differential evolution of ill-defined causes.

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Section: Discussionsupporting

confidence: 92%

“…For some conditions, such as HF, mortality can be underestimated, when we do not use the multiple cause analysis, which contemplates all causes mentioned in the DD 10,26,27 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

Gaui¹,

Oliveira²,

Klein³

2014

Arquivos Brasileiros De Cardiologia

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“…Approximately 50% of patients who are discharged from hospital are rehospitalized within six months, and 70% of these rehospitalizations are related to the worsening of HF, mainly accompanied by congestion (1) . (3)(4)(5) .…”

Section: Introductionmentioning

confidence: 99%

Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I

Mussi¹,

Ruschel²,

Souza

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: To verify the effect of an educative nursing intervention composed of home visits and phone calls on patients' knowledge about the disease, self-care and adhesion to the treatment. Methods: Randomized clinical trial with patients with recent hospitalization caused by decompensated heart failure. There were two groups: the intervention group, which has received four home visits and four phone calls to reinforce the guidelines during six months of follow up; and the control group, which has received conventional follow up with no visits or phone calls. Results: Two hundred patients were randomized (101 in the intervention group and 99 in the control group). After six months, a significant improvement was observed in self-care and knowledge about the disease in the intervention group (P=0.001 and P<0.001), respectively; the adhesion to the treatment, measured and compared between the groups, was significantly higher in the intervention group (P=0.001). Conclusion: the strategy of home visits to patients who were recently hospitalized with decompensated heart failure was effective in improving the outcomes assessed and its implementation deserves to be considered in Brazil aiming at avoiding unplanned hospitalizations. NCT-01213862 Visita domiciliar mejora conocimiento, auto cuidado, adhesión en la insuficiencia cardíaca: Ensayo Clínico Aleatorizado HELEN -IObjetivo: Verificar el efecto de una intervención educativa de enfermería combinada de visita domiciliaria y contacto telefónico en pacientes con internación reciente por insuficiencia cardiaca descompensada, en el conocimiento de la enfermedad, las habilidades para el autocuidado y la adhesión al tratamiento comparado con el acompañamiento convencional de pacientes en el período de seis meses. Métodos: Ensayo Clínico Aleatorizado en pacientes que fueron ingresados recientemente por insuficiencia cardiaca descompensada. El grupo intervención recibió cuatro visitas domiciliarias y cuatro contactos telefónicos para reforzar las orientaciones en seis meses de acompañamiento; el grupo control recibió acompañamiento convencional sin visitas y sin contactos telefónicos. Resultados: Fueron aleatorizados doscientos pacientes (101: intervención y 99: control). Tras seis meses, se observó una mejoría significativa en el conocimiento y el autocuidado para el grupo intervención (P=0,001 y P<0,001), respectivamente; la adhesión al tratamiento, comparada al final entre los grupos, fue significativamente mayor en el grupo intervención (P<0,001). Conclusión: La estrategia de visita domiciliaria para pacientes internados recientemente por insuficiencia cardiaca descompensada fue efectiva en la mejora de los desenlaces evaluados y su implementación merece ser considerada en Brasil con objeto de evitar internaciones no planificadas. NCT- 01213862Descriptores: Aprendizage; Autocuidado; Cooperación del Paciente; Enfermagem; Visita Domiciliaria.

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“…O aumento na incidência de IC está relacionado aos avanços terapêuticos no tratamento do infarto agudo do miocárdio, da hipertensão arterial e da mesma, o que ocasiona maior sobrevida e, consequentemente, aumento da prevalência e de internações hospitalares por essa síndrome, gerando altos custos para países cuja população idosa é crescente (3) . Considerada um dos maiores problemas de saúde pública, a IC traz significativos custos para o sistema de saúde, por contribuir para o aumento das taxas de readmissões, além de altas taxas de morbidade, mortalidade e letalidade (4) . Observam-se percentuais bastante elevados dessas taxas após a primeira internação por descompensação da IC principalmente no período de 30 a 90 dias após a alta (1,3) .…”

Section: Introductionunclassified

Diagnósticos De Enfermagem Aplicados a Pacientes Com Insuficiência Cardíaca Descompensada

Galvão¹,

Gomes²,

Figueirêdo³

et al. 2016

Cogitare Enferm.

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NURSING DIAGNOSIS APPLIED TO PATIENTS WITH DECOMPENSATED HEART FAILUREABSTRACT: The present study aimed to identify the priority nursing diagnoses for patients with decompensated heart failure. Quantitative study conducted in a cardiac emergency service of a university of Pernambuco, between October 2014 and February 2015. The study sample was composed of 62 patients admitted for the treatment of acute decompensated heart failure, emergency inpatients and patients from any functional class. The main nursing diagnoses were Decreased Cardiac Output (87.3%), Activity Intolerance (79.4%) and Ineffective Breathing Pattern (38.1%). The signs and symptoms of decompensation caused by systemic or pulmonary congestion provided the basis for the recognition of defining characteristics that made it possible to formulate priority nursing diagnoses for these patients. DESCRIPTORS: Cardiovascular Nursing; Heart Failure; Nursing Diagnosis; Nursing Processes. ). Las señales y síntomas de la descompensación, que vienen de la congestión sistémica o pulmonar, fueron utilizadas como base para el reconocimiento de las características determinantes, las cuales posibilitaron la elaboración de los diagnósticos de enfermería prioritarios para eses pacientes.

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Mortalidade por insuficiência cardíaca: análise ampliada e tendência temporal em três estados do Brasil

Abstract: Background: Heart failure (HF) is a chronic disease with high prevalence and mortality rates. The mortality due to HF in Brazil has been studied more frequently using hospitalization data.

Cited by 21 publications

References 22 publications

Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I

Diagnósticos De Enfermagem Aplicados a Pacientes Com Insuficiência Cardíaca Descompensada

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