Desigualdades nas Taxas de Mortalidade por Malformações do Sistema Circulatório em Crianças Menores de 20 Anos de Idade entre Macrorregiões Brasileiras

Abstract

Background: Deaths from malformations of the circulatory system (MCS) have a major impact on mortality reduction. given that most cases are avoidable with correct diagnosis and treatment. Objectives: To describe the distribution of mortality from MCS by sex. age. and macroregion in Brazil. in individuals under the age of 20. between 2000 and 2015. Methods: A descriptive study of mortality rates and proportional mortality (PM) from MCS. other congenital malformations (OCM). circulatory system disease (CSD). ill-defined causes (IDC). and external causes (EC) in Brazil. Results: There were 1.367.355 deaths from all causes in individuals younger than 20. 55.0% under 1 year of age. A total of 144.057 deaths were caused by congenital malformations. 39% of them by MCS. In both sexes. the annual mortality from MCS was 5.3/100.000. PM from MCS was 4.2%. CSD 2.2%. IDC 6.2% and EC 24.9%. Unspecified MCS showed the highest PM rates in both sexes and age groups. especially in the north and northeast regions (60%). Deaths from malformations occurred 5.7 times more frequently during the first year of life than in other ages (MCS: 5.0; OCM: 6.4). Conclusions: MCS was the leading cause of death among all malformations. being twice as important as CSD. mainly under 1 year of age. The frequency of misdiagnosis of MCS as cause of death was high in all ages and both sexes. especially in the north and northeast regions. These findings highlight the need for the development of public health strategies focused on correct diagnosis and early treatment of congenital cardiopathies. leading to a reduction in mortality. (Arq Bras Cardiol. 2020; [online].ahead print.

O Melhor do Ano 2020 nos Arquivos Brasileiros de Cardiologia e na Revista Portuguesa de Cardiologia

“…Sua importância relativa aumentou, constituindo-se a terceira causa de óbito em 2015, representando 40% do total. Salim et al, 35 avaliaram a distribuição da mortalidade por MAC, por sexo, grupos etários e macrorregiões do Brasil no período de 2000 a 2015, nos menores de 20 anos de idade. Em ambos os sexos, a mortalidade anual por MAC foi de 5,3/100 mil habitantes e a mortalidade proporcional foi de 4,2%.…”

O Melhor do Ano 2020 nos Arquivos Brasileiros de Cardiologia e na Revista Portuguesa de Cardiologia

“…Sua importância relativa aumentou, constituindo‐se a terceira causa de óbito em 2015, representando 40% do total . Salim et al 35 avaliaram a distribuição da mortalidade por MAC, por sexo, grupos etários e macrorregiões do Brasil de 2000 a 2015, nos menores de 20 anos. Em ambos os sexos, a mortalidade anual por MAC foi de 5,3/100 mil habitantes e a mortalidade proporcional foi de 4,2%.…”

“…Volume vascular pulmonar estimado por software automatizado é um preditor de mortalidade após embolia pulmonar aguda http://abccardiol.org/wp‐content/uploads/articles_xml/1678‐4170‐abc‐115‐05‐0809/1678‐4170‐abc‐115‐05‐0809.x64000.pdf Oliveira‐Junior 11 2. Bloqueio de receptores AT 1 melhora o desempenho funcional miocárdico na obesidade http://abccardiol.org/wp‐content/uploads/articles_xml/0066‐782X‐abc‐115‐01‐0017/0066‐782X‐abc‐115‐01‐0017.x64000.pdf Salim 35 3. Desigualdades nas taxas de mortalidade por malformações do sistema circulatório em crianças menores de 20 anos entre macrorregiões brasileiras http://abccardiol.org/wp‐content/uploads/articles_xml/0066‐782X‐abc‐115‐06‐1164/0066‐782X‐abc‐115‐06‐1164.x64000.pdf Mejia OAV 36 4.…”

IDH, Recursos Humanos e Tecnológicos para o Diagnóstico e Tratamento das Malformações do Aparelho Circulatório no Brasil - Análise da Realidade no Brasil

“…4 High mortality rates due to malformations of the circulatory system (MCS) result from the lack of pre and postnatal diagnosis, resulting in inadequate treatment and a higher number of deaths. [4][5][6][7][8] The study by Salim et al aimed to verify the association of MCS diagnosis at birth and death from MCS in the first year of life with the human development index (HDI) and technological and human resources for the diagnosis and treatment of MCS by the macroregions of Brazil, using data obtained from DATASUS, in the period of 2000/2015. 9 Between 2000/2015, the authors found a CM rate of 660.8/100,000 LB, being 18,444 due to MCS, and a diagnosis rate of 38.55/100,000 LB.…”

“…13 It is worth highlighting some aspects in the study by Salim et al, such as a higher mortality rate from MCS in the North, Northeast, and Midwest regions, among cases of CM in the first year of life. 7,9 This occurs due to several conditions: the CHD considered critical requires early pre and postnatal diagnosis, childbirth care, and guaranteed access to reference centers for the indicated cases, which requires specialized human and technological resources. 7,8,11,14 According to the data found, there is a significant deficit of human resources with adequate training to carry out the diagnosis and care of children with heart disease, especially in the North, Northeast, and Midwest regions, related not only to pediatricians but also to pediatric cardiologists with training in echocardiography, cardiovascular surgeons and the availability of pediatric cardiac surgical centers by macroregion.…”