Mortality from Cardiovascular Diseases: A Comparative Analysis between the Medical and Non-Medical Populations in Brazil

Abstract

Background: Cardiovascular disease (CVD) is the leading cause of death worldwide, including among physicians. Professional peculiarities increase cardiovascular risk in this population, making it relevant to analyze mortality in the medical population (MPop) and non-medical population (NMPop).Objective: To compare the CVD mortality coefficient (MC) in between MPop and NMPop in Brazil by analyzing the epidemiological profile and the main causes of deaths from CVD.Methods: Time-series study with data obtained from the Mortality Information System of the Federal Council of Medicine and the Brazilian Institute of Geography and Statistics, from 2014 to 2018. The variables age group, sex, race, occupation, and CVD that caused the death were assessed in MPop and NMPop. MC, relative risk and odds ratio between the populations were calculated. Tests for difference in proportions, with approximation to the normal distribution, and chi-squared tests were performed, assuming p<0.01 as statistically significant.Results: Both MPop and NMPop had a predominance of men (86.7% and 52.3%), senior citizens (85.9% and 79.7%) and white individuals (86.4% and 52.2%). The MCs of the MPop and NMPop was 92.2 and 255.1 deaths/100,000 individuals, respectively. The main cause of death was acute myocardial infarction (AMI) (32.5% and 24.6% in MPop and NMPop, respectively) followed by cerebrovascular accident (CVA) (5.1% and 10.5% in MPop and NMPop, respectively). Conclusion:In Brazil, mortality from CVD was more prevalent in white elderly males, and mainly caused by AMI and CVA. Being a doctor, man and over 60 years old represents a greater chance of death from CVD in comparison with non-physicians.

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“…Como o IAM, a angina instável e a IC são as DCNT mais prevalentes na população idosa e com alta morbidade e mortalidade (18)(19)(20)(21)(22)(23)(24)(25)(26) . O IAM apresentou maior proporção entre os grupos (77,1%), seguida pela IC (18,4%) e angina (9%).…”

Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases

“…Like AMI, unstable angina and HF are the most prevalent NCDs in older adults and with high morbidity and mortality (18)(19)(20)(21)(22)(23)(24)(25)(26) . AMI had the highest proportion between the groups (77.1%), followed by HF (18.4%) and angina (9%).…”

And We Doctors, What do We Die of?

“…Therefore, analysis of the article in question is very important for our professional group and also for society. 4 Questions that immediately come to mind when we read the title of the article could be answered: Do we die early? Do we die more ?…”