Relationship of comorbidities and heart failure mortality in the city of São Paulo, Brazil

Abstract

OBJECTIVE:The epidemiology of heart failure mortality in the city of São Paulo, Brazil has not been studied. The present study aims to characterize comorbities associated to cardiac heart failure deaths in São Paulo between 2000 and 2012. METHOD: The mortality information system (SIM/DataSUS) was evaluated and the following parameters were retrieved: age, sex, race, level of education and comorbidities (hypertension, diabetes, obesity, chronic obstructive pulmonary disease). Socioeconomic status was estimated by years of schooling, as: lower (0-3 years) and higher (> 3 years). We analyzed 14,814 death certificates. RESULTS: There was a prevalence of subjects in the subgroup: female, white, married or divorced, aged 78 years and lower socioeconomic status. Hypertension and diabetes were the most frequent comorbidities. There were associations of (a) diabetes with age, (b) age, gender and educational level with hypertension in individuals belonging to both the lower and higher socioeconomic levels. CONCLUSION: Individuals who died of congestive heart failure in São Paulo are mostly elderly, women, caucasian, with little education. Hypertension and diabetes are the two most common chronic diseases associated with death bycongestive heart failure.

Balance, physical conditioning, and health perception in elderly women submitted to a 32-week physical exercise program

“…The study of comorbidities in 14,814 death certificates recorded between 2000 and 2012 in Brazil showed that 48% of individuals suffered from high blood pressure and 27.5% from diabetes mellitus. In 15% of the cases, there were occurrences of hypertension and diabetes, concomitantly [17]. This study [17] was conducted in São Paulo city, the most important Brazilian metropolis.…”

“…In 15% of the cases, there were occurrences of hypertension and diabetes, concomitantly [17]. This study [17] was conducted in São Paulo city, the most important Brazilian metropolis. It includes social and economic contrasts that affect quality of life (health, education, and environment).…”

Morbidade Hospitalar por Insuficiência Cardíaca no Nordeste Brasileiro (2010-2014) / Hospital Morbidity for Cardiac Insufficiency in Northeastern Brazil (2010-2014)

“…Embora tenha sido encontrada maior prevalência de hospitalizações entre os homens neste estudo, a análise da cor mostrou domínio dos casos entre os pardos, mas foi alto o número de internações onde este dado não foi coletado. As mulheres foram descritas como as mais afetadas nas taxas de mortalidade na cidade de São Paulo, com Hipertensão e Diabetes Mellitus sendo as doenças crônicas mais comuns associadas a este desfecho (KOIKE et al, 2016).…”