Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017

Abstract

IntroductionChronic kidney disease (CKD) has a set of clinical and laboratory abnormalities where renal function loss is noted. The high prevalence of comorbidity of people living with CKD, its economic impact and its prognosis have made it a public health problem, justifying the need to implement preventive measures.ObjectiveTo analyse the mortality and incidence of hospital admissions for CKD.MethodsEcological study with a time series design using secondary microdata of deaths and hospital admissions from patients with CKD from 1996 to 2017 in the State of Espírito Santo, Brazil.ResultsThe average mortality rate of CKD during the studied years was 2.92 per 100,000 inhabitants per year. During this period global mortality was a stationary phenomenon. In women, the trend of mortality from 2005 on increased 7,87% per year. Between 2008 and 2017, the average incidence hospital admissions due to CKD per year was 45.76 per 100,000 inhabitants. It was observed that the overall hospital admission increased by the equivalent of 6.23% per year. More than a half of mortality and hospitalisations correspond to male patients over 50 years of age. In terms of mortality, 32.99% corresponded to Caucasian patients, while 35.13% of hospitalisations were mixed race.ConclusionWe found that age and gender are factors associated with deaths and hospitalisations for chronic kidney disease. While hospitalisation increases 6.23% per year, global mortality remains stationary. However, from 2005 onwards a trend towards increasing of 7.87%/annual in mortality was observed in women.

Incidence of hospitalization and mortality due to stroke in young adults, residents of developed regions in Brazil, 2008-2018

“…It was interesting to note that the only state where HS hospitalization rates remained unchanged (Espírito Santo), was the same state with significantly increasing IS rates. This phenomenon was also observed in the literature: in 2019, a chronic kidney disease (CKD) study conducted in Espírito Santo, revealed increasing hospitalization rates in 20-49-year-old populations [31]. Although stroke and CKD are distinctly different diseases, our findings and this study [31] demonstrates that young people in Espírito Santo may be at higher risk for developing chronic diseases.…”

Mortalidade por doença renal crônica no Brasil: revisão integrativa / Cronic kidney disease mortality in Brazil: an integrative review

“…No Espírito Santo, entre os anos de 1996 e 2017, houve um aumento de internações em decorrência da DRC de 6,23% ao ano. Mais da metade das internações e óbitos correspondem ao sexo masculino apesar de ter sido verificado que a partir do ano de 2005 a mortalidade entre mulheres aumentou em 7,87% 14 .…”

“…A DRC pode se comportar em várias vertentes, nas situações de morbimortalidade, como causa básica ou associadas a outras patologias, por exemplo, doença pulmonar obstrutiva crônica, diabetes mellitus e doença circulatória, esta última agravada pela frequente dislipidemia verificada em pacientes em hemodiálise e portador de diabetes mellitus 12,14,10 .…”

Effects of upper limbs' neuromuscular electrical stimulation (NMES) superimposed to voluntary contraction added to a protocol of intradialytic leg cycle ergometer exercise, in muscle strength, functional capacity and quality of life of adult patients with CKD: a randomized clinical trial protocol

“…CKD increases morbidity, mortality, and hospitalization (de Souza et al., 2019) in addition to worsening functional capacity and quality of life, especially in end‐stage renal disease and dialysis patients (Tawney et al., 2003). The reduction in physical condition and the ability to perform daily activities are directly related to the loss of muscle mass, which has a multifactorial origin.…”