Proportional Mortality due to Heart Failure and Ischemic Heart Diseases in the Brazilian Regions from 2004 to 2011

Abstract

Background:Heart failure (HF) and ischemic heart diseases (IHD) are important causes of death in Brazil.Objective:To assess proportional mortality (PM) due to HF and IHD as underlying causes stratified by sex and age groups in the Brazilian geoeconomic regions from 2004 to 2011.Methods:Data from death certificates were obtained in the DATASUS site under the following International Statistical Classification of Diseases and Related Health Problems codes, 10th Revision: 1) from chapter IX: I20 to I24 for acute IHD, I25 for chronic IHD, and I50 for HF; and 2) from chapter XVIII, for ill-defined causes (IDC).Results:Proportional mortality due to HF increased with age in both sexes and all regions, the highest percentages being found among elderly women. Among men, the highest percentages were observed in the West-Central region up to the ninth decade, but, among the eldest individuals, the highest percentages were identified in the Southern region. Among women, the regions did not differ up to the age group of 70-79 years, although the West-Central region took the lead from 50 to 79 years; however, from the age of 80 years on, the Southern region showed the highest PM due to HF. Proportional mortality due to acute IHD in all Brazilian regions and in both sexes increased up to the age group of 60-69 years, from which it decreased. Among men, the Southeastern region had the highest percentages in the age group of 50-59 years, while women had lower PM due to acute IHD than men in all regions. In both sexes, PM due to chronic IHD increased with age in the Southern and Southeastern regions, which did not happen in the others, while the Southern region had the highest rate of all regions for all age groups.Conclusions:Regional differences were more prominent at more advanced ages, especially when deaths due to IDC were excluded.

Morbimortalidade Hospitalar De Idosos Com Insuficiência Cardíaca, Conforme as Regiões Brasileiras

“…7 Percebe-se, no período analisado neste estudo, em todas as regiões do Brasil, que a taxa de mortalidade intra-hospitalar diminuiu, exceto na região Norte, que aumentou em 9,1% e, ao contrário do resultado encontrado, pesquisas anteriores, que analisaram a mortalidade por IC em períodos de dez anos (2004 a 2011 e 2001 a 2012), mostraram que a mortalidade intra-hospitalar aumentou. 9,19 Examina-se que o avanço das terapias e do manejo da IC aumentou a sobrevida dos pacientes, porém, eles reinternam cada vez mais graves devido à progressão da doença, evoluindo para a falência de bomba e óbito intra-hospitalar. 9 Pode-se pensar, contudo, que, nos últimos anos, estão aumentando a busca pela melhoria das práticas para o cuidado de pacientes com IC com prescrições adequadas durante a internação e a realização da transição de cuidados com qualidade.…”

Gender Disparities and Outcomes Of Acute Coronary Syndromes In Brazil

“… 4 , 8 On the other hand, similar short-term outcomes in men and women have also been reported, 9 especially after adjustment for clinical differences and the severity of angiographic disease. 10 Gaui et al, 11 in an analysis of Brazilian death certificates from 2004 to 2011, reported higher proportional mortality due to acute ischemic heart disease in women from the Northeastern region, aged 40-49 years, than in men, despite overall lower proportional mortality. Globally, this demonstrates that the outcomes of ACS in women are at least equivalent to those of men, if not worse.…”

Características da fadiga no pré e pós-operatórios de cirurgia de revascularização do miocárdio

“…Outro estudo brasileiro mostrou que dentre as internações por doenças do aparelho circulatório a IC foi responsável por 19% do total de internações no Brasil (112) . Entre os anos de 2004 a 2011 a prevalência de IC foi de 2,2% (113) .…”

“…Em relação à IC, foi superior ao encontrado em estudos tanto da população brasileira geral (2,2%) quanto da população americana (2,5%) (9,113) . Nos estudos que investigaram fadiga em pacientes com DAC a presença de IC variou de 2% a 7% (11,16) .…”