The burden of stroke in Brazil in 2016: an analysis of the Global Burden of Disease study findings

Santana, Nathalia Matos de; Figueiredo, Francisco Winter dos Santos; Lucena, Diego Monteiro de Melo; Soares, Fernando Mayo; Adami, Fernando; Cardoso, Luciana de Carvalho Pádua; Corrêa, João Antônio

doi:10.1186/s13104-018-3842-3

Cited by 38 publications

(44 citation statements)

References 29 publications

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“…Marinho et al [ 4 ] presented an analysis of health patterns and risk factors among the Brazilian states, showing trends in mortality rates and years of lost life caused by cerebrovascular disease. Santana et al [ 11 ] presented an epidemiological report of stroke considering the whole country. Stroke mortality in specific Brazilian cities was discussed in different research studies [ 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Public hospitalizations for stroke in Brazil from 2009 to 2016

et al. 2019

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BackgroundStroke is the third major cause of death in the world and the second in Brazil. The purpose of this work was to assess the stroke-related hospitalization, in-hospital mortality, and case fatality rates under the Brazilian Unified Health System (SUS) from 2009 to 2016.MethodsWe evaluated the hospital admissions for stroke and their associated outcomes using data from the Hospital Information available at the Informatics Department of SUS. We selected hospitalization registries according to stroke diagnosis codes from the International Statistical Classification of Diseases and Related Health Problems (ICD-10). We identified the association of age and sex with patient death through multiple logistic regression and calculated the rates of hospitalization, mortality and case-fatality per 100,000 inhabitants using age-adjustment methodology.ResultsWe analyzed 1,113,599 stroke hospitalizations. From 2009 to 2016, the number of admissions increased from 131,122 to 146,950 and the absolute number of in-hospital deaths increased from 28,731 to 31,937. Younger age and male sex were significantly associated with patient survival. Our results showed that the annual age-adjusted hospitalization and in-hospital mortality rates decreased by 11.8% and 12.6%, respectively, but the case fatality rate increased for patients older than 70 years.ConclusionsAlthough the age-adjusted hospitalization and in-hospital mortality rates declined, the total number of hospitalization and deaths have increased. It is expected a continuous increase over the next years of stroke admissions with the rapid aging of the Brazilian population. Efforts should be renewed targeting risk factors, access to hospital and rehabilitation in particular for the elderly population.

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Section: Introductionmentioning

confidence: 99%

Public hospitalizations for stroke in Brazil from 2009 to 2016

et al. 2019

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“…Stroke is one of the most common causes of mortality and disability with a high impact in the health of world population 1 . In Brazil, although the mortality rate has decreased in the last years, the incidence is still very high 2-3 .…”

Section: Introductionmentioning

confidence: 99%

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Gaspari

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Batista³

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital.Method this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary tract infection, pressure damage and deep vein thrombosis), and 2) neurological complications (malignant ischemic stroke and symptomatic hemorrhagic transformation).Results 353 patients were discharged in the study period. Mean age was 64.1±13.7 years old and 186 (52.6%) were men. The mean time of hospital stay was 13.7±14.3 days. Pneumonia (25.3±28.8 days, p<0.001), urinary tract infection (32.9±45.2 days, p<0.001) and malignant stroke (29.1±21.4 days, p<0.001) increased significantly the length of hospital stay compared to patients without any complications (11.2±7.1 days).Conclusion this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units.

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“…No Brasil, um inquérito epidemiológico de base domiciliária evidenciou a prevalência de 1,5% na população geral (Bensenor et al, 2015). Em relação à carga de AVC por 100.000 habitantes brasileiros em 2016, houve uma incidência de 138,91, prevalência de 1008.02, mortalidade de 63,15 e 1437,74 anos de vida perdidos ajustados por incapacidade (disability adjusted life years [DALY]; Santana et al, 2018). O AVC está associado a diversos fatores de risco como a idade, tabagismo, consumo de bebidas alcoólicas, dislipidemias, sedentarismo, e hipertensão arterial sistémica (HAS; Murakami et al, 2017).…”

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