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

2021 ◽  
Vol 15 (58) ◽  
pp. 218-231
Author(s):  
Leandro Januário de Lima ◽  
Victor Emanuel Pereira Ferreira ◽  
Talles Tavares Lima ◽  
Hermes Melo Teixeira Batista ◽  
Solange Kelly Lima Araújo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ecological Study ◽  
Age Groups ◽  
Northeastern Brazil ◽  
Cardiac Insufficiency ◽  
Small Reduction ◽  
The Public ◽  
Unified Health System ◽  
Insuficiencia Cardiaca ◽  
Hospital Morbidity

Resumo: O Objetivo foi analisar o perfil de morbidade das internações por Insuficiência Cardíaca na região Nordeste do Brasil e sua relação com as variáveis sociodemográficas. Método: Estudo Ecológico compreendendo o período de 2010 a 2014. Os dados foram retirados do Sistema de Informações Hospitalares do Sistema Único de Saúde. Resultados: No período analisado, foram realizadas 297.751 internações por Insuficiência Cardíaca. A taxa padronizada por 100.000 habitantes sofreu redução em todos os Estados. Quando considerado apenas o número bruto de hospitalizações, alguns Estados tiveram pequena redução ou aumento nos casos. O sexo masculino (53,65%), com 60 anos ou mais (68,78%), atendidos em regime de urgência (94,57%) e no setor público (56,21%), de cor parda (44,6%), foi o predominante. Na maioria das faixas etárias o domínio foi do sexo masculino. Conclusão: Embora haja tendência de queda, ainda são altas as prevalências de hospitalização por Insuficiência Cardíaca nos Estados nordestinos. Palavras-chave: Insuficiência Cardíaca; Perfil de Saúde; Hospitalização; Morbidade; Epidemiologia. Abstract: The objective was analyze the morbidity profile of hospitalizations for heart failure in the Northeast region of Brazil and its relationship with sociodemographic variables. Method: Ecological Study covering the period from 2010 to 2014. Data were taken from the Hospital Information System of the Unified Health System. Results: During the analyzed period, 297,751 admissions due to Heart Failure were carried out. The standardized rate per 100,000 inhabitants was reduced in all states. When considering only the gross number of hospitalizations, some states had a small reduction or increase in cases. Predominance in cases involved: Males (53.65%), aged 60 years or more (68.78%), treated in an emergency room (94.57%) and in the public sector (56.21%), brown (44, 6%). In most age groups the domain was male. Conclusion: Although there is a downward trend, the prevalence of hospitalization due to heart failure is still high in the northeastern states.Keywords: Heart Failure. Health Profile. Hospitalization. Morbidity. Epidemiology. 

scholarly journals A insuficiência cardíaca em uma cidade brasileira mineira: um panorama epidemiológico de 10 anos

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Fernanda Ávila Da Costa Pereira ◽  
Dayse Mary Da Silva Correia
Keyword(s):  
Heart Failure ◽  
Economic Cost ◽  
Hospitalization Rate ◽  
Heart Failure Hospitalization ◽  
The Public ◽  
Unified Health System ◽  
Insuficiencia Cardiaca ◽  
Secondary Outcomes ◽  
Hospital Expenses ◽  
The Impact

Objetivos: identificar e analisar os principais desfechos secundários dos pacientes com insuficiência cardíaca, no período de 2009 a 2019, em Juiz de Fora, região da zona mata mineira. Metodologia: estudo epidemiológico a partir de dados coletados de julho a agosto de 2019 no site do Departamento de Informática do Sistema Único de Saúde (DATASUS), de domínio público no Brasil. Foram selecionados como principais desfechos secundários: taxa de hospitalização, mortalidade e custo econômico associado ao tratamento da insuficiência cardíaca. Resultados: no período houve 16.338 internações, 1.280 óbitos e custos com despesas hospitalares que ultrapassaram os 22 milhões de reais. Conclusão: os dados confirmam o impacto da insuficiência cardíaca como uma doença crônica de alta taxa de internação hospitalar, mortalidade e de elevado custo. Descritores: Epidemiologia; Insuficiência Cardíaca; Hospitalização; Mortalidade; Brasil.  Objectives: To identify and analyze the main secondary outcomes of heart failure patients from 2009 to 2019 in Juiz de Fora, a Brazilian city of Minas Gerais. Methodology: Epidemiological study from data collected from July to August 2019 on the website of the Department of Informatics of the Unified Health System (DATASUS), in the public domain in Brazil. The main secondary outcomes were selected: hospitalization rate, mortality and economic cost associated with the treatment of heart failure. Results: In the period there were 16,338 hospitalizations, 1,280 deaths and costs with hospital expenses that exceeded 22 million reais. Conclusion: The data confirm the impact of heart failure as a chronic disease with high hospitalization rate, mortality and high cost.Keywords: Epidemiology; Heart Failure; Hospitalization; Mortality; Brazil. Objetivos: Identificar y analizar los principales desfechos secundários dos pacientes con insuficiencia cardíaca en el período de 2009 a 2019 en Juiz de Fora, ciudad brasileña de la región de la zona minera. Metodología: Estudio epidemiológico basado en datos colectados de julio a agosto de 2019 en el sitio del Departamento de Informática del Sistema Único de Salud (DATASUS), del dominio público en Brasil. Se seleccionaron los principales resultados secundarios: tasa de hospitalización, mortalidad y costo económico asociado con el tratamiento de la insuficiencia cardíaca. Resultados: En el período hubo 16.338 hospitalizaciones, 1.280 muertes y costos con gastos hospitalarios que superaron los 22 millones de reales. Conclusión: Los datos confirman el impacto de la insuficiencia cardíaca como una enfermedad crónica con una alta tasa de hospitalización, mortalidad y alto costo.Descriptores: Epidemiologia; Insuficiência Cardíaca; Hospitalização Mortalidade Brasil.

scholarly journals HOSPITAL ADMISSIONS OF ADOLESCENTS IN SERGIPE, FROM 2002 TO 2012

2020 ◽  
Vol 38 ◽  
Author(s):  
Nynemberg Menezes Guimarães ◽  
Eleonora Ramos de Oliveira ◽  
Anna Klara Bohland
Keyword(s):  
Primary Care ◽  
Hospital Admissions ◽  
Age Groups ◽  
Descriptive Study ◽  
Northeastern Brazil ◽  
Age Group ◽  
Unified Health System ◽  
Average Annual Cost ◽  
External Causes ◽  
Age Range

ABSTRACT Objective: To describe hospital admissions of adolescents living in Sergipe, Northeast Brazil, from 2002 to 2012. Methods: Descriptive study, based on data collected from the Hospital Information System of the Unified Health System. Hospital admissions were divided into four groups of causes: by pregnancy, childbirth and puerperium; by external causes; by primary care conditions; and other causes. Numbers, percentages and coefficients were used in the analysis and compared by year, sex, age (from 10 to 14 and from 15 to 19 years), and the average annual cost of hospitalizations for each group of causes. Results: In the period studied, there were 149,850 hospital admissions of adolescents, 58.4% for pregnancy, childbirth and puerperium, 9.3% for primary care conditions, 8.3% for external causes and 24.0% for other causes. All coefficients decreased from 2002 to 2012 by 39.7%. Primary care conditions had the most significant reduction (143.1%), followed by external causes (60.1%). As for age groups, the coefficients for external causes in the age group of 15 to -19 years, and for pregnancy, childbirth and puerperium, in the age range of 10 to 14 years, are noteworthy because they remained stable in the period. There was an increase in the average cost of all admissions (234.7%), especially for external causes. Conclusions: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.

scholarly journals An ecological study of publicly funded elective hip arthroplasties in Brazil and Scotland: do access inequalities reinforce the inverse care law?

JRSM Open ◽  
2020 ◽  
Vol 11 (5) ◽  
pp. 205427042092077
Author(s):  
Jonathan Filippon ◽  
Stephen Bremner ◽  
Ligia Giovanella ◽  
Allyson Pollock
Keyword(s):  
Public Sector ◽  
Confidence Interval ◽  
Hip Arthroplasty ◽  
Ecological Study ◽  
Publicly Funded ◽  
The Public ◽  
Unified Health System ◽  
Inverse Care Law ◽  
And Gender ◽  
Hip Arthroplasties

Objectives To compare elective hip arthroplasty rates funded by the public sector in Brazil and Scotland. Design Ecological study, 2009–13, of crude and directly standardised rates of elective primary hip arthroplasty rates (per 100,000) funded by the public sector at national and regional level for age (30 + years) and gender in Brazil and Scotland. Setting National Health Service Scotland and Unified Health System in Brazil. Participants Over 30 s who had undergone an elective hip arthroplasty funded by the public sector. Main outcome measures Publicly funded standardised elective hip arthroplasty rates in Brazil and Scotland. Results Between 2009 and 2013, there was a seven-fold difference in treatment rates between Brazil and Scotland, and an eight-fold regional difference in Brazil; Brazil (7.8–8.3/100,000, increase of 0.5 per 100,000, 95% confidence interval (CI) (0.3, 0.7) from 2009/10 to 2012/13) and Scotland (from 61.1 to 57.7/100,000, decrease of 3.4 per 100,000, 95% confidence interval (1.4, 5.8) per 100,000); a two-fold difference in number of public beds per head of population (Brazil 158.3/100,000 vs. Scotland 305.1/100,000) and general medical workforce (Brazil 198.8/100,000 vs. Scotland 327.4/100,000); numbers of orthopaedic surgeons per head of population in the two countries were similar in 2013 (Brazil 5.2/100,000 vs. Scotland 4.3/100,000). Conclusion Although the ‘inverse care law’ is seen in both countries, access to publicly funded hip arthroplasties in Brazil is worse than in Scotland; the distribution of specialists and higher treatment rates in Brazil is highly skewed towards wealthier areas, perpetuating historical regional inequalities.

scholarly journals Hospital morbidity among elderly patients, before and after influenza vaccination in the state of Paraná

2008 ◽  
Vol 16 (5) ◽  
pp. 832-837 ◽  
Author(s):  
Ana Lúcia Mendes Ferrer ◽  
Sonia Silva Marcon ◽  
Rosangela Getirana Santana
Keyword(s):  
Health Center ◽  
Ecological Study ◽  
Statistical Tests ◽  
Age Groups ◽  
The State ◽  
Gender And Age ◽  
Before And After ◽  
Hospital Morbidity ◽  
Vaccination Campaigns ◽  
Different Levels

This ecological study was developed to evaluate the patterns in hospital morbidity due respiratory diseases among people over 60 years old residing in the State of Paraná, before and after the implementation of vaccination campaigns against influenza. The data about hospitalizations in the 1995-2005 period were obtained from the Hospital Information System and grouped according to health center macro-regions, month of occurrence, gender and age group. The data was submitted to Analysis of Variance and Tukey statistical tests, and showed a decreasing tendency in hospitalizations in both genders after the vaccinations started, with different levels among age groups, gender, months of the year and health center macro-regions. The risk for hospitalization was higher for males and for older patients, from June to October, and in macro-region number 3, followed by regions 4, 5, 6, 2 and 1.

scholarly journals Health care financing and public responses: use of private insurance in Western Australia during 1980–2001

2006 ◽  
Vol 30 (1) ◽  
pp. 73 ◽  
Author(s):  
Rachael Moorin ◽  
Kate J Brameld ◽  
C D'Arcy J Holman
Keyword(s):  
Policy Change ◽  
Western Australia ◽  
Private Insurance ◽  
Health Care Financing ◽  
Age Groups ◽  
Policy Makers ◽  
The Public ◽  
Morbidity Data ◽  
The Difference ◽  
Hospital Morbidity

Objectives: The aim was to identify and explain trends and cut points in payment classification (privately insured or otherwise) for episodes of hospitalisation in Western Australia. Methods: Hospital morbidity data from 1980 to 2001 were used to produce trend lines of the proportion of hospital separations in each payment category in each year in age and clinical subgroups. Results: The most significant changes in payment classification over time were found in all groups between 1980 and 1984, corresponding to a period when free public hospital care in Australia was abolished (Sep 1981 to Feb 1984). The trend associated with this policy change rebounded significantly just before the introduction of Medicare in 1984. These observations were consistent over all age groups except in the oldest group (70+ years). This trend was more pronounced for the surgical subgroup compared with other broad clinical categories. More recently, a trend towards increasing public episodes was reversed from 2000 following introduction of incentives for private health cover and sanctions against deferred uptake in younger people. Conclusion: The public appeared to adopt a shortterm crisis reaction to major policy change but then reversed towards past patterns of behaviour. The implications for policy makers include the need to understand the underlying culture of the population; to realise that attitudes become fixed as people age; and to recognise the difference in the effectiveness of incentive- and deterrent-based policies.

MIOPATIA MUSCULAR ESQUELÉTICA INDUZIDA PELA INSUFICIÊNCIA CARDÍACA DE ETIOLOGIA HIPERTENSIVA: PAPEL TERAPÊUTICO DO TREINAMENTO FÍSICO AERÓBIOHYPERTENSIVE HEART FAILURE-INDUCED SKELETAL MUSCLE MYOPATHY: THERAPEUTIC ROLE OF AEROBIC EXERCISE TRAININGRESUMOA insuficiência cardíaca (IC) é a via final comum da maioria das doenças que acometem o coração. Entre os fatores de risco conhecidos, a hipertensão arterial (HA) é a doença mais frequentemente associada à IC. Caracterizada pela intolerância ao exercício, a IC promove disfunção cardíaca e alterações intrínsecas musculares envolvidas na redução da capacidade física. Várias anormalidades do músculo esquelético têm sido descritas em pacientes e animais com IC, incluindo atrofia, fibrose, mudança na composição dos tipos de fibras, rarefação microvascular e reduzida capacidade de oxidação. Por outro lado, o treinamento físico aeróbio (TFA) vem sendo utilizado como uma importante terapia não farmacológica para a prevenção e o tratamento da IC; em parte, por melhorar a função endotelial e a perfusão coronária, diminuir a resistência vascular periférica e induzir o remodelamento das células musculares cardíacas e esqueléticas, levando ao aumento da captação de oxigênio e resistência à fadiga. Os mecanismos e vias de sinalização intracelular envolvidas nas anormali

2020 ◽  
Vol 30 (2) ◽  
pp. 239-247
Author(s):  
Bruno Rocha de Avila Pelozin ◽  
◽  
Larissa Ferreira-Santos ◽  
Luis Felipe Rodrigues ◽  
Edilamar Menezes de Oliveira ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscle ◽  
Aerobic Exercise ◽  
Therapeutic Role ◽  
Insuficiencia Cardiaca

scholarly journals Chinese views on nuclear weapons: Evidence from an online survey

2021 ◽  
Vol 8 (3) ◽  
pp. 205316802110328
Author(s):  
Naomi Egel ◽  
R. Lincoln Hines
Keyword(s):  
Nuclear Weapons ◽  
Text Analysis ◽  
Online Survey ◽  
Public Attitudes ◽  
Age Groups ◽  
Computer Assisted ◽  
The Public ◽  
Self Defense ◽  
Public Views ◽  
Chinese Public

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

Real world heart failure epidemiology and outcome: a population-based analysis of 1,990,162 heart failure patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
P Leszek ◽  
M Zaleska-Kociecka ◽  
D Was ◽  
K Witczak ◽  
K Bartolik ◽  
...  
Keyword(s):  
Heart Failure ◽  
Real World ◽  
Age Groups ◽  
Developed Countries ◽  
Funding Source ◽  
Newly Diagnosed ◽  
The European Union ◽  
Ministry Of Health ◽  
The Real ◽  
Incidence Prevalence

Abstract Background Heart failure (HF) is the leading cause of death and hospitalization in developed countries. Most of the information about HF is based on selected cohorts, the real epidemiology of HF is scarce. Purpose To assess trends in the real world incidence, prevalence and mortality of all in-and outpatients with HF who presented in public health system in 2009–2018 in Poland. Methods It is a retrospective analysis of 1,990,162 patients who presented with HF in Poland in years 2009–2018. It is a part of nationwide Polish Ministry of Health registry that collects detailed information for the entire Polish population (38,495,659 in 2013) since 2009. Detailed data within the registry were collected since 2013. HF was recorded if HF diagnosis was coded (ICD-10). Results The incidence of HF in Poland fell down from 2013 to reach 127,036 newly diagnosed cases (330 per 100,000 population) in 2018 that equals to 43.6% drop. This decrease was mainly driven by marked reduction in females (p<0.001; Fig. 1A) and HF of ischaemic etiology (HF-IE vs HF-nonIE, Fig. 1B. p<0.001). The HF incidence per 100,000 population decreased across all age groups with the greatest drop in the youngest (Table 1). The prevalence rose by 11.6% to reach 1,242,129 (3233 per 100,000 population) in 2018 with significantly greater increase in females and HF-IE (both p<0.0001, Fig. 1C and D, respectively). The HF prevalence per 100,000 population increased across all age groups except for the 70–79 years old. (Table 1). Mortality increased by 28.5% to reach 142,379 cases (370 per 100,000 population) in 2018. The rise was more pronounced among females (p=0.015, Fig. 1E) and in HF-IE (p<0.001, Fig. 1F). The HF mortality per 100 000 population increased across all age groups, except for the 50–59 subgroup (Table 1). Conclusions Heart failure incidence plummeted in years 2013–2018 in Poland due to drop in newly diagnosed HF-IE. Despite that fact, the prevalence and mortality increased with rising trends in HF-IE. Figure 1. Incidence, prevalence, mortality trends Funding Acknowledgement Type of funding source: Public grant(s) – EU funding. Main funding source(s): The project is co-financed by the European Union from the European Social Fund under the Operational Programme Knowledge Education Development and it is being carried out by the Analyses and Strategies Department of the Polish Ministry of Health

scholarly journals p90 ribosomal S6 kinase 3 contributes to cardiac insufficiency in α-tropomyosin Glu180Gly transgenic mice

2013 ◽  
Vol 305 (7) ◽  
pp. H1010-H1019 ◽  
Author(s):  
Catherine L. Passariello ◽  
Marjorie Gayanilo ◽  
Michael D. Kritzer ◽  
Hrishikesh Thakur ◽  
Zoharit Cozacov ◽  
...  
Keyword(s):  
Heart Failure ◽  
Transgenic Mice ◽  
Cardiac Function ◽  
Interstitial Fibrosis ◽  
Cardiac Insufficiency ◽  
S6 Kinase ◽  
Transgenic Expression ◽  
P90 Ribosomal S6 Kinase ◽  
Ribosomal S6 Kinase

Myocardial interstitial fibrosis is an important contributor to the development of heart failure. Type 3 p90 ribosomal S6 kinase (RSK3) was recently shown to be required for concentric myocyte hypertrophy under in vivo pathological conditions. However, the role of RSK family members in myocardial fibrosis remains uninvestigated. Transgenic expression of α-tropomyosin containing a Glu180Gly mutation (TM180) in mice of a mixed C57BL/6:FVB/N background induces a cardiomyopathy characterized by a small left ventricle, interstitial fibrosis, and diminished systolic and diastolic function. Using this mouse model, we now show that RSK3 is required for the induction of interstitial fibrosis in vivo. TM180 transgenic mice were crossed to RSK3 constitutive knockout ( RSK3−/−) mice. Although RSK3 knockout did not affect myocyte growth, the decreased cardiac function and mild pulmonary edema associated with the TM180 transgene were attenuated by RSK3 knockout. The improved cardiac function was consistent with reduced interstitial fibrosis in the TM180; RSK3−/− mice as shown by histology and gene expression analysis, including the decreased expression of collagens. The specific inhibition of RSK3 should be considered as a potential novel therapeutic strategy for improving cardiac function and the prevention of sudden cardiac death in diseases in which interstitial fibrosis contributes to the development of heart failure.

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