scholarly journals DECLINE IN HOSPITALIZATION TREND FOR CARDIOVASCULAR DISEASES SENSITIVE TO PRIMARY HEALTHCARE

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Ana Claudia Saito ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Cardiovascular Diseases ◽  
Primary Healthcare ◽  
Polynomial Regression ◽  
Cerebrovascular Diseases ◽  
Admission Rates ◽  
Unified Health System ◽  
Hospitalization Rates ◽  
Gender And Age ◽  
Access And Quality ◽  
Polynomial Regression Models

ABSTRACT Objective: was to analyze the trend of hospitalizations for cardiovascular conditions sensitive to primary healthcare from 2000 to 2011. Method: an ecological study of the tendency of hospitalization rates for cardiovascular diseases by residence, aged between 35 and 74 years, according to the main diagnoses of hospitalization, gender and age, with data from the Hospital Information System of the Brazilian National Unified Health System (Sistema de Informações Hospitalares do Sistema Único de Saúde) and using polynomial regression models. Results: an average annual decline of 5.6 per 10,000 inhabitants ( r2 =0.9; p<0.001) of hospitalization rates by cardiovascular diseases was observed. Decreasing trends for hypertension, heart failure and cerebrovascular diseases were also identified, while hospitalization rates by angina remained stable. The decrease in admission rates due to cardiovascular conditions was similar between both genders, although these rates were higher for men aged 55 to 74 years. Conclusion: the decline in hospitalization rates for primary care-sensitive cardiovascular diseases indicates, in addition to other factors, improved access and quality of primary healthcare actions, especially for residents aged 55-74 years, and also for women whose decline was more pronounced. The health team should implement actions to prevent chronic disease complications, and consequently hospitalizations for men and for angina, in order to eliminate health disparities.

Abstract P350: Completion of Cardiac Rehabilitation Reduces Hospital Admission Rates in Long Term Follow-up

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Maria Sobolev ◽  
David Z Prince ◽  
Ju Gao ◽  
Cynthia Taub
Keyword(s):  
Cardiac Rehabilitation ◽  
Short Term ◽  
Admission Rates ◽  
Hospitalization Rates ◽  
Gender And Age ◽  
Long Term Follow Up ◽  
Cardiac Diagnosis

Introduction: Cardiac rehabilitation (CR) improves exercise tolerance, quality of life, and mortality among patients with heart disease in short term follow-up. Less is known regarding the sustained benefits attributable to CR after 1 year. Hypothesis: CR attendees have decreased morbidity, represented by lower admission rates. Methods: A database of patients referred to CR between May 2001 and January 2011 was constructed. Data on gender, race, age, and attendance was collected. Completion of CR was designated as 36 sessions. Participants attending 1 to 35 sessions were excluded. All cause hospitalization was recorded from the date of primary cardiac diagnosis. Data was analyzed using a t-test to compare hospitalization rates between participants and non-participants. Baseline admission rates were compared. Results: 162 participants competed CR, 84 (52%) of minority race, 98 (60%) males, 95 (59%) were 65 or older. There were 229 non-participants, 147 (64%) of minority race, 147 (64%) males, 77 (34%) were 65 or older. Mean follow up time was 6 years. Completion of CR resulted in lower mean hospitalization rates (1.19 vs. 2.93, p = 0.001) in all groups: Caucasians 0.92 vs. 2.99 (p = 0.005), minorities 1.44 vs. 2.89 (p = 0.035), males 1.32 vs. 2.89 (p = 0.011), females 1.00 vs. 3.02 (p = 0.003), age 65 or older 0.96 vs. 3.96 (p = <0.001). There was no difference in baseline mean hospitalization rates between participants and non-participants when comparing race or gender: non-participant Caucasians 2.99 vs. minorities 2.89 (p = 0.895), participant Caucasians 0.92 vs. minorities 1.44 (p = 0.246), non-participant males 2.87 vs. females 3.02 (p = 0.834), participant males 1.32 vs. females 1.00 (p=0.489). There was no difference in baseline mean hospitalization rates when comparing participants younger than 65 with 65 or older (1.52 vs. 0.96, p = 0.212). Non-participants 65 or older had significantly higher hospitalization rates than younger non-participants (3.96 vs. 2.33, p = 0.027). Conclusions: Long term follow-up of CR participants demonstrated a sustained morbidity benefit. Previous studies were limited to 1 year follow-up. Race, gender, and age did not influence morbidity, although participants older than 65 may have an additional morbidity reduction.

scholarly journals Trend of preventable neonatal mortality in the States of Brazil

2021 ◽  
Vol 21 (1) ◽  
pp. 291-299
Author(s):  
Kelly Holanda Prezotto ◽  
Rosana Rosseto de Oliveira ◽  
Sandra Marisa Pelloso ◽  
Carlos Alexandre Molena Fernandes
Keyword(s):  
Information System ◽  
Neonatal Mortality ◽  
Polynomial Regression ◽  
Least Squares Method ◽  
Federal District ◽  
Live Births ◽  
Unified Health System ◽  
Adequate Care ◽  
Polynomial Regression Models

Abstract Objectives: to describe the trend of preventable neonatal mortality due to interventions by the Unified Health System in Brazil from 2000 to 2018, according to groups of causes of death and maternal residence. Methods: mixed ecological study with data from the Mortality Information System and Information System on Live Births. The analysis occurred based on the number and rates of avoidable neonatal mortality, polynomial regression models by least squares method and thematic maps. Results: the avoidable neonatal mortality rate decreased from 10.98 in 2000 to 6.76 per 1,000 live births in 2018. Preventable causes prevailed due to adequate care for women during pregnancy, childbirth, fetus and newborn. Deaths from preventable causes from health promotion actions during pregnancy increased in Maranhão (p=0.003) and the Federal District (p=0.001) and remained stable in nine states. There was stability in the rates of mortality due to delivery in Maranhão, Piauí and Amazonas. The causes avoidable by actions with the newborn showed a decreasing trend, except for Roraima where there was stability. Conclusions: there are inequalities in trends of avoidable neonatal mortality rates in the states second according to the group of causes and the need to improve access to and quality of maternal and child health care in these places

Analysis of the involvement of single nucleotide polymorphisms of redox-homeostasis genes in the development of isolated and comorbid cardioand cerebrovascular diseases

2020 ◽  
pp. 37-49
Author(s):  
О.Ю. Бушуева
Keyword(s):  
Single Nucleotide Polymorphisms ◽  
Redox Homeostasis ◽  
Total Sample ◽  
Cerebrovascular Diseases ◽  
Cerebral Stroke ◽  
Nucleotide Polymorphisms ◽  
Single Nucleotide ◽  
Gender And Age ◽  
Additive Regression Model ◽  
Additive Regression

Распространенные и зачастую сочетающиеся кардио- и цереброваскулярные заболевания (КЦВЗ), включающие артериальную гипертензию (АГ), ишемическую болезнь сердца (ИБС) и мозговой инсульт (МИ), представляют собой основную причину смертности во всем мире. Окислительный стресс имеет множество патологических эффектов на сосудистый гомеостаз и в настоящее время рассматривается как один из общих механизмов развития КЦВЗ. Целью исследования было изучение ассоциации однонуклеотидных полиморфизмов генов редокс-гомеостаза rs2070424 SOD1, rs4880 SOD2, rs769214 CAT, rs713041 GPX4, rs41303970 GCLM, rs17883901 GCLC, rs854560 PON1, rs7493 PON2, rs1695 GSTP1, rs2266782 FMO3 с развитием изолированных и сочетанных форм КЦВЗ. Материалом для исследования послужила выборка неродственных индивидов славянского происхождения, общей численностью 2702 человека. В исследование вошли 1815 пациентов с различными кардио- и цереброваскулярными заболеваниями и их сочетаниями: с изолированной АГ (иАГ), с изолированной ишемической болезнью сердца (иИБС), с сочетанием АГ и ИБС (АГ+ИБС), с мозговым инсультом (МИ) на фоне АГ (АГ+МИ); с коморбидной кардио- и цереброваскулярной патологией (АГ+ИБС+МИ). Из общей выборки здоровых лиц (N=887) были сформированы 5 контрольных групп, соответствующих по полу и возрасту каждой из групп нозологических форм заболеваний. Генотипирование SNP проводили методом ПЦР в режиме реального времени путем дискриминации аллелей с помощью TaqMan-зондов. Для анализа ассоциаций генотипов с развитием заболеваний пользовались лог-аддитивной регрессионной моделью. Все расчеты выполнены относительно минорного аллеля; введены поправки на пол и возраст. SNP rs1695 GSTP1 был связан исключительно с развитием иАГ (OR=1,19, 95%CI=1,01-1,39, р=0,034). SNP rs7493 PON2 был связан с развитием всех исследованных коморбидных кардио- и цереброваскулярных заболеваний: АГ+ИБС (adjOR=1,32, adj95%CI=1,07-1,63, adjp=0,01); АГ+МИ (adjOR=1,79, adj95%CI=1,45-2,21, adjp<0,0001); АГ+ИБС+МИ (adjOR=1,51, adj95%CI=1,09-2,09, adjp=0,01), а также с укорочением протромбинового времени (adjDifference=-0,35; adjp=0,01). SNP rs2266782 FMO3 был связан с фенотипом АГ+МИ (adjOR=1,24, adj95%CI=1,02-1,51, adjp=0,03), а также снижал возраст манифестации МИ (adjDifference=-2,31; adjp=0,03). Таким образом, установлено, что однонуклеотидные полиморфизмы генов редокс-гомеостаза могут представлять важную генетическую компоненту формирования дифференцированности кардио- и цереброваскулярных фенотипов. Common and often comorbid cardio- and cerebrovascular diseases (CCVD), including arterial hypertension (AH), coronary heart disease (CHD), and cerebral stroke (CS), are the leading cause of death worldwide. Oxidative stress has many pathological effects on vascular homeostasis and is currently regarded as one of the common mechanisms for the development of CCVD. The aim of our study was to investigate the association of single nucleotide polymorphisms of the redox-homeostasis genes rs2070424 SOD1, rs4880 SOD2, rs769214 CAT, rs713041 GPX4, rs41303970 GCLM, rs17883901 GCLC, rs854560 PON1, rs7493 PON2, rs1695 GSTP1, rs2266782 FMO3 with the development of isolated and comorbid CCVD. A total 2702 individuals of Slavic origin were included for this study. The patients group included 1815 subjects with various CCVD and their combinations: isolated AH (IAH); isolated IHD (IIHD), combination of AH and IHD (AH+IHD); combination of AH and CS (AH+CS); comorbid cardio- and cerebrovascular pathology (AH+IHD+CS). From the total sample of healthy individuals (N=887), 5 sex- and age-matched control groups were formed. Genotyping was performed using TaqMan-based PCR. To analyze the associations of genotypes with the risk of diseases, a log-additive regression model was used. All calculations were performed relative to the minor allele; corrections for gender and age have been introduced. SNP rs1695 GSTP1 was associated with IAH exclusively (OR=1.19, 95%CI=1.01-1.39, P=0.034). SNP rs7493 PON2 was associated with the development of all studied comorbid CCVD: AH+IHD (adjOR=1.32, adj95%CI=1.07-1.63, adjP=0.01); AH+CS (adjOR=1.79, adj95%CI=1.45-2.21, adjP<0.0001); AH+IHD+CS (adjOR=1.51, adj95%CI=1.09-2.09, adjP=0.01), as well as shortening of prothrombin time (adjDifference=-0.35; adjP=0.01). SNP rs2266782 FMO3 was associated with the development of AH+CS (adjOR=1.24, adj95%CI=1.02-1.51, adjP=0.03), as well as decreased age of manifestation of CS (adjDifference=-2.31; adjP=0.03). Thus, it was found that genes involved in regulation of redox-homeostasis, can represent an important genetic component in the formation of differentiation of cardio- and cerebrovascular phenotypes.

scholarly journals Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Primary Care ◽  
Cardiovascular Diseases ◽  
Family Health ◽  
The State ◽  
Regional Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Spearman’S Correlation

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

scholarly journals Overview of hospitalizations by ambulatory care sensitive conditions in the municipality of Cotia, Brazil

2014 ◽  
Vol 48 (spe) ◽  
pp. 137-144
Author(s):  
Renata Laszlo Torres ◽  
Suely Itsuko Ciosak
Keyword(s):  
Heart Failure ◽  
Urinary Tract ◽  
The Elderly ◽  
Cerebrovascular Diseases ◽  
Descriptive Statistics ◽  
Ambulatory Care Sensitive Conditions ◽  
Age Group ◽  
Unified Health System ◽  
Significant Difference ◽  
Sensitive Conditions

Objective To describe the profile of Hospitalizations by Amulatory Care Sensitive Conditions (HACSC), in the Municipality of Cotia, from 2008 to 2012. Method ecological, exploratory, longitudinal study with a quantitative approach. Data on HACSC, by age group and sex, were obtained from the Department of the Unified Health System. For data analysis descriptive statistics were used. Results During the period, there were 46,676 admissions, excluding deliveries, 7,753 (16.61%) by HACSC. The main causes were cerebrovascular diseases, 16.96%, heart failure, 15.50%, hypertension, 10.80% and infection of the kidney and urinary tract, 10.51%. Regarding gender, HACSC occurred predominantly in males. There was a greater number of HACSC at extreme age ranges, especially in the elderly. Conclusion Chronic diseases predominate among the leading causes of HACSC and there was no significant difference between sex.





scholarly journals Municipal Management, Infrastructure And Perception Of Users: A Description Of National Program For Improving Access And Quality Of Primary Care In The Brazilian Semiarid

10.3823/2515 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marília Gomes De Sousa Bezerra ◽  
Roseanne De Sousa Nobre ◽  
Artemizia Francisca De Sousa ◽  
Maísa De Lima Claro
Keyword(s):  
Primary Care ◽  
Cross Sectional ◽  
Unified Health System ◽  
Quality Of Primary Care ◽  
Brazilian Semiarid ◽  
Municipal Management ◽  
Access And Quality ◽  
Objective Description

Introduction: The Ministry of Health with the aim of improving the service provided by the Unified Health System has been creating work tools to identify which points need to receive more attention to be optimized. Objective: Description of the role of municipal management, infrastructure assessment and perception of users of primary care. Method: Cross-sectional and descriptive study, conducted with Basic Units of Piauí municipality in 2015. The data were represented by tables. Results: 90% of the units reported receiving support for the planning and organization of the work process. Only 14, 81% of the units have equipment and supplies for proper operation. Users recommend the service in 92,62% of the cases. Conclusion: despite the precarious structure of the basic units of the county, the population still recognizes them as the best care.

scholarly journals Forecasting COVID-19 cases in Algeria using logistic growth and polynomial regression models

2021 ◽  
Author(s):  
Mohamed LOUNIS ◽  
Babu Malavika
Keyword(s):  
Regression Model ◽  
Logistic Model ◽  
Polynomial Regression ◽  
Logistic Growth ◽  
The Novel ◽  
Logistic Growth Model ◽  
Polynomial Regression Models ◽  
Using Data ◽  
Novel Coronavirus ◽  
Polynomial Regression Model

Abstract The novel Coronavirus respiratory disease 2019 (COVID-19) is still expanding through the world since it started in Wuhan (China) on December 2019 reporting a number of more than 84.4 millions cases and 1.8 millions deaths on January 3rd 2021.In this work and to forecast the COVID-19 cases in Algeria, we used two models: the logistic growth model and the polynomial regression model using data of COVID-19 cases reported by the Algerian ministry of health from February 25th to December 2nd, 2020. Results showed that the polynomial regression model fitted better the data of COVID-19 in Algeria the Logistic model. The first model estimated the number of cases on January, 19th 2021 at 387673 cases. This model could help the Algerian authorities in the fighting against this disease.

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