scholarly journals MOBILE H EALTH TECHNOLOGY: ORGANIZATIONAL, MEDICAL AND PHARMACOEPIDEMIOLOGICAL APPROACHES FOR CSD PREVENTION IN PRE-PRIMARY CARE

2019 ◽  
Vol 9 (5) ◽  
pp. 382-390
Author(s):  
N. P. Kirilenko ◽  
V. L. Krasnenkov ◽  
A. V. Solov’eva ◽  
O. M. Korolyova ◽  
T. Y. Bucanova ◽  
...  
Keyword(s):  
Primary Care ◽  
Rural Health ◽  
Fruits And Vegetables ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Blood Cholesterol ◽  
Noncommunicable Diseases ◽  
Shopping Centers ◽  
Health Technologies ◽  
Circulatory System Diseases

Objective: to evaluate the innovative organizational, medical and pharmacoepidemiological approaches for the prevention of circulatory system diseases in pre-primary care using mobile health technologies.Materials and methods: 3,694 people went through preventive consultation (questionnaires, anthropometry, body fat and blood pressure evaluation, electrocardiography, glucose and blood cholesterol) at equipped medical sites in shopping centers and rural health posts.Results. Among the surveyed, there were both healthy people and patients cardiovascular diseases and diabetes mellitus. Behavioral (insufficient consumption of fruits and vegetables, adding more salt without trying food, physical inactivity, smoking and alcohol abuse) and nutritional (obesity, hypertension, hypercholesterolemia and glycaemia) risk factors of chronic noncommunicable diseases were detected that contribute to high mortality from circulatory system diseases in the Tver region. This is associated with low adherence to drug therapy and its lack of efficacy in patients with hypertension, ischemic heart disease and cerebrovascular diseases.Conclusion: to assess the effectiveness of CSD prevention in pre-primary care, it is possible to use mobile medical sites in shopping centers and rural health posts.

scholarly journals Hypertension and diabetes-related morbidity and mortality trends in a municipality in the countryside of São Paulo

2015 ◽  
Vol 23 (6) ◽  
pp. 1157-1164 ◽  
Author(s):  
Andreia Francesli Negri Reis ◽  
Juliana Cristina Lima ◽  
Lucia Marinilza Beccaria ◽  
Rita de Cassia Helú Mendonça Ribeiro ◽  
Daniele Favaro Ribeiro ◽  
...  
Keyword(s):  
Information System ◽  
Hospital Admissions ◽  
Circulatory System ◽  
Secondary Data ◽  
Cerebrovascular Diseases ◽  
Morbidity And Mortality ◽  
Mortality Trends ◽  
Cross Sectional ◽  
Circulatory System Diseases ◽  
Morbidity And Mortality Trends

Objectives: to identify the main causes for hospital admissions and deaths related to systemic arterial hypertension and diabetes mellitus (DM), and to analyze morbidity and mortality trends, in a municipality in São Paulo's countryside, by comparing two three-years periods, 2002 to 2004 and 2010 to 2012. Methods: cross-sectional study which used secondary data regarding deaths from the Information System on Mortality and concerning hospital admissions from the DataSus Hospital Information System. Univariate and multivariate statistical analyses were conducted. Results: from 2002 to 2012, 325,439 people were admitted to hospitals, 14.7% of them due to circulatory system diseases (CSD) and 0.7% due to DM. The deaths distributed as the following: 29,027 deaths (31.5%) were due to CSD; 8.06% due to cerebrovascular diseases (CVD); and 2.75% due to DM. There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001). The highest lethality in hospital admissions was found to be due to CVD (10%). That trend showed that mortality rates dropped, younger patients were admitted due to DM, and older patients were admitted due to CVD - they were more often females. Conclusion: the main causes for hospital admissions were the CSDs; main mortality causes were the CVDs in hypertensive and diabetic women. Those findings can back public policies which prioritize the promotion of health.

scholarly journals AGE/SEX-SPECIFIC MORTALITY RATES FROM CIRCULATORY SYSTEM DISEASES AMONG OUTPATIENTS OF A KRASNODAR POLYCLINIC

2019 ◽  
Vol 26 (3) ◽  
pp. 99-107
Author(s):  
Elena V. Bolotova ◽  
Anna V. Kontsevaya ◽  
Irina V. Kovrigina ◽  
Larisa P. Lyuberitskaya
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Circulatory System ◽  
Mortality Rates ◽  
Cerebrovascular Diseases ◽  
Ischemic Heart ◽  
Medical Documentation ◽  
Chronic Ischemic Heart Disease ◽  
Circulatory System Diseases ◽  
Specific Mortality

Aim.In this work, we undertook a study of age/sex-specific mortality rates from circulatory system diseases and certain nosological forms in 2015 and 2018 among outpatients of Research Institute — Ochapovsky Regional Clinical Hospital No. 1 delivering primary healthcare services.Materials and methods.We studied age/sex-specific mortality rates from circulatory system diseases among adult population using the data from the medical records of deceased outpatients (Form 025/u), extracts from autopsy reports, as well as medical certificates of death for 2015 and 2018. Non-standardised and standardised mortality rates were calculated.Results.In 2015, all-cause mortality rate by the medical organisation reached 6.2 per 1,000 population, with the total number of deaths from circulatory system diseases amounting to 49.6%. The non-standardised mortality rates from the circulatory system diseases totalled 307.81 per 100,000 population, including the non-standardised mortality rates from cerebrovascular diseases (44.68), ischemic heart disease (129.08) and myocardial infarction (4.96). Standardised mortality rates from circulatory system diseases amounted to 201.96 (men — 70.58, women — 131.38). In 2015, chronic ischemic heart disease (41.94%) ranked first as the cause of mortality among circulatory system diseases followed by diagnoses requiring additional interpretation and examination of primary medical documentation (35.48%), i.e. not clearly defined causes of death; and cerebrovascular diseases (14.52%). In 2018, chronic ischemic heart disease also ranked first (47.54%) followed by cerebrovascular (36.21%) and other diseases (16.39%) (ICD codes I26, I71.1, R00.8).Conclusion.It is shown that more attention from the cardiological and therapeutic services of primary health care is required in coding death-causing circulatory system diseases.

scholarly journals Inequality in Financing and Distribution of Noncommunicable Diseases in China: Evidence From 2017-2019

2021 ◽  
Author(s):  
Quan Fang ◽  
Guoliang Ma ◽  
Shunli Zhang ◽  
Qin Zhang ◽  
Xinzhou Xu ◽  
...  
Keyword(s):  
Economic Burden ◽  
Linear Regression Analysis ◽  
Circulatory System ◽  
Family Health ◽  
Health Financing ◽  
Policy Formulation ◽  
Noncommunicable Diseases ◽  
Factors Affecting ◽  
Circulatory System Diseases ◽  
The Government

Abstract Background: Noncommunicable diseases (NCDs) are the leading causes of morbidity and mortality worldwide. Understanding the financing and distribution of diseases can provide a basis for policy formulation and intervention. This study analyses the expenditure of NCDs in China to provide health policy advice.Methods: Data were collected by multi-stage stratified random sampling from 2017-2019. The medical expenses of patients with NCDs were calculated based on “System of Health Accounts 2011”(SHA 2011), Analyze from funding sources, dimensions of institutional flow, and financing scheme. Linear regression analysis was conducted by controlling factors influencing hospitalization expenses. All analyses were performed by STATA 15.0.Results: 408 institutions and 8,104,233 valid items were included in the study. The current curative expenditure (CCE) of NCDs was 14.205 billion China Yuan (CNY) in 2017, 15.914 billion CNY in 2018, and 18.055 billion CNY in 2019. More than 60% came from public financing. The proportion of family health financing continued to decline, reaching 31.16% in 2019. The expenditures were mainly in general hospitals, above 70%. Elderly patients account for the majority. Diseases of the circulatory system, Diseases of the digestive system, and Neoplasms were the main NCDs. Year, age, gender, length of stay, surgery, insurance, and institution level were the factors affecting hospitalization expenses.Conclusions: NCDs are the main economic burden of diseases in China, and their financing and distribution are inequality. To reduce the economic burden of NCDs, the government needs to optimize resource allocation and rationalize institutional flows and functions.

scholarly journals Is Area-level Socioeconomic Deprivation Associated With Mortality Due to Circulatory System Diseases in Poland?

2020 ◽  
Author(s):  
Jacek Jamiołkowski ◽  
Agnieszka Genowska ◽  
Andrzej Pająk
Keyword(s):  
Regression Models ◽  
Cardiovascular Health ◽  
Circulatory System ◽  
Population Level ◽  
Cerebrovascular Diseases ◽  
Low Ses ◽  
Circulatory System Diseases ◽  
Central Statistical ◽  
Central Statistical Office ◽  
The Relationship

Abstract Background. Socioeconomic status (SES) influences cardiovascular health, but studies on the relation between deprivation and circulatory system diseases (CSD) in Eastern Europe are scarce. This study aimed to assess the relationship between SES and mortality from CSD at the population level in 66 sub-regions of Poland.Methods. Area-based index based on education, structure in employment, salary, unemployment and poverty was constructed to assess SES. Data on mortality and the components of SES were obtained from the Central Statistical Office. Associations were tested using multivariate Poisson regression models.Results. In men, compared to 2010, percent of Deaths Prevented or Postponed (DPP) in 2014 was 31.1% for CSD, 23.4% for ischemic heart disease (IHD) and 21.4% for cerebrovascular diseases (CD). In women proportion, of DPP was 12.8%, 25.6% and 21.6 respectively. CSD mortality was negatively related to SES with the exception to CD mortality in women. However, low-SES regions experienced a greater decrease in CSD mortality than high-SES regions.Conclusions. Decrease of CSD mortality was more pronounced in women than in men, particularly in more deprived sub-regions compared with affluent regions. After adjustment for covariates SES was related with CSD and IHD mortality in men, and with CD mortality women.

scholarly journals HOSPITALIZATIONS FOR AMBULATORY CARE SENSITIVE NONCOMMUNICABLE DISEASES OF THE CIRCULATORY SYSTEM

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
José Marcel Mello ◽  
Pollyanna Kássia de Oliveira Borges ◽  
Erildo Vicente Muller ◽  
Clóris Regina Blanski Grden ◽  
Fabiane Karine Pinheiro ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Chronic Conditions ◽  
Ecological Study ◽  
Descriptive Analysis ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Noncommunicable Diseases ◽  
Ambulatory Care Sensitive Conditions ◽  
Primary Health ◽  
Ambulatory Care Sensitive

ABSTRACT Objective: describe hospitalizations for ambulatory care sensitive chronic conditions in the state of Paraná, Brazil from 2000 to 2011 Method: epidemiological ecological study was to. After descriptive analysis of the data, hospitalization indicators were developed to describe the results. Results: this study’s findings suggest that efforts to implement and expand Primary Health Care in Paraná in the last decade resulted in a decrease in the proportion of hospitalizations for ambulatory care sensitive conditions and the average number of hospitalizations for noncommunicable chronic diseases, though the ratio of hospitalizations to resident population has increased. Conclusion: attention should be specifically paid to certain causes of hospitalization, such as hypertension and diabetes mellitus, to further minimize hospitalizations for Cerebrovascular Diseases and Congestive Heart Failure, which remained high.

scholarly journals Network of Vascular Centers in the Russian as a way to reducing mortality in the working population

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Zubko ◽  
T Sabgayda ◽  
P Shelekhov ◽  
V Zaporozhchenk ◽  
E Zemlyanova
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Care Delivery ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
The State ◽  
High Tech ◽  
State Program ◽  
Circulatory System Diseases ◽  
Working Age

Abstract Over the entire period of the state program aimed at reducing mortality from circulatory system diseases initiated in 2008 the number of Vascular Centers has increased from 85 to 140. According to the federal statistical observation form, the rate of Vascular Centers per 100 000 population increased 1.5 times from 0.066 to 0.095 in 2008 and 2017 respectively. As a result, the number of treated patients increased 6.3 times - from 53.1 to 327.3 per 100 000 population. During the analyzed period, the mortality rate of patients of Vascular Centers decreased from the average of 9.3% for all Vascular Centers in 2009 to 7.6% in 2017 (χ2 = 248.6, p &lt; 0.0001) reflecting accumulation of experience of care delivery within the framework of the state program. The majority of patients with myocardial infarction and cerebrovascular diseases received treatment in the Vascular Centers. In 2017, 76.6% of all patients were admitted to Vascular Centers. From 2008 to 2017, the mortality from circulatory diseases in urban males of working age decreased by 36.1% (from 354.6 to 226.6 per 100 000 population), while cardiovascular mortality in rural males decreased to a greater extent - by 41.0% (from 394.2 to 232.0). Female mortality from circulatory system diseases (the level of which was initially five times lower) decreased to a lesser extent: from 67.0 to 44.5 per 100 000 urban females of working age (1.5 times - by 33.6%), and was even more pronounced in rural females - from 90.8 to 55.4 (by 39.0%). Therefore, along with the increase in the number of Vascular Centers the volume of specialized care including high-tech, increases while mortality decreases, reflected by the decreased mortality from myocardial infarction and other forms of acute ischemic heart disease. However, the activity of Vascular Centers did not affect the rate of mortality from cerebrovascular diseases in the Russian population. Key messages Through the activity of regional vascular centers since 2008 substantial reducing of patients’ mortality was registered from myocardial infarctions and other acute forms of ischaemic heart disease. Mortality from myocardial infarction has decreased in the last decade faster than in the period up to 2009.

scholarly journals Association between PM10 and specific circulatory system diseases in China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yifan Zhang ◽  
Yuxia Ma ◽  
Fengliu Feng ◽  
Bowen Cheng ◽  
Hang Wang ◽  
...  
Keyword(s):  
Meteorological Data ◽  
Additive Model ◽  
Circulatory System ◽  
The Elderly ◽  
Cerebrovascular Diseases ◽  
Circulatory System Diseases ◽  
Stratified Analysis ◽  
Beijing China ◽  
Long Term Trend

AbstractParticulate matter (PM) has been proved to be a risk factor for the development of circulatory system diseases (CSDs) around the world. In this study, we collected daily air pollutants, emergency room (ER) visits for CSDs, and meteorological data from 2009 to 2012 in Beijing, China. After controlling for the long-term trend and eliminating the influence of confounding factors, the generalized additive model (GAM) was used to evaluate the short-term effects of PM10 on CSDs and cause-specific diseases. The results showed that for every 10 μg/m3 increase in PM10, the largest effect estimates in ER visits of total CSDs, arrhythmia, cerebrovascular diseases, high blood pressure, ischemic heart disease and other related diseases were 0.14% (95% CI: 0.06–0.23%), 0.37% (95% CI: − 0.23 to 0.97%), 0.20% (95% CI: 0.00–0.40%), 0.15% (95% CI: 0.02–0.27%), 0.18% (95% CI: 0.02–0.35%) and 0.35% (95% CI: − 0.04 to 0.79%), respectively. When NO2 or SO2 was added into the model, the effect estimates of PM10 were mostly attenuated, while in those models with PM2.5 added, the effect estimates of PM10 were mostly increased. Stratified analysis indicated that PM10 had a greater effect on males and the elderly.

scholarly journals Direct cost of systemic arterial hypertension and its complications in the circulatory system from the perspective of the Brazilian public health system in 2019

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253063
Author(s):  
Daniel da Silva Pereira Curado ◽  
Dalila Fernandes Gomes ◽  
Thales Brendon Castano Silva ◽  
Paulo Henrique Ribeiro Fernandes Almeida ◽  
Noemia Urruth Leão Tavares ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health System ◽  
Public Health System ◽  
Antihypertensive Drugs ◽  
Circulatory System ◽  
Total Cost ◽  
Systemic Arterial Hypertension ◽  
Circulatory System Diseases ◽  
The Cost

Introduction Systemic arterial hypertension (SAH), a global public health problem and the primary risk factor for cardiovascular diseases, has a significant financial impact on health systems. In Brazil, the prevalence of SAH is 23.7%, which caused 203,000 deaths and 3.9 million DALYs in 2015. Objective To estimate the cost of SAH and circulatory system diseases attributable to SAH from the perspective of the Brazilian public health system in 2019. Methods A prevalence-based cost-of-illness was conducted using a top-down approach. The population attributable risk (PAR) was used to estimate the proportion of circulatory system diseases attributable to SAH. The direct medical costs were obtained from official Ministry of Health of Brazil records and literature parameters, including the three levels of care (primary, secondary, and tertiary). Deterministic univariate analyses were also conducted. Results The total cost of SAH and the proportion of circulatory system diseases attributable to SAH was Int$ 581,135,374.73, varying between Int$ 501,553,022.21 and Int$ 776,183,338.06. In terms only of SAH costs at all healthcare levels (Int$ 493,776,445.89), 97.3% were incurred in primary care, especially for antihypertensive drugs provided free of charge by the Brazilian public health system (Int$ 363,888,540.14). Stroke accounted for the highest cost attributable to SAH and the third highest PAR, representing 47% of the total cost of circulatory diseases attributable to SAH. Prevalence was the parameter that most affected sensitivity analyses, accounting for 36% of all the cost variation. Conclusion Our results show that the main Brazilian strategy to combat SAH was implemented in primary care, namely access to free antihypertensive drugs and multiprofessional teams, acting jointly to promote care and prevent and control SAH.

scholarly journals Rising trend of life expectancy in Shanghai, China: quantitative analysis of changes by mortalities in different age groups and specific diseases

2015 ◽  
Vol 1 (1) ◽  
pp. 37
Author(s):  
Huiting Yu ◽  
Ming Han ◽  
Wenzheng Jin ◽  
Qing Yang ◽  
Renzhi Cai ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Age Groups ◽  
Circulatory System ◽  
Decomposition Methods ◽  
Developed Countries ◽  
Noncommunicable Diseases ◽  
Mortality Data ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Circulatory System Diseases

Objective: Life expectancy had increased from 73.16 to 79.82 years in men and 77.74 to 84.44 years in women during 1990-2010 in Shanghai. The elevating rate was faster than that of most developed countries. This study is to access life expectancy increasedin Shanghai by different age groups and specific diseases.Methods: Arriaga’s decomposition methods were applied to life tables and mortality data (1990-2010) to estimate changes in life expectancy.Results: The largest contributions lied on elderly population (60 years old & above) (4.79-year in men and 4.90-year in women). During 1990-2000, reductions in mortality of respiratory system diseases, especially in chronic obstructive pulmonary disease (COPD), contributed 1.36-year increase in men and 1.16-year increase in women. During 2000-2010, reductions in mortality of circulatory system diseases, especially in cerebrovascular disease (CVD), contributed 0.82-year increase in men and 1.08-year increase in women.Conclusions: Rapid increases in life expectancy were mostly achieved by declining mortality in aged population and chronic noncommunicable diseases (CND), nevertheless CND were still the main causes of death in Shanghai, which implicated that the prevention strategies for chronic diseases was effective and should be persevered for a long time in the future. 

scholarly journals MORTALITY FROM CIRCULATORY SYSTEM DISEASES IN THE KEMEROVO REGION AND THE RUSSIAN FEDERATION IN 2000–2016

2019 ◽  
Vol 8 (2) ◽  
pp. 6-11
Author(s):  
S. A. Makarov ◽  
S. A. Maksimov ◽  
E. B. Shapovalova ◽  
D. S. Stryapchev ◽  
G. V. Artamonova
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Russian Federation ◽  
Circulatory System ◽  
Mortality Rates ◽  
Cerebrovascular Diseases ◽  
Circulatory System Diseases ◽  
The Russian Federation ◽  
Artery Disease ◽  
Regional Mortality

Aim. To estimate the trends in mortality from circulatory system diseases, including coronary artery disease and cerebrovascular diseases, in the Kemerovo region in the period from 2000 to 2016 and compare it with the national trends.Methods. Data on national mortality rates, including those among adults of working age (men 16–59 years, women 16–54 years) from circulatory system diseases, coronary artery disease and cerebrovascular diseases in the period from 2000 to 2016 were obtained through the national statistical reports. A linear trend in the regional mortality rate to the national one has been reported.Results. Mortality rate from circulatory system diseases in the period from 2000 to 2016 tends to a decrease in the Kemerovo region and the Russian Federation. The comparative analysis of mortality rates in the Kemerovo region and the Russian Federation reported lower regional mortality rates in the general population. Despite lower mortality rates from coronary artery disease in the general population and working population, there are higher mortality rates from cerebrovascular diseases. Conclusion. The trend in mortality from circulatory system diseases in the Kemerovo region is comparable to that in the Russian Federation. Specific regional features related to the interaction of various factors, including regional healthcare system, have been determined. The trends in mortality from coronary artery disease and cerebrovascular diseases in the period from 2000 to 2016 have been presented.

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