scholarly journals Morbimortalidade da dengue em idosos no Brasil - Dengue morbidity and mortality in elderly in Brazil

2017 ◽  
Vol 5 (1) ◽  
pp. 56
Author(s):  
Annah Rachel Graciano ◽  
Luís Pedro Ferreira de Assis ◽  
Andressa Meline Cozer ◽  
Vitória Castilho Amâncio ◽  
Júlia Maria Rodrigues de Oliveira
Keyword(s):  
General Population ◽  
Elderly Population ◽  
Ecological Study ◽  
Temporal Trend ◽  
Scientific Evidence ◽  
The Elderly ◽  
Services Research ◽  
Specific Mortality ◽  
Methods Analytical ◽  
Public Politics

ResumoObjetivo: Verificar a prevalência e coeficientes de mortalidade específica de dengue no Brasil na população de idosos correlacionando as taxas por sexo feminino e masculino. Métodos: Estudo ecológico descritivo com delineamento de tendência temporal. Foram usadas como fontes de dados o Sistema de Informação Hospitalar, Sistema de Informação de Mortalidade e Instituto Brasileiro de Geografia e Estatística.  A população correspondeu aos idosos com idade entre 60 e 100 anos atendidos no Sistema Único de Saúde e que tiveram diagnóstico de dengue entre os anos de 2008 e 2015. Resultados: As taxas de prevalência não se alteraram no âmbito da população geral entre os anos de 2008 e 2015. Houve aumento significativo no número de mortes por dengue. No grupo de idosos, a prevalência aumentou substancialmente, e a mortalidade específica nesse grupo apresentou valores muito maiores que a mortalidade da população geral acometida pela dengue. Conclusões: São de extrema importância estudos sobre o acometimento da dengue em grupos de idosos para o desenvolvimento de políticas públicas e criação de protocolos específicos no diagnóstico e tratamento nessa faixa etária, considerando a falta de evidências científicas que comportem conduta adequada no manejo de tais pacientes.Palavras-chave:Dengue. Epidemiologia nos Serviços de Saúde. Medicina Preventiva.AbstractObjective: To determine the prevalence and specific dengue coefficients of mortality in Brazil in the elderly population correlating the rates by male and female. Methods: Analytical ecological study with temporal trend of design. It was used as data sources Sistema de Informação Hospitalar, Sistema de Informação de Mortalidade and Instituto Brasileiro de Geografia e Estatística. The population corresponded to the elderly aged between 60 years to 100 attended at Brazilian public health system whom were diagnosed with dengue between 2008 and 2015. Results: The prevalence rates did not change in the general population between the years 2008 and 2015. There was a significant increase in the number of deaths from dengue. In the elderly group, the prevalence increased substantially, and the specific mortality analysis in this group showed higher values than the mortality of the general population affected by dengue. Conclusions: It is very important to underline studies on the involvement of dengue in elderly groups for the development of public politics and the creation of specific protocols for the diagnosis and treatment in that age group, considering the lack of scientific evidence to entail proper conduct in handling such patients.Keyword:Dengue. Health Services Research. Preventive medicine.

scholarly journals Epidemiological overview of AIDS in elderly people in the state of Santa Catarina from 2008 to 2018

2021 ◽  
Vol 33 ◽  
Author(s):  
Geovana Elizabeth Miotto ◽  
Betine Pinto Moehlecke Iser ◽  
Bruno Tafarel Ribeiro ◽  
Fernanda Brigido Castilhos ◽  
Daniel Albrecht Iser
Keyword(s):  
Skin Color ◽  
Elderly Population ◽  
Ecological Study ◽  
Temporal Trend ◽  
The Elderly ◽  
The State ◽  
Age Group ◽  
Santa Catarina ◽  
Elderly Individuals ◽  
Epidemiological Situation

Introduction: In recent years there has been an increase in the number of AIDS diagnoses in the general population, with a significant growth among elderly individuals. Objective: To analyze the epidemiological situation of AIDS in the elderly population and its temporal trend in the Santa Catarina State. Methods: Ecological study, conducted with the elderly (≥60 years) living in Santa Catarina, who were diagnosed with AIDS and notified in the Brazilian Information System for Notifiable Diseases (SINAN) from 2008 to 2018. The incidence rate according to sex, age group and health macro-region was calculated, as well as the time trend, through linear regression. Race/skin color and scholarity were analyzed by proportion in relation to the total. Results: 1,365 cases were notified from 2008 to 2018. There was an increase in cases from 6,7/100.000 in 2008 to 23,1 in 2018 (1,77% yearly), higher among men aged 60 to 69 and living in the area of Florianópolis. Conclusion: there was an increase in AIDS notifications among the elderly in the state.

scholarly journals Avaliação dos indicadores epidemiológicos para a hanseníase no Brasil, 2008 a 2015 - Evaluation of epidemiological indicators for leprosy in Brazil, 2008 - 2015

2017 ◽  
Vol 5 (1) ◽  
pp. 6 ◽  
Author(s):  
Luís Pedro Ferreira de Assis ◽  
Andressa Meline Cozer ◽  
Vitória Castilho Amâncio ◽  
Annah Rachel Graciano ◽  
Divanita Cândida da Silva Dias
Keyword(s):  
Ecological Study ◽  
Temporal Trend ◽  
Social Consequences ◽  
Data Sources ◽  
Prevalence Rates ◽  
Gradual Decline ◽  
Mato Grosso ◽  
Its Regions ◽  
Specific Mortality ◽  
Methods Analytical

ResumoObjetivo: relatar o coeficiente de prevalência e mortalidade específica da hanseníase no Brasil e em suas regiões e correlacionar as taxas de prevalência por sexo feminino e masculino. Métodos: estudo ecológico analítico com delineamento de tendência temporal. Foram usadas como fontes de dados o SIH, SIM e IBGE.  A população correspondeu ao total de novos casos notificados e que tiveram diagnóstico de hanseníase entre os anos de 2008 e 2015. Resultados: há uma redução nas taxas de prevalência no país, de casos notificados de hanseníase da população geral entre os anos de 2008 e 2015. Houve redução significativo no número de mortes por hanseníase. No grupo avaliado, a prevalência de hanseníase aumentou em algumas regiões brasileiras após alguns anos consecutivos de queda gradativa. Conclusões: vale enfatizar a importância de estudos sobre a prevalência de hanseníase em nosso meio, principalmente na região Centro-Oeste, onde a prevalência tem aumentado de forma significativa nos últimos anos, em destaque para o estado de Mato Grosso. É essencial o desenvolvimento de políticas públicas e criação de protocolos específicos no diagnóstico e tratamento dos pacientes, considerando seu histórico e as suas sequelas sociais, reforçando a importância da existência de uma conduta adequada no manejo desses pacientes.Palavras-chave:Hanseníase. Epidemiologia. Tendência. Vigilância. AbstractObjective: To verify the prevalence rate and specific mortality of leprosy in Brazil and its regions and correlate the prevalence rates for female and male. Methods: analytical ecological study with temporal trend of design. They were used as data sources SIH, SIM and IBGE. The population corresponded to the total number of new reported cases and who were diagnosed with leprosy between 2008 and 2015. Results: there is a reduction in prevalence rates in the country, reported cases of leprosy in the general population between the years 2008 and 2015. There was a significant reduction in the number of deaths from leprosy. In the evaluated group, the prevalence of leprosy has increased in some regions of Brazil after several consecutive years of gradual decline. Conclusions: It is worth emphasizing the importance of studies on the prevalence of leprosy in Brazil, mainly in the Midwest, where the prevalence has increased significantly in recent years, especially in the state of Mato Grosso. It is essential to the development of public policies and the creation of specific protocols for the diagnosis and treatment of patients, considering its history and its social consequences, reinforcing the importance of proper conduct in the management of these patients.Keyword:Leprosy. Epidemiology. Trends. Surveillance.

scholarly journals Implications for health services

1997 ◽  
Vol 352 (1363) ◽  
pp. 1887-1893 ◽  
Author(s):  
John Grimley Evans
Keyword(s):  
Health Services ◽  
Political Thought ◽  
Elderly Population ◽  
Average Duration ◽  
Later Life ◽  
The Elderly ◽  
Services Research ◽  
Extrinsic Factors ◽  
Progressive Loss

Health services for older people in the NHS have developed pragmatically, and reflect the nature of disease in later life and the need to agree objectives of care with patients. Although services are likely to be able to cope with the immediate future, the growth of the elderly population anticipated from 2030 calls for long–term planning and research. The issue of funding requires immediate political thought and action. Scientifically the focus needs to be on maximizing the efficiency of services by health services research and reducing the incidence of disability in later life through research on its biological and social determinants. Senescence is a progressive loss of adaptability due to an interaction between intrinsic (genetic) processes with extrinsic factors in environment and lifestyle. There are grounds for postulating that a policy of postponement of the onset of disability, by modifications of lifestyle and environment, could reduce the average duration of disability before death. The new political structures of Europe offer underexploited–unexploited opportunities for the necessary research.

scholarly journals Trends in mortality from ill-defined causes among the elderly in Brazil, 1979-2013: ecological study

2016 ◽  
Vol 134 (5) ◽  
pp. 437-445 ◽  
Author(s):  
Davi Félix Martins Junior ◽  
Ridalva Dias Martins Felzemburg ◽  
Acácia Batista Dias ◽  
Tania Maria Costa ◽  
Pedro Nascimento Prates Santos
Keyword(s):  
Ecological Study ◽  
Temporal Trend ◽  
Health Indicators ◽  
The Elderly ◽  
Simple Linear Regression ◽  
Geographical Regions ◽  
Proportional Mortality ◽  
Males And Females ◽  
Using Data ◽  
Health Situation

ABSTRACT CONTEXT AND OBJECTIVE: Mortality measurements are traditionally used as health indicators and are useful in describing a population's health situation through reporting injuries that lead to death. The aim here was to analyze the temporal trend of proportional mortality from ill-defined causes (IDCs) among the elderly in Brazil from 1979 to 2013. DESIGN AND SETTING: Ecological study using data from the Mortality Information System of the Brazilian Ministry of Health. METHODS: The proportional mortality from IDCs among the elderly was calculated for each year of the study series (1979 to 2013) in Brazil, and the data were disaggregated according to sex and to the five geographical regions and states. To analyze time trends, simple linear regression coefficients were calculated. RESULTS: During the study period, there were 2,646,194 deaths from IDCs among the elderly, with a decreasing trend (ß -0.545; confidence interval, CI: -0.616 to -0.475; P < 0.000) for both males and females. This reduction was also observed in the macroregions and states, except for Amapá. The states in the northeastern region reported an average reduction of 80%. CONCLUSIONS: Mortality from IDCs among the elderly has decreased continuously since 1985, but at different rates among the different regions and states. Actions aimed at improving data records on death certificates need to be strengthened in order to continue the trend observed.

Consequences of Gender Differentials in Life Expectancy for Black and Hispanic Americans

1989 ◽  
Vol 29 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Kyriakos S. Markides
Keyword(s):  
General Population ◽  
Life Expectancy ◽  
Elderly Population ◽  
Hispanic Americans ◽  
Elderly Women ◽  
Intergenerational Relationships ◽  
The Elderly ◽  
Minority Women ◽  
Demographic Trends ◽  
Gender Differentials

Increased survival by blacks and Hispanics is causing a widening of the sex imbalance of the elderly population much like we have observed in the general population. These demographic trends point toward greater widowhood among minority women and continuing high rates of poverty. In addition, we can expect increased rates of disability in minority elderly women, increased dependency, worsening intergenerational relationships, and higher rates of institutionalization.

The Social Breakdown Syndrome in the Elderly Population Living in the Community: the Helping Study

1987 ◽  
Vol 151 (3) ◽  
pp. 341-346 ◽  
Author(s):  
T. S. Radebaugh ◽  
F. J. Hooper ◽  
E. M. Gruenberg
Keyword(s):  
General Population ◽  
Elderly Population ◽  
Functional Limitations ◽  
The Elderly ◽  
Close Friend ◽  
Social Breakdown ◽  
Psychiatric Status ◽  
White Males ◽  
The Social ◽  
Dementing Disorders

A representative sample of elderly people residing in the community was examined to establish their psychiatric status. An interview with a close friend or relative, focusing on a one-week period in 1981, was used to investigate each subject's functional limitations and troublesome behaviour, these being the two components of the Social Breakdown Syndrome. The data from the sample were weighted to allow estimates of the characteristics of the general population. No cases of SBS at its most extreme were identified, and almost the entire population was found to be functioning at an adequate or near-adequate level: all cases of severe SBS were attributable to troublesome behaviour. Severe SBS was shown to increase with age and to be most common in non-white males. Persons with dementing disorders were more likely than their non-demented counterparts to show severe/moderate SBS, but in the majority of cases of SBS there was no mental disorder.

Headache

2002 ◽  
Vol 12 (2) ◽  
pp. 127-144
Author(s):  
GJF Saldanha ◽  
CG Clough ◽  
N Ward
Keyword(s):  
General Population ◽  
Elderly Population ◽  
Large Population ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Population Based ◽  
Medical Attention ◽  
Population Based Study ◽  
The Usa ◽  
One Year

Little is known about the frequency of headache in the elderly population as few epidemiological studies have been carried out. In one year in the USA, 70% of the general population had a headache, 5% of whom sought medical attention. In a large population-based study carried out in East Boston, US, some 17% of patients over 65 yrs of age reported frequent headache, with 53% of women and 36% of men reporting headache in the previous year.

scholarly journals Trend of fall-related mortality among the elderly

2021 ◽  
Vol 55 ◽  
Author(s):  
Yara Cristina Martins Monteiro ◽  
Maria Aparecida da Silva Vieira ◽  
Priscila Valverde de Oliveira Vitorino ◽  
Silvio José de Queiroz ◽  
Gabriela Moreira Policena ◽  
...  
Keyword(s):  
Time Series ◽  
Information System ◽  
Elderly Population ◽  
Temporal Trend ◽  
Preventive Measures ◽  
Age Groups ◽  
The Elderly ◽  
Death Rates ◽  
Variation Rate ◽  
Related Mortality

ABSTRACT Objective: To analyze the temporal trend of fall-related mortality in elderly in Brazil from 2008 to 2016. Method: Study of time series of rates of fall-related mortality according to CID-10 from 2008 to 2016. Data from the Mortality Information System on death registers of people ≥ 60 living in Brazil were used. The specific rates of fall-related mortality among the elderly were calculated through the ratio between the number of deaths and the elderly population of that year and region. The populational information was obtained from the 2000 and 2010 censuses. The variation rate and temporal trend were obtained through linear regression (p < 0.05). Results: The fall-related deaths among the elderly aged ≥ 60 amounted to 72,234 (31.2%). Falls from the same level were the most frequent (53.8%) and death rates in all ages ranged from 29.7 to 44.7 per 100,000 elders. Fall-related deaths increased with age. Conclusion: There was a growing trend of fall-related deaths among elderly in all age groups, an event which is avoidable through the adoption of preventive measures. The high rates and growing trend of fall-related deaths, as well as the aging of the Brazilian population, suggest that public policies for protecting the elderly must be prioritized.

scholarly journals Suicide in the elderly: an epidemiologic study

2021 ◽  
Vol 55 ◽  
Author(s):  
Mariana Cristina Lobato dos Santos ◽  
Barbara Bartuciotti Giusti ◽  
Clarissa Ayri Yamamoto ◽  
Suely Itsuko Ciosak ◽  
Regina Szylit
Keyword(s):  
Retrospective Study ◽  
Mortality Rate ◽  
General Population ◽  
Elderly Population ◽  
Epidemiologic Study ◽  
The Elderly ◽  
Cross Sectional ◽  
The Mean ◽  
Elderly Suicide ◽  
High Place

ABSTRACT Objective: To analyze the incidence and means of elderly suicide in Brazil. Method: Epidemiologic, cross-sectional, quantitative, and retrospective study. The data were obtained in a platform maintained by the Ministry of Health and analyzed. The mortality rate was calculated and means and percentages regarding the employed means of suicide were obtained. Results: In this period, 8,977 suicides took place among the population over 60 years. The highest suicide rates were concentrated in the population over 80, which presented a mean 8.4/100,000 for this period, and between 70 and 79 years, with a mean rate of 8.2/100,000. Considering the total elderly population over 60 years, this value reached 7.8/100,000, whereas in the general population this was 5.3/100,000. The values are always higher among the elderly population: the mean rate in the last five years among the elderly is 47.2% higher than the mean for the general population. The main mean of suicide was hanging (68%), followed by firearm (11%), self-intoxication (9%), falling from a high place (5%), and undefined or undetermined means (6%). Conclusion: Epidemiologic analyses bring visibility to the dyad aging and suicide, corroborating the pertinence of this theme.

Abstract 249: Medical Cost Avoidance among the General and Elderly Atrial Fibrillation Populations Differs According to Specific Anticoagulant Use, Based on the ARISTOTLE and RE-LY Trials

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Alpesh Amin ◽  
Steve Deitelzweig ◽  
Yonghua Jing ◽  
Dinara Makenbaeva ◽  
Daniel Wiederkehr ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
General Population ◽  
Major Bleeding ◽  
Medical Cost ◽  
Elderly Population ◽  
The Elderly ◽  
Medical Costs ◽  
Cost Avoidance ◽  
Weighted Averages ◽  
Event Rates

Introduction: The randomized ARISTOTLE and RE-LY clinical trials demonstrated that the new oral anticoagulants (NOACs) apixaban and dabigatran were effective and safe options for stroke prevention among non-valvular atrial fibrillation (AF) patients. It is unclear how the use of NOACs for the treatment of AF affects total medical costs. Hypothesis: This study evaluates the hypothesis that medical costs associated with the use of apixaban and dabigatran vs. warfarin are different among the general and elderly AF populations. Methods: Clinical event rates in patients receiving warfarin, apixaban, and dabigatran were estimated for the general and elderly (age ≥ 75 years) AF patient populations. Event rates associated with warfarin were calculated as weighted averages from NOAC trials among AF patients; NOAC rates were estimated by adjusting trial hazard ratios to these weighted averages. Annual incremental costs among patients with clinical events from the US payer perspective were obtained from published literature and inflation adjusted to 2010 cost levels. Medical cost avoidance was evaluated for each NOAC vs. warfarin. Results: Compared to warfarin, apixaban-mediated total medical cost reductions (Table) in both populations were driven by decreased major bleeding excluding hemorrhagic stroke (MBEHS) and stroke and systemic embolism (SSE). Dabigatran use reduced costs for the general population and increased costs for the elderly population; cost reduction in the general population was primarily due to reduced SSE while cost increase in the elderly population was primarily due to increased MBEHS. MI, PE or DVT, and non-major bleeding each made smaller contributions to the cost differences among both populations. Conclusions: Compared to warfarin, apixaban use may be associated with reduced medical costs in both general and elderly AF populations. Dabigatran use may be associated with a reduction of medical costs in the general AF population, but increased medical costs among the elderly.

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