Progression of hospitalizations and hospital costs for Parkinson’s disease in the Brazilian population

Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease in the world. Its incidence increases with advancing age. Therefore, in Brazil, a country in transition of age structure, it is relevant to assess the progression of hospitalizations and hospital costs for PD over the years. Objective: Describe the progression of hospitalizations and hospital costs for PD in Brazilian’s public health system, SUS, between 2008-2020. Design and setting: Descriptive ecological observational study made in Brazil, Salvador – BA. Methods: Data from hospitalization and hospital costs were collected from DATASUS in the 5 Brazilian regions. Statistical analysis was based on measures of dispersion and central tendency. Results: Between 2008-2020, 11,565 admissions for PD were notified. The highest numbers of hospitalizations corresponded to the Southeast region (annual average = 370.1), while the smallest to the North region (annual average = 28.4). Regarding the high expenses resulting from hospitalizations, it was observed that the Southeast obtained higher costs with hospital services (annual average = 1,417,716.8), while the North had the lowest (annual average = 18,611.01). Conclusion: Southeast region stood out for having the highest numbers in costs and hospitalizations, the opposite of what happened in North. Brazilian regional disparities, especially regarding to demographic density, HDI, socioeconomic development and access to health care, may explain these demographically uneven.

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The incidence of Parkinson's disease in the North-East of England

Age and Ageing ◽

10.1093/ageing/aft091 ◽

2013 ◽

Vol 43 (2) ◽

pp. 257-263 ◽

Cited By ~ 14

Author(s):

G. W. Duncan ◽

T. K. Khoo ◽

S. Y. Coleman ◽

C. Brayne ◽

A. J. Yarnall ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

North East ◽

The North

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O cuidado na perspectiva singular das parteiras da região amazônica: estudo descritivo

Online Brazilian Journal of Nursing ◽

10.17665/1676-4285.20175938 ◽

2018 ◽

Vol 16 (3) ◽

pp. 256

Author(s):

Angela Carla da Rocha Schiffler ◽

Ana Lúcia Abrahão

Keyword(s):

Health Care ◽

Data Analysis ◽

Focus Groups ◽

Neonatal Mortality ◽

Access To Health Care ◽

The State ◽

Creative Practice ◽

The North ◽

Access To Health ◽

Core Sets

Problem: geography and difficulty of access to health care contribute to maternal and neonatal mortality in the North and Northeast of Brazil. Aim: to identify the care arrangements used during labor and birth by midwives from the Amazon. Method: 15 midwives from the cities of Manaus and of Vila de Lindoia/Itacoatiara region took part in two focus groups held between December 2015 and March 2016. Data analysis focused on three cores of meaning and the use of narratives. Results: most of the arrangements designed to assist women occurred in cities in the inner regions of the state of A mazonas, B razil. The midwives’ narratives were based around three core sets of meanings: Complicity and Recognition; Midwife Memories, and Labor and Birth. Conclusion: midwives build a logic for care centered around women. It is an extensive and creative practice, available to sustain life during and after the birth.

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ABO & Rh (D) Phenotypes and Alleles in the Patients with Parkinson’s Disease among the North Indian Population

International Blood Research & Reviews ◽

10.9734/ibrr/2016/26866 ◽

2016 ◽

Vol 6 (1) ◽

pp. 1-6

Author(s):

Akhilesh Verma ◽

Anand Keshari ◽

Renu Kumari ◽

Tarun Kumar ◽

Vivek Sharma ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Indian Population ◽

North Indian Population ◽

The North

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Self-reported health status and access to health services in a community sample with Parkinson's disease

Disability and Rehabilitation ◽

10.3109/09638289709166833 ◽

1997 ◽

Vol 19 (3) ◽

pp. 97-103 ◽

Cited By ~ 19

Author(s):

V. Peto ◽

R. Fitzpatrick ◽

C. Jenkinson

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Health Status ◽

Health Services ◽

Community Sample ◽

Access To Health Services ◽

Access To Health ◽

Reported Health ◽

Self Reported Health Status

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Organochlorine Pesticide Levels and Risk of Parkinson’s Disease in North Indian Population

ISRN Neurology ◽

10.1155/2013/371034 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 15

Author(s):

Neelam Chhillar ◽

Neeraj Kumar Singh ◽

B. D. Banerjee ◽

Kiran Bala ◽

Md Mustafa ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Indian Population ◽

Case Control Study ◽

North Indian Population ◽

Environmental Chemical ◽

High Purity Grade ◽

The North ◽

Control Study ◽

Purity Grade

The cause of Parkinson’s disease (PD) remains elusive, but environmental chemical exposures have been postulated to be involved in the etiology of PD. We examined the association between the persistent organochlorine pesticides (OCPs) and PD in the North Indian population. This case control study included 70 PD and 75 control subjects in the age group of 50 to 85 years. Blood samples were collected and high-purity grade hexane and acetone (2 : 1 ratio) were used for extraction of organochlorine residues. OCPs (hexachlorocyclohexane (HCH), aldrin, dieldrin, endosulfan, pp′-Dichlorodiphenyldichloroethylene (pp′-DDE), op′-DDE, pp′- Dichlorodiphenyltrichloroethane (pp′-DDT), op′-DDT, pp′-dichlorodiphenyldichloroethane (pp′-DDD) and op′-DDD) were quantitatively estimated by using gas chromatography. The most frequently detected OCP was dieldrin, which was present in 9.3% of control and 61.4% of PD. The strongest predictor was β-hexachlorocyclohexane (β-HCH), which reported an odds ratio of 2.566, indicating that for every additional one unit of β-HCH, patients had 2.566 times more chances of presence of PD. This study indicates that increased level of β-HCH and dieldrin may be associated with the risk of PD.

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