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 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 Recent epidemic of covid-19: A prospect of cases and deaths in the state of Maranhão

2020 ◽  
pp. 43470-43474
Author(s):  
Keyword(s):  
Diabetes Mellitus ◽  
Retrospective Study ◽  
Arterial Hypertension ◽  
Elderly Population ◽  
Secondary Data ◽  
The Elderly ◽  
The State ◽  
Age Group ◽  
Death Rates

Objective: To describe the number of confirmed cases and deaths by COVID-19 in the State of Maranhão. Descriptive, documentary and retrospective study, using secondary data extracted from the COVID-19 Epidemiological Bulletin of the State of Maranhão from April 1st to September 30th. The following were considered: confirmed cases of COVID-19, deaths by age group, date of occurrence, associated comorbidities. The data are public and are available in the health system's online bulletins. There were 173,564 confirmed cases and 3,756 registered deaths. The evolution of COVID-19 cases by date was greater on September 2, totaling 1,787 cases in that period. The evolution of deaths by date shows that the months of July and August had the highest rates of death records by COVID-19, with a fall in the month of September. Higher rates of confirmed cases occurred in men. Deaths occurred more in the elderly over 70 years of age. Arterial hypertension and diabetes mellitus were the most comorbidities related to deaths. It is concluded that this research contributes to a greater reflection that COVID-19 has negative proportions and impacts for the population and mainly for the elderly population, where the highest death rates occurred exactly in the elderly

scholarly journals Epidemiological profile and temporal trend of mortality from cerebrovascular diseases in Northeast of Brazil, 1996-2016

2021 ◽  
Author(s):  
Rodrigo da Rosa Mesquita ◽  
Tatiana Farias de Oliveira ◽  
Gibson Barros de Almeida Santana ◽  
Antônio Leopoldo do Nascimento Gama Albuquerque ◽  
Amanda Karine Barros Ferreira Rodrigues ◽  
...  
Keyword(s):  
Skin Color ◽  
Elderly Population ◽  
Ecological Study ◽  
The Elderly ◽  
Temporal Analysis ◽  
Cerebrovascular Diseases ◽  
Gender And Age ◽  
Group A ◽  
Sociodemographic Profile ◽  
Level Of Significance

Background: Cerebrovascular diseases represent the second leading cause of mortality in the world and Brazil occupies the leadership in the ranking of mortality in South America. Objectives: This study sought to analyze the sociodemographic profile and the time trend of the mortality rate from cerebrovascular disease in the Northeast of Brazil, 1996-2016. Methods: This is an ecological study of time series involving deaths from cerebrovascular diseases in the Northeastern of Brazil, 1996-2016. Sociodemographic variables (age, schooling, marital status, skin color, ICD category and federation units) were included and calculated crude and standardized mortality rates, according to gender and age group. A joinpoint regression model was applied for the temporal analysis, with a level of significance of 5%. Results: There were 490.433 deaths from cerebrovascular diseases in the Northeast of Brazil, 1996-2016. Of these deaths, 50,03% (n = 245.354) were women, 79,72% (n = 390.957) elderly, 46,66% (n = 228.851) brown, 51,81% (n = 332.439) illiterate and 37,93% (n = 186.014) were married. Of the causes of death, 56,63% (n = 277.741) resulted from stroke, not specified as hemorrhagic or ischemic (I64). In the Northeast, there was a predominance of the elderly population, with growth of 1.2% (p < 0.001). Conclusions: Standardized mortality increased in four states, being higher in Maranhão and Piauí, with a predominance of females and age equal to or above 60 years.

scholarly journals Beers-Fick criteria and drugs available through the Farmácia Dose Certa program

2011 ◽  
Vol 129 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Giancarlo Lucchetti ◽  
Alessandra Lamas Granero Lucchetti ◽  
Sueli Luciano Pires ◽  
Milton Luiz Gorzoni
Keyword(s):  
Elderly People ◽  
Elderly Population ◽  
Drug Distribution ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
Age Group ◽  
São Paulo ◽  
Drug Classes ◽  
Excessive Sedation

CONTEXT AND OBJECTIVE: Farmácia Dose Certa is a program available in the State of São Paulo that is a national reference for providing drugs free of charge to the population. Elderly people receiving care deserve special attention regarding drugs that are appropriate for their age group. The objective was to assess the drugs in the program considered to be inappropriate for the elderly. DESIGN AND SETTING: Descriptive study evaluating free drug distribution in the State of São Paulo, Brazil. METHODS: Following the criteria proposed by Beers and Fick (drugs or drug classes that should be avoided among elderly people, independent of the diagnosis or clinical condition, because of the high risk of side effects and because other, safer drugs are available), the drugs in the Farmácia Dose Certa program that might be inappropriate for elderly people and the levels of evidence for each drug included were assessed. RESULTS: Among the available drugs, 10 (25.6%) were included within the Beers-Fick criteria. The drugs selected were: amitriptyline, cimetidine, diazepam, digoxin, fluoxetine, methyldopa, nifedipine, promethazine, thioridazine and ferrous sulfate. CONCLUSION: The list of drugs available within the Farmácia Dose Certa program may be considered appropriate for the general population, but not completely for the elderly population. Adjusting this list to the pharmacological aspects of aging will reduce the risks of drug interactions, falls, mental confusion and excessive sedation that result from drugs that are considered inappropriate for consumption by elderly people

scholarly journals The historic data series on AIDS in the state of Ceará, Brazil

2015 ◽  
Vol 20 (4) ◽  
pp. 1177-1184 ◽  
Author(s):  
Nathália Lima Pedrosa ◽  
Simone de Sousa Paiva ◽  
Rosa Lívia Freitas de Almeida ◽  
Eliane Rolim de Holanda ◽  
Ligia Regina Franco Sansigolo Kerr ◽  
...  
Keyword(s):  
Skin Color ◽  
Prevention And Control ◽  
Ecological Study ◽  
Mixed Race ◽  
Progressive Increase ◽  
The State ◽  
Data Series ◽  
Age Group ◽  
Historic Data ◽  
And Control

This study describes the historic records on AIDS in the Brazilian state of Ceará, with analysis by gender, age group and race. It is a descriptive, retrospective, ecological study, analyzing 7,896 notifications of cases of AIDS, of people aged 13 and above, resident in the Ceará, over the period 2001 through 2011. Percentage occurrences and other data were calculated based on the variables gender, age group and race. Average and comparison tests were made, considering p < 0.05 and the trend line. There is a progressive increase in the number of cases. The majority of cases are in men. The ratio between the sexes falls from 2003 through 2007, but the number of women is still lower overall in the period. Higher rates of occurrence were found between the ages of 30 and 39, and of those with black-white mixed-race skin color (80%). Based on the variables studied in the series that was analyzed, the results indicate a need for differentiated strategies in prevention and control of the disease in the state.

Some Calculations on the Prevalence of Dementia in Canada

1987 ◽  
Vol 32 (2) ◽  
pp. 81-86 ◽  
Author(s):  
E.R. Jeans ◽  
E. Helmes ◽  
H. Merskey ◽  
J. Mcd. Robertson ◽  
K.A. Rand
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Age Group ◽  
Specific Population ◽  
Observation Scale ◽  
Epidemiology Of Dementia ◽  
Institutionalized Patients ◽  
Prevalence Of Dementia

The epidemiology of dementia in Canada is not known. However, we report figures on the frequency of dementia in institutions in Ontario based upon the use of a multidimensional observation scale for the assessment of the elderly. These findings on institutionalized patients can be extrapolated to the whole elderly population, but the procedure is clearly too conservative by comparison with findings in other countries and in the light of the known occurrence of numbers of demented patients outside institutions. Ratios in different sutidies for the numbers of patients with dementia outside institutions and within institutions range from 1:1 to 6:1. Using a ratio of 2:1 and applying it to age specific population figures, a prevalence of dementia in Canada of 222,324 for those over 65 is obtained with a rate of 9.4% in that age group. When the figures projected in this way are compared with five epidemiological studies for the rate of dementia elsewhere, the Canadian figure which we have obtained ranks fourth out of six. This estimate provides potential figures on which to base the planning of services, provided that the inferential nature of the estimates is fully recognized.

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.

Prevalence of Cardiovascular Risk Factors in the Elderly Population of Alentejo

2020 ◽  
pp. 185-195
Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Ana Filipa Pereira Vaz ◽  
Ana Sofia Emídio Cardoso Leite ◽  
Cláudia Sofia Araújo ◽  
Cláudia Roque Condeço ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Elderly Population ◽  
Research Question ◽  
National Level ◽  
The Elderly ◽  
Regional Level ◽  
Age Group ◽  
Prevalence Studies

The objective of this chapter is to identify cardiovascular risk factors in the elderly and their prevalence in the elderly population of Alentejo. The research question was elaborated according to the PI[C]OD methodology. The prevalence studies included allow the authors to identify the risk factors with the greatest impact on cardiovascular diseases, with the analysis of at least one of the factors (hypertension, diabetes, smoking, obesity, hypercholesterolemia, alcoholism, and sedentary lifestyle) and their prevalence in the elderly from the region of Alentejo. The results present the prevalence of cardiovascular risk factors, mainly at the national level, compared to those at the regional level, with a small number of exclusive studies in the Alentejo region, while simultaneously disaggregating the results by age group. From the data obtained, it can be concluded that the prevalence of risk factors is generally increased in the elderly population and, consequently, in Alentejo, because it is a region in the interior of the country that is predominantly rural and very old.

scholarly journals Prevalência de hiperglicemia em idosos: um estudo de base populacional

2016 ◽  
Vol 26 (4) ◽  
pp. 25246
Author(s):  
Felipe Zancan Espanhol ◽  
Rita de Cássia S. M. De Oliveira ◽  
Gustavo Paes Silvano ◽  
André Luciano Manoel ◽  
Laise Rodrigues Silveira ◽  
...  
Keyword(s):  
Skin Color ◽  
Elderly Population ◽  
Fasting Glucose ◽  
Fasting Blood Glucose ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Population Based ◽  
Blood Collection ◽  
Cross Sectional ◽  
Family History Of Diabetes

Aims: To evaluate the prevalence of hyperglycemia and associated factors in the elderly population of a municipality in southern Brazil.Methods: Cross-sectional population-based study, carried out with the elderly (≥60 years) living in the city of Tubarão, state of Santa Catarina, Brazil, from September 2010 to May 2011. Participants were selected by simple random sampling. The elderly were registered by the Community Health Agents of the Family's Health Strategy Program. Sociodemographic data (age, gender, skin color, marital status, employment status and education), behavioral data (physical activity, alcohol use and smoking) and clinical data (obesity, drug use and family history of diabetes) were recorded. After answering these questions the participants were scheduled to attend the clinic for blood collection and anthropometric measurements. The prevalence of hyperglycemia was assessed from fasting blood glucose tests, and individuals with values ≥126 mg/dL or use of hypoglycemic drugs were considered hyperglycemic. To assess the association between the variables of interest, the chi-square test was applied. The pre-determined confidence interval was of 95% and the error α of 5%.Results: Eight hundred thirty-three elderly patients were included, and 220 were considered hyperglycemic according to the methodology criteria (prevalence of 26.4%). Of the patients included in the hyperglycemia group, 190 were using oral hypoglycemic drugs, and of these, 112 had also fasting glucose ≥126 mg/dL, while in 78 fasting glucose was <126 mg/dL. Also in the hyperglycemia group, 30 patients had fasting glucose ≥126 mg/dL and were not on hypoglycemic treatment. Having parents diagnosed with diabetes and being obese were associated with the presence of hyperglycemia.Conclusions: This study suggests that a large portion of the elderly population have fasting hyperglycemia, requiring a wider evaluation for diabetes mellitus.

scholarly journals Performance Evaluation of Different d-Dimer Cutoffs in Bedridden Hospitalized Elderly Patients

2016 ◽  
Vol 23 (8) ◽  
pp. 998-1004 ◽  
Author(s):  
Nevine A. Kassim ◽  
Tamer M. Farid ◽  
Shaimaa Abdelmalik Pessar ◽  
Salma A. Shawkat
Keyword(s):  
Elderly Patients ◽  
The Elderly ◽  
Age Group ◽  
Elderly Individuals ◽  
Clinical Probability ◽  
Hospitalized Elderly ◽  
Comparable Performance ◽  
Hospitalized Elderly Patients ◽  
Reduced Mobility ◽  
D Dimer

A rapid and accurate diagnosis of venous thromboembolism (VTE) in the elderly individuals represents a dilemma due to nonspecific clinical presentation, confusing laboratory results, and the hazards of radiological examination in this age-group. d-Dimer test is used mainly in combination with non-high clinical pretest probability (PTP) to exclude VTE. d-Dimer testing retains its sensitivity, however, its specificity decreases in the elderly individuals. Raising the cutoff level improves the specificity of the d-dimer test without compromising its sensitivity. The current study aimed to explore the reliability of higher d-dimer cutoff values for the diagnosis of asymptomatic VTE in a population of bedridden hospitalized elderly patients with non-high clinical PTP. This retrospective study included 252 bedridden hospitalized elderly patients (>65 years) who were admitted to the Ain shams University Specialized Hospital with non-high clinical probability and developed later reduced mobility; all underwent quantitation of d-dimer and Doppler examination. Considering the whole population (>65 years), the age-adjusted cutoff achieved the best performance in comparison with the conventional and receiver operating characteristic (ROC)–derived cutoffs. When stratified according to age, the age-adjusted cutoff showed the best performance in the age-group 65-70 and comparable performance with the ROC-derived cutoff in the age-group 71-80, however, its sensitivity compromised in those older than 80 years. In conclusion, it is recommended to use age-adjusted cutoff value of d-dimer together with the clinical probability score in elderly individuals (65-80 years).

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