Insuficiência cardíaca no brasil subdesenvolvido: Análise de tendência de dez anos

Translated title of the contribution: A 10-year trend analysis of heart failure in the less developed brazil

Amanda D.F. Fernandes, Gilson C. Fernandes, Manuel Rivera Mazza, Leonardo M. Knijnik, Gustavo Soares Fernandes, Andre Telis de Vilela, Amit Badiye, Sandra V. Chaparro

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Data on heart failure (HF) epidemiology in less developed areas of Brazil are scarce. Objective: Our aim was to determine the HF morbidity and mortality in Paraiba and Brazil and its 10-year trends. Methods: A retrospective search was conducted from 2008 to 2017 using the DATASUS database and included patients ≥ 15 years old with a primary diagnosis of HF. Data on in-hospital and population morbidity and mortality were collected and stratified by year, gender and age. Pearson correlation and linear-by-linear association test for trends were calculated, with a level of significance of 5%. Results: From 2008 to 2017, HF admissions decreased 62% (p = 0.004) in Paraiba and 34% (p = 0.004) in Brazil. The in-hospital mortality rate increased in Paraiba and Brazil [65.1% (p = 0.006) and 30.1% (p = 0.003), respectively], but the absolute in-hospital mortality had a significant decrease only in Paraiba [37.5% (p = 0.013)], which was maintained after age stratification, except for groups 15-19, 60-69 and > 80 years. It was observed an increase in the hospital stay [44% (p = 0.004) in Paraiba and 12.3% (p = 0.004) in Brazil]. From 2008 to 2015, mortality rate for HF in the population decreased 10.7% (p = 0.047) in Paraiba and 7.7% (p = 0.017) in Brazil. Conclusions: Although HF mortality rate has been decreasing in Paraiba and Brazil, an increase in the in-hospital mortality rate and length of stay for HF has been observed. Hospital-based clinical studies should be performed to identify the causes for these trends of increase. (Arq Bras Cardiol. 2020; 114(2):222-231).

Translated title of the contributionA 10-year trend analysis of heart failure in the less developed brazil
Original languagePortuguese
Pages (from-to)222-231
Number of pages10
JournalArquivos Brasileiros de Cardiologia
Volume114
Issue number2
DOIs
StatePublished - Feb 2020

Keywords

  • Comorbidity
  • Heart Failure/epidemiology
  • Heart Failure/mortality
  • Heart Failure/physiopathology
  • Heart Failure/trends
  • Hospitalization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Fernandes, A. D. F., Fernandes, G. C., Mazza, M. R., Knijnik, L. M., Fernandes, G. S., de Vilela, A. T., Badiye, A., & Chaparro, S. V. (2020). Insuficiência cardíaca no brasil subdesenvolvido: Análise de tendência de dez anos. Arquivos Brasileiros de Cardiologia, 114(2), 222-231. https://doi.org/10.36660/abc.20180321