Impacto do Plano de Ações Estratégicas para o enfrentamento das Doenças Crônicas Não Transmissíveis sobre internações hospitalares e óbitos por Doenças Cardiovasculares no Brasil
Introduction: Chronic Non-Communicable Diseases (NCDs) are the main causes of death worldwide, responsible for millions of hospital admissions per year, especially cardiovascular diseases (CVD). Several strategies to control and fight these diseases have been developed in several countries. In Brazi...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/46956 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | Introduction: Chronic Non-Communicable Diseases (NCDs) are the main causes of death
worldwide, responsible for millions of hospital admissions per year, especially cardiovascular
diseases (CVD). Several strategies to control and fight these diseases have been developed in
several countries. In Brazil, in 2011 the Strategic Action Plan for Confronting NCDs was
prepared. Objective: To assess the impact of the Strategic Action Plan for Confronting CNCDs
(2011 – 2022) on hospital admissions, deaths and mortality rates in Brazil, classified by CVD.
Methods: Descriptive study, with secondary data from the Hospital Information System of the
Unified Health System (SIH/SUS). Hospital admissions, deaths and mortality rate due to CVD
in the Brazilian population aged over 20 years were analyzed and grouped according to region,
sex and age group. Statistical analysis was performed using GraphPad Prism version 7.0. Data
normality was assessed using the Komogorov Smirnov test, and the two-way ANOVA test with
Tukey's post hoc test was used to compare groups and periods of year. A value of p<0.05 was
considered significant. Results: A total of 13,380,119 hospital admissions for CVD in Brazil,
in adults aged 20 years and over, were registered in the SIH/SUS during the period 2008 to
2019. After the implementation of the Strategic Action Plan for Confronting CNCD, the main
findings in the study were: 1) reduction of 25.77% of hospital admissions due to Heart Failure
(HF); 2) increase of 0.25% in the hospitalization rate in the South region per 100,000
inhabitants, while the other regions showed a reduction; 3) reduction of 7.88% in hospital
admissions between 2008-2011 and 2016-2019; 4) reduction in the hospitalization rate among
individuals aged 20 to 59 years, and an increase between 60 to 80 years and over, with greater
range of growth in the group aged 60 to 69 years (13.77%); 5) a 2.72% reduction in
hospitalizations in females and an increase of 4.89% in males. Regarding deaths and mortality
rate, the following stand out: 1) reduction of 6.46% of deaths from HF; 2) increase in the number
of deaths and mortality rate in all regions; 3) 7.85% increase in deaths between 2008-2011 and
2016-2019, as well as an increase in the mortality rate; 4) progressive increase in the number
of deaths and mortality rate with increasing age, especially in individuals over 60 years of age;
5) increase in the number of deaths and mortality rate for both sexes. Conclusion: Although
there was a reduction in hospital admissions for CVD between 2008 and 2019, in most analyses,
the number of deaths observed during the study period deserves specialized attention. The
analysis makes it possible to reflect on the impact of the disease on the health of the Brazilian
population, especially in the older age group. These findings contribute to information that
allows for better control and monitoring of CVD and should be taken into account when
implementing new strategies for prevention, care and control of risk factors. |
|---|