Navegando por Assunto "Mortalidade"

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Análise dos indicadores epidemiológicos e da curva de mortalidade por doenças agudas isquêmicas do coração na região metropolitana I do estado do Pará entre 2008 e 2017
(Centro Universitário do Estado do Pará, 2020) Silva Júnior, Gilvaldo dos Santos; Cavalcante, Lucas dos Santos; Costa, Alberto Freire Sampaio; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350; http://lattes.cnpq.br/8830564785408868
Introduction: In Brazil, the cardiovascular diseases represents the main case of mortality since 1990 and the highest goverment cost rates in the health system. Ischemic cardiomyopathy, which covers codes from I20 to I25 International Statistical Classification of Diseases and Related Health Problems (ICD-10), is the most common cause of death in cardiovascular diseases group Objectives: Analyze the trend of mortality from acute ischemic heart deseases in Metropolitan Regian I of Pará state between 2008 and 2017 Methodology: Observational-descriptive, ecology, study, based on DATASUS informations. Specific instrument was used to collect data on the variables of interest, and all death certificates were selected through ICDs from I20 to I23 - angina pectoris, acute myocardial infarction, subsequent myocardial infarction and certain current complications following acute myocardial infarction, respectively - localizaded on basics cause or consequencial and direct death mechanism, age from 20 years and tem years interval, between 2008 and 2017. Results: There was an increase in the mortality rate, showing the growing trend, with the highest absolute rates observed in the age group of 80 years or older, however, percentage the age group between 20 and 39 years showed the biggest increase in this group of causes. There is a parallel between men and women, with a higher trend in males, with a high risk of death from ischemic cardiovascular disease in males, especially in the elderly between 60 and 79 and 80 years old or more. The sociodemographic variable did not show any significant difference in relation to skin color, marital status, education and occupation. However, when comparing the specific causes of ischemic diseases and such variables, there was a predominance of Acute Myocardial Infarction (MI), but only in terms of marital status, education and occupation, such data are significant in relation to the average of the event in the population. Conclusion: The issue of equity in access to health services must be more adequate, due to the fact that the basic units are the patient's first contact with the public health system and this is the place where the main modifiable risk factors will be diagnosed and treated, for example, systemic arterial hypertension, smoking and obesity. Since the responsability for changing the status of desease, with reflection even on the future demands, is in the perspective of preventive actions.
Avaliação da conduta terapêutica para pacientes com insuficiência cardíaca com fração de ejeção reduzida do Centro de Especialidades Médicas do CESUPA
(Centro Universitário do Estado do Pará, 2022-11-10) Barros, Juliano Sousa; Lopes, Vitor Maués; Pereira, Paulo Henrique Nunes; http://lattes.cnpq.br/5351191172079560; Machado, Louise Pinheiro Moutinho; http://lattes.cnpq.br/9482657241416195; Couto, Tauin Raoni de; http://lattes.cnpq.br/2151046047496564
Heart failure (HF) is a worldwide problem associated with high mortality and low quality of life. It is not a single pathological diagnosis, but a clinical syndrome characterized by clinical signs that are a result of impaired ventricular filling, the ability of the ventricles to eject blood, or both. HF can be classified into 3 distinct phenotypes, according to left ventricular ejection fraction (LVEF), into HF with preserved ejection fraction (HFpEF), mildly reduced ejection fraction (HFmrEF) and reduced ejection fraction (HFrEF). With regard to HFpEF, drugs that can modify the natural history of the disease in patients with this phenotype have not yet been identified, in contrast to the treatment of HFrEF, which has a wide range of drug therapies capable of reducing morbidity and mortality when using targeted optimized doses by guidelines. To analyze whether the therapeutic approach for patients with HF with reduced ejection fraction (HFrEF) at CEMEC (Cesupa Medical Specialty Center) is in accordance with the guidelines recommended by the main Brazilian and global guidelines on HF. This is an observational, retrospective and quantitative study, through the analysis of medical records of patients with HFrEF between the years 2018 and 2021, registered at CEMEC, identifying whether the therapeutic approach is in accordance with the guidelines brazilian and worldwide on HF. 54 patients were included in the study, attended by the Center for Medical Specialties of CESUPA between 2018 and 2021. Among the patients analyzed, more than half (53.7%) were male and most (74, 1%) was elderly, aged between 60 and 98 years. During the study, it was decided to analyze medical records of patients with HFmrEF for a complementary analysis. In this study, most patients (61.1%) had a reduced ejection fraction and 38.9% had a slightly reduced ejection fraction. In the individual analysis of drug classes, 21 individuals were using ACE inhibitors, most of them were using Enalapril, and 12 (57%) were on optimized doses. With regard to ARBs, 26 patients were using, mostly Losartan, and 15 (59%) had optimized doses. The BB class, whose most used representative is Carvedilol, had a total of only 1 patient out of 52 (1.9%) at full dose. As for the MRA class, represented in Brazil by Spironolactone, it was found that 38 patients used it and 35 (92%) were at the minimum recommended dose. Furthermore, only 1 patient was using Sacubitril-Valsartan (ARNI) and 6 were using SGLT2 Inhibitors, and all were on full dose. Therefore, all CEMEC patients with HFrEF and HFmrEF use at least one of the drugs that modify the prognosis of the disease, in addition to the majority being within the recommended target dose. Drugs that interfere with the renin-angiotensin-aldosterone system showed a high prevalence of patients on full-dose medication. Regarding MRA, almost all patients already use the target dose of the drug. Regarding BB, it is observed that, in general, patients need to be better informed about the need to use these medications, in order to reach the target dose.
Epidemiologia das internações por transtornos mentais e comportamentais no Brasil
(Centro Universitário do Estado do Pará, 2019) Melo, Maria Fernanda Marques; Camacho, Thais Feitosa; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
Introduction: Mental disorders have high prevalence rates in the population and represent a significant demand for health services. Because chronic diseases are highly prevalent in the world, mental disorders contribute to early morbidity, disability, and mortality. It is estimated that 25% of the general population has one or more mental disorders throughout their lives. In Brazil, the National Mental Health Policy has been carried out through a model of mental health care advocated in the principles of Brazilian psychiatric reform. Objective: To analyze the epidemiological profile of hospitalizations due to mental and behavioral disorders in Brazil from 2008 to 2017. Method: The study is epidemiologic, ecological, quantitative and descriptive, based on secondary data related to hospital admissions due to Mental and Behavioral Disorders available at SIH / DATASUS. Results: In the analyzed period there were 2.583.073 million for mental and behavioral disorders, corresponding to 2.30% of total hospitalizations, there was a gradual decrease in the percentage of hospitalizations over the 10 years. Schizophrenia, schizotypal and delusional disorders presented the highest percentage (38.99%) among morbidities, there was a decrease in hospitalizations due to alcohol use (18.98% to 16.79%) and an increase in hospitalizations due to mood disorders (16.24% to 22.25%) and disorders due to the use of other psychoactive substances (14.53% to 18.54%). The largest number of hospitalizations is concentrated in the Southeast region (1,069,849) and the highest percentage in the South region (3.8%). The age group of 30 to 39 years (25.75%), male (64.03%), and white / race (41.4%) were the most prevalent. We observed a progressive increase in the mortality rate (0.55%) and a reduction in the average length of stay (45.4 days to 31.8 days). Conclusion: The present study demonstrated the gradual decrease in the percentage of hospitalizations due to mental and behavioral disorders in Brazil during the analyzed period and was an auxiliary tool in the formulation of strategies and public policies in the area of mental health.
Perfil do número de óbitos por COVID-19 em profissionais de saúde no estado do Pará
(Centro Universitário do Estado do Pará, 2021) Lima, João Paulo Cardoso de; Tappembeck, Wigson Yan dos Santos; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: The coronaviruses are a group known since the mid-1960s. In December 2019, the press in Wuhan, China, began reporting cases about a mysterious virus that caused respiratory injuries, being named SARS-CoV-2. The most vulnerable organs to SARS-CoV-2 include lungs, heart, esophagus, kidneys, urinary bladder and the ileum. The human-to-human transmissions occurs through close contact with respiratory droplets produced when an infected person breaths, sneezes or coughs. The clinical picture may vary from a mild and asymptomatic presentation to a severe presentation, including septic shock with respiratory failure. The majority part of the cases in which death occurred were in patients with some pre-existing clinical condition of risk and/or the elderly Objectives: To identify the epidemiological profile of deaths from Covid-19 in the population of healthcare professionals in the State of Pará. Methodology: An observational, descriptive, ecological study was performed, based on publicly available data from Ministry of Health, Pará State Public Health Secretariat, Regional Medical Council of the State of Pará and Regional Council of Nursing of the State of Pará. A Program was used to collect the interesting data, classified with CID-10 U07.1 or B34.2, as well as occupation, age, gender and race/ color, between December 2019 and July 2021. Results: We detected a percentual of health professionals in state of Pará who were affected by Covid-19 and whose Evolution was death. In this group, most of the deaths were related to doctors, with nurses in second place and nursing technicians coming third. The sociodemographic variables showed that the Metropolitan Region I was the most affected. Furthermore, the brown population and the 60 – 69 aged population were the most affected among these professionals. Conclusion: Among the professionals who evolved to death, doctors are among the most affected, being followed by nursing technicians and nurses. Regarding the issue of ethnicity/race and gender, it was found that men, of mixed ethnicity and coming from Metropolitan Region I, accounted for a greater number of affected individuals. The offer of individual protection equipment to health professionals in the state of Pará is an issue that must be discussed by the health community and the respective authorities, since that, without this equipment, the professionals present a greater risk of becoming infected and dying. In addition, the tools’ quality for data collection about the pandemic is an aspect to be observed by public agencies since many data and knowledge are difficult to access or only partially available to Society in general.
Situação epidemiológica do HIV/AIDS no estado do Pará no período de 2010-2019
(Centro Universitário do Estado do Pará, 2021) Marques, Konnery Kazelly Marinho; Angnes, Paulo Vitor Cavalcante; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Introduction: The HIV infection courses with a wide spectrum of clinical presentations from its acute to the chronic phase, being considered a global public health problem with a burden of more than 33 million deaths, considering its relevance at a global level, the implications brought due to HIV infection and aids and the factors that favor its recurrence, it is important to investigate the epidemiology of HIV/aids and the factors that influence it, evaluating the epidemiological indicators in the state of Para from January 2010 to December 2019, in order to provide pertinent information for the application of better public policies to the population studied. Objectives: To analyze the epidemiological situation of patients with HIV/aids through epidemiological indicators in the state of Para from January 2010 to December 2019. Methodology: This is an observational, descriptive and quantitative study, based on an exploratory document analysis (secondary data) using the HIV/aids epidemiological bulletin (2020) as the main source. The sample consisted of patients diagnosed with HIV/aids in the state of Para, its capital Belem, the North region and in the national sphere, analyzing the detection rate and the mortality coefficient from January 2010 to December 2019, using as analysis variables sex, ethnicity/race/color, education and exposure category. Results: The aids detection rate in Brazil, in the period between 2010 and 2019, decreased by 20%, however the North region, the state of Para and the city of Belem showed growth in their rates of respectively 20%, 37% and 43 %. The crude aids mortality coefficient shows that in the period from 2010 to 2019 there was a decrease of 21.87% in cases of death in Brazil, while there is an increase in the North, Para and Belem, respectively, of 8.47%, 26.15% and 20.43%. Conclusion: The present study evidenced a growing trend in the detection rate in the North region, mainly due to the numbers in the state of Para and its capital Belem, contrary to the trend observed in Brazil. One of the factors involved may be related to problems in data transfer between the municipal, state and national spheres.
Tendência da mortalidade por acidente vascular encefálico na população brasileira entre 2009 a 2018
(Centro Universitário do Estado do Pará, 2021) Yamada, Aline Rejanne Michiko da Conceição; Quaresma, Heron Correa; Rodrigues, Cybelle Cristina Pereira; http://lattes.cnpq.br/9540610661271303
Introduction: The morbidity and mortality of Brazilian individuals exposed to stroke is a public health problem and has numerous socio-spatial repercussions. Thus, it is important to know the stroke mortality rate in the Brazilian population, in order to promote public health policies. Objective: To analyze the occurrence of stroke mortality in the Brazilian population between 2009 and 2018. Methodology: Data were collected (age, sex, education, marital status, race / color, ICD-10 classification, place of occurrence) of 1,003. 862 national cases of death due to stroke that occurred between the period of 2009 to 2018, present in the SUS Mortality Information System (SIM-SUS), collected from the Informatics Department of the Unified Health System (DATASUS). Results: The mortality rate varied from 52.3 to 47.9 deaths / 100 thousand inhabitants in the period from 2009 to 2018. The South region was responsible for the highest mortality among the period studied, with a coefficient of 58.9 deaths per 100 thousand inhabitants, however, it presented the greatest percentage reduction after standardization, with a percentage of 13.8%. The North region was responsible for the lowest mortality rate in the period, with a value of 34.4 deaths per 100 thousand inhabitants, however it was the only region that presented an increase of 22.3% of deaths between the studied period. There is an approximate frequency of mortality between men and women for the total population, with a predominance, in absolute numbers, in males (505,552 - male; 498,183 - female). There was an increase in death from stroke in proportion to the increase in age in all Brazilian regions. There is an inverse relationship between mortality and the increase in education in all Brazilian regions, ranging from 219,586 cases in individuals with no education to 32,590 cases in individuals with 11 or more years of study. There is a predominance of deaths from stroke in white individuals (50.5%, n = 507,380 cases) followed by brown individuals (34.7%, n = 347,951 cases). 77.8% (n = 780,602) of the cases had an outcome in public or private hospitals. The occurrence of death from stroke predominated in married people (36.1%, n = 362,816). There is a higher notification of stroke not specified as hemorrhagic or ischemic (41%, n = 411,651). Conclusion: There was a decrease in the mortality coefficient, with the South region having the highest coefficient, but the largest reduction in events and the North region, the smallest, despite being the only region that showed an increase in the number of cases. The gender variable did not show significant differences in the number of deaths, although the male gender stands out, however, the variables age, race and study time revealed a predominance in the number of deaths in the elderly, white race and individuals with shorter study time. Given these findings, it is necessary to carry out more actions to promote programs such as Hiperdia and greater participation of health professionals who are part of the Family Health Strategy to avoid health problems in the at-risk population that may lead to a stroke event.