Evolution of incidence, mortality and cost of nontraumatic abdominal emergencies treated in Brasil in a period of nine years

Lemos, Carolina Maria Barbosa; Alem, Mariana Drigo; Campos, Tércio De

doi:10.1590/1806-9282.64.04.374

Cited by 7 publications

(8 citation statements)

References 8 publications

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“…Although incidence of all 10 overlapping studies were reported alongside all other studies in the tables, only 4 were included in the meta-analyses and figures. 3,[30][31][32] In total, 44 studies, from the following regions, met our inclusion criteria: Europe (n ¼ 24 10,12,13, ), North America (n ¼ 11 3,4,9,[27][28][29][30][31][53][54][55] ), South America (n ¼ 1 56 ), Asia (n ¼ 5 [57][58][59][60][61] ), and Oceania (n ¼ 3 [62][63][64] ). The 4 studies reporting the incidence of acute pancreatitis in children exclusively were North America (n ¼ 2 54,55 ), Asia (n ¼ 1 57 ), and Oceania (n ¼ 1 63 ).…”

Section: Resultsmentioning

confidence: 99%

Global Incidence of Acute Pancreatitis Is Increasing Over Time: A Systematic Review and Meta-Analysis

et al. 2022

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The global incidence of acute pancreatitis is increasing over time:A systematic review and meta-analysis• 34 studies in adults reported temporal incidence of acute pancreatitis in over time. • Incidence of acute pancreatitis has increased over time with an average annual percent change (AAPC) of 3.07%.No difference in incidence rates between women and men.AAPC of biliary and alcohol induced pancreatitis have increased but without significant differences in rate of increase. = BACKGROUND& AIMS: Acute pancreatitis is a common disease with significant associated morbidity and mortality. We performed a systematic review and meta-analysis of population-based studies to explore the changing temporal trends of acute pancreatitis incidence globally. METHODS: We performed a systematic literature search to identify populationbased studies reporting the annual incidence of acute pancreatitis. Abstracts were assessed independently to identify applicable articles for full-text review and data extraction. Joinpoint temporal trend analyses were performed to calculate the average annual percent change (AAPC) with 95% confidence intervals (CIs). The AAPCs were pooled in a metaanalysis to capture the overall and regional trends in acute pancreatitis incidence over time. Temporal data were summarized in a static map and an interactive, web-based map. RESULTS: Forty-four studies reported the temporal incidence of acute pancreatitis (online interactive map: https://kaplanacute-pancreatitis-ucalgary.hub.arcgis.com/). The incidence of acute pancreatitis has increased from 1961 to 2016 (AAPC, 3.07%; 95% CI, Q3 2.30% to 3.84%; n ¼ Q4 34). Increasing incidence was observed in North America (AAPC, 3.67%; 95% CI, 2.76% to 4.57%; n ¼ 4) and Europe (AAPC, 2.77%; 95% CI, 1.91% to 3.63%; n ¼ 23). The incidence of acute pancreatitis was stable in Asia (AAPC, -0.28%; 95% CI, -5.03% to 4.47%; n ¼ 4). CONCLUSIONS: This meta-analysis provides a comprehensive overview of the global incidence of acute pancreatitis over the last 56 years and demonstrates a steadily rising incidence over time in most countries of the Western world. More studies are needed to better define the changing incidence of acute pancreatitis in Asia, Africa, and Latin America.

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Section: Resultsmentioning

confidence: 99%

Global Incidence of Acute Pancreatitis Is Increasing Over Time: A Systematic Review and Meta-Analysis

et al. 2022

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“…The authors have noted an increase in the frequency of acute appendicitis, AP and acute diverticulitis over the years. Mortality due to complications of gastroduodenal ulcers, acute diverticulitis and AP was higher when compared to other causes of AA 18 .…”

Section: Introductionmentioning

confidence: 80%

“…One recent Brazilian study has evaluated the incidence and mortality of patients with AA admitted to the hospital through the Brazilian Unified Public Health System (SUS) 18 , 22 . The most common causes were CC, acute appendicitis, AP, complications of gastric and duodenal ulcers, acute diverticulitis and inflammatory bowel disease (B),(C).…”

Section: Introductionmentioning

confidence: 99%

Acute Abdomen in Intensive Care Unit: Etiology, Comorbidity and Severity of 1,523 Patients

ALMEIDA FILHO,

SILVA,

VALVERDE FILHO

et al. 2023

ABCD, arq. bras. cir. dig.

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BACKGROUND: Clinical features and outcomes of patients admitted to the intensive care unit due to acute abdomen are important to be investigated. AIMS: To evaluate the outcomes of critically ill subjects with acute abdomen according to etiology, comorbidity and severity. METHODS: Outcomes of 1,523 patients (878 women, mean age 66±18 years) consecutively admitted to a specialized gastrointestinal intensive care unit with different causes of acute abdomen from January 2012 to December 2019, were retrospectively evaluated according to etiology, comorbidity and severity. RESULTS: The most common causes of acute abdomen were obstructive and inflammatory, particularly large bowel obstruction (27%), small bowel obstruction (18%) and acute pancreatitis (17%). Overall mortality was 13%. Surgery was required in 34% of patients. Median length of stay in the hospital was 9 [1-101] days. On univariate analysis mortality was significantly associated with age, APACHE II, Charlson comorbidity index, requirement for surgery and malignancy (p<0.0001), but only APACHE II, Charlson comorbidity index and surgical interventional remained significant on multivariate analysis. CONCLUSIONS: Critically ill patients admitted to the intensive care unit with acute abdomen constitute a heterogeneous group of subjects with different prognosis. Mortality is more related to the severity of the disease, comorbidity and need for surgery than to the etiology of the acute abdomen.

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“…Diversos estudos procuraram relacionar taxas de mortalidade com determinadas condições e agravos de saúde (AMARAL et al, 2018;AQUINO et al, 2018;LEMOS;ALEM;CAMPOS, 2018;SIMÕES et al, 2018 CAVALCANTE et al, 2018;CITRON et al, 2018;DAVID;NASCIMENTO, 2018;SCOTTA et al, 2018;KUPEK, 2018;BESSA;BONATTO, 2019;NASCIMENTO, 2019). Mas em geral, todos os estudos relacionaram duas ou mais unidades de análise provenientes do DATASUS em um determinado período de tempo.…”

Section: Estratégias De Pesquisaunclassified

Uso De Dados Do Departamento De Informática Do Sistema Único De Saúde (DATASUS) Em Pesquisas Científicas

Sousa¹,

Stadulni²,

Costa³

2021

Revista Científica Multidisciplinar Núcleo do Conhecimento

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O Departamento de Informática do Sistema Único de Saúde (DATASUS) surgiu como um instrumento responsável por dar suporte em sistemas de informação aos órgãos do Sistema Único de Saúde (SUS), apoiando dessa maneira os processos de planejamento, operação e controle do SUS. Esse estudo teve como objetivo verificar como os dados disponibilizados pelo DATASUS têm sido utilizados em pesquisas científicas. A seleção dos artigos científicos foi realizada por meio de levantamento bibliográfico em periódicos nacionais e internacionais acessíveis via internet na base de dados PubMed. A palavra DATASUS foi utilizada na busca dos artigos. A pesquisa realizada a partir da palavra-chave proposta na base de dados PubMed, para o período entre 01/01/2018 a 01/05/2019 produziu 35 citações. Após a triagem dos artigos, 2 foram excluídos. Foram lidos e analisados 33 artigos completos, destes, 17 foram publicados em periódicos internacionais (51,5%) e 16 (48,4%) em periódicos nacionais. As unidades de análise mais utilizadas foram: óbito em 44,1% dos artigos e internação em 32,3% dos artigos. O DATASUS é um instrumento implementado no SUS há 28 anos e possibilita analisar de forma consistente inúmeros aspectos que envolvem a saúde pública no Brasil, apesar disso, ele não tem sido utilizado efetivamente nos últimos anos.

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Evolution of incidence, mortality and cost of nontraumatic abdominal emergencies treated in Brasil in a period of nine years

Abstract: Non-traumatic abdominal emergencies are extremely prevalent. Hence, the importance of having updated and comparative data on the mortality rate, number of hospitalization and cost generated by these diseases to provide better healthcare services in public hospitals.

Cited by 7 publications

References 8 publications

Global Incidence of Acute Pancreatitis Is Increasing Over Time: A Systematic Review and Meta-Analysis

Global Incidence of Acute Pancreatitis Is Increasing Over Time: A Systematic Review and Meta-Analysis

Acute Abdomen in Intensive Care Unit: Etiology, Comorbidity and Severity of 1,523 Patients

Uso De Dados Do Departamento De Informática Do Sistema Único De Saúde (DATASUS) Em Pesquisas Científicas

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