Hospitalization and mortality by diabetes mellitus in children: analysis of temporal series

Abstract

Objective: to analyze the trend of hospitalization rates and mortality due to Diabetes Mellitus in children and adolescents in Brazil. Method: temporal series study, hospitalization rates and diabetes mortality in children and adolescents. Data were obtained from the Hospital Information System and Mortality Information System, from 2005-2015, with analysis performed by polynomial regression modeling. Results: 87,100 hospitalizations and 1,120 deaths from diabetes were analyzed. Hospitalizations rates increased for both genders and all age groups, with an increase for adolescents aged 10-14 years. The mortality rate declined, except for the 15-19-year age group. In the overall mortality trend in Brazil, the South and Southeast showed a decrease, whereas for hospitalizations only the Center-West remained constant, while the others increased. Conclusion: however, there was a decrease in infant mortality and increase in hospitalizations. RESUMOObjetivo: analisar a tendência das taxas de internação e mortalidade por Diabetes Mellitus em crianças e adolescentes no Brasil. Método: estudo de séries temporais, das taxas de internação e mortalidade por diabetes em crianças e adolescentes. Os dados foram obtidos do Sistema de Informações Hospitalares e do Sistema de Informações sobre Mortalidade, de 2005-2015, com análise realizada pela modelagem de regressão polinomial. Resultados: foram analisadas 87.100 internações e 1.120 óbitos por diabetes. As taxas de internações apresentaram aumento para ambos os sexos e todas as faixas etárias, com incremento para adolescentes entre 10-14 anos. A taxa de mortalidade apresentou queda, exceto para o grupo etário de 15-19 anos. À tendência da mortalidade geral no Brasil, as regiões Sul e Sudeste apresentaram decréscimo, enquanto que para as internações, apenas a região Centro-Oeste permaneceu constante, enquanto as demais aumentaram. Conclusão: ocorreu decréscimo da mortalidade na infância, porém, com aumento das internações.

Mortalidade por Diabetes Mellitus no nordeste do Brasil no período de 2014 a 2018

“…Dados demonstram que o número de internações por complicações do DM caiu 11,5% nos últimos cincos anos, no entanto ainda se mantém alto o número de óbitos. O DM tipo 2, que corresponde a 90% do total dos casos de diabetes, tem mostrado um crescimento considerável à medida que a população mundial tem passado pelo processo de transição demográfica (GARCIA, 2019).…”

Mortality due to Diabetes Mellitus in northeastern Brazil from 2014 to 2018

“…Data show that the number of hospitalizations due to complications of DM has fallen by 11.5% in the last five years, although the number of deaths is still high. Type 2 DM, which corresponds to 90% of all diabetes cases, has shown considerable growth as the world population has undergone the process of demographic transition (GARCIA, 2019). Given the relevance of this disease in global and Brazilian public health, and the lack of up-to-date studies on the subject in the Northeast region of Brazil, it is of great importance to carry out epidemiological studies to describe the situation of this pathology.…”

Children with type 1 diabetes mellitus: the experience of disease

“…Type 1 diabetes mellitus (T1DM) is a non-communicable chronic disease characterized by the destruction of pancreatic beta cells, which are responsible for insulin production. It is one of the leading metabolic and endocrine disorders among children and adolescents (1) . In the 2019 world ranking, Brazil was in the third place, with 51,500 children and adolescents (0-14 years old) with T1DM and an estimate of 7,300 new cases per year (2) .…”