Mortalidade por doenças cerebrovasculares por residência e local de ocorrência do óbito: Paraná, Brasil, 2007

Furukawa, Tatiane Sano; Mathias, Thaís Aidar de Freitas; Marcon, Sônia Silva

doi:10.1590/s0102-311x2011000200014

Cited by 18 publications

(20 citation statements)

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“…We also did not evaluate the functional outcome at discharge, the presence and the effect of rehabilitation, or post-discharge medical complications. Many studies are based on death certificates; however, they require attention when interpreting their results [1,46,47]. However, in the state of Paraná, a qualified adjudication team revises the death certificates that have been completed by field physicians by following the state guidelines.…”

Section: Discussionmentioning

confidence: 99%

Factors Related to Cardioembolism as Major Predictors of Poor Survival after First-Ever Middle Cerebral Artery Stroke Treated with Thrombolysis

et al. 2017

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Background and Purpose: Prognostic factors related to mortality rates after stroke have been reported; however, most studies included different treatments and did not focus solely on ischemic stroke. The study aimed to report the short- and long-term survival and predictors of death in patients with first-ever ischemic stroke in the middle cerebral artery (MCA) territory, submitted to intravenous thrombolysis (IVT). Methods: A prospective observational cohort study of patients with first-ever ischemic stroke in the MCA territory treated with IVT from March 2010 to February 2015 was conducted, and patients were followed up until May 2015. The Kaplan-Meier method was used to estimate the cumulative case fatality rates. The potential prognostic factors were identified using Cox proportional hazards regression analysis. Results: A total of 169 patients, 51% women of mean age of 64.1 ± 12.9 years were followed up for a median time of 23.6 (8.1-36.2) months. At the end of the study, 53 (31.4%) patients had died. The estimated cumulative case fatality rate was 41.8% for 5 years. Chronic heart failure (hazards ratio [HR] 2.89, 95% CI 1.43-5.84, p = 0.003), atrial fibrillation (HR 3.88, 95% CI 1.30-11.57, p = 0.015), and symptomatic intracerebral hemorrhage (SICH; HR 7.83, 95% CI 3.43-17.92, p < 0.001) were significant unfavorable independent outcome predictors. The most frequent cause of death was infection (46%). Conclusions: Stroke in the MCA territory has a high mortality rate, even in patients treated with IVT. SICH, atrial fibrillation, and chronic heart failure are modifiable factors related to cardioembolism that need to be aggressively targeted for improved outcomes after stroke.

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Section: Discussionmentioning

confidence: 99%

Factors Related to Cardioembolism as Major Predictors of Poor Survival after First-Ever Middle Cerebral Artery Stroke Treated with Thrombolysis

et al. 2017

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“…O predomínio do AVE no sexo feminino corrobora com alguns achados da literatura 5,21 . As mulheres apresentam fatores potenciais que aumentam a chance de desenvolver a doença, como altos níveis de glicemia, o uso de contraceptivos orais, enxaquecas, HAS, DM, dislipidemia e doenças tromboembólicas 28 .…”

Section: Discussionunclassified

“…Porém, a identificação e o controle dos fatores de risco são medidas essenciais e prioritárias para a prevenção primária na população, pois permitem uma redução significativa da incidência e recidiva do AVC, por meio de mudança nos hábitos de vida, além de ser uma obrigação para os envolvidos com os cuidados em saúde. Caracterizar determinantes de recorrência e mortalidade após o AVE reflete a prevenção secundária, haja vista que a recorrência do AVE ainda é a maior ameaça para os sobreviventes 21,24,18 . As consequências, em longo prazo, após o AVE vão depender do tamanho e localização da lesão, além da capacidade de neuroplasticidade cerebral.…”

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Perfil Social e Funcional dos Usuários da Estratégia Saúde da Família com Acidente Vascular Encefálico

Medeiros

Silva

Araújo

et al. 2017

Rev. bras. ciênc. Saúde

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“…21 This decrease in hospitalization rates for CbVD may be positive, since the results have shown a decreasing trend in mortality by CbVD between 1980 and 2012 in Brazil (-48.05%) and in the South region (-55.49%), 22 and high rates in the macro-regional health of Maringá (23.3 per 10,000 deaths) in relation to the other regions in the state of Paraná in 2007. 23 Similarly to CbVD, hospitalizations for SAH decreased during the study period, with similar average rates and decline speed. This result is in agreement with data from a systematic review on SAH in Brazil of more than 40 studies and 120,000 individuals, which saw a trend of progressive decline from 36.1% in the 1980s to 32.9% in the 1990s, and to 28.7% in the subsequent decade.…”

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confidence: 80%

Decline in Hospitalization Trend for Cardiovascular Diseases Sensitive to Primary Healthcare

Lentsck

Saito²,

Mathias³

2017

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Objective: was to analyze the trend of hospitalizations for cardiovascular conditions sensitive to primary healthcare from 2000 to 2011.Method: an ecological study of the tendency of hospitalization rates for cardiovascular diseases by residence, aged between 35 and 74 years, according to the main diagnoses of hospitalization, gender and age, with data from the Hospital Information System of the Brazilian National Unified Health System (Sistema de Informações Hospitalares do Sistema Único de Saúde) and using polynomial regression models.Results: an average annual decline of 5.6 per 10,000 inhabitants (r 2 =0.9; p<0.001) of hospitalization rates by cardiovascular diseases was observed. Decreasing trends for hypertension, heart failure and cerebrovascular diseases were also identified, while hospitalization rates by angina remained stable. The decrease in admission rates due to cardiovascular conditions was similar between both genders, although these rates were higher for men aged 55 to 74 years.Conclusion: the decline in hospitalization rates for primary care-sensitive cardiovascular diseases indicates, in addition to other factors, improved access and quality of primary healthcare actions, especially for residents aged 55-74 years, and also for women whose decline was more pronounced. The health team should implement actions to prevent chronic disease complications, and consequently hospitalizations for men and for angina, in order to eliminate health disparities. DESCRIPTORS: Cardiovascular diseases. Primary health care. Hospitalization. Time series studies. Health services evaluation. TENDÊNCIA DE DECLÍNIO DAS HOSPITALIZAÇÕES POR DOENÇAS CARDIOVASCULARES SENSÍVEIS À ATENÇÃO PRIMÁRIA RESUMOObjetivo: analisar a tendência das internações por condições cardiovasculares sensíveis à atenção primária, de 2000 a 2011.Método: estudo ecológico da tendência das taxas de internação por doenças cardiovasculares, por residência, entre 35 e 74 anos, segundo diagnóstico principal de internação, sexo e idade, com dados do Sistema de Informações Hospitalares do Sistema Único de Saúde e utilização de modelos de regressão polinomial.Resultados: houve declínio médio anual de 5,6 por 10.000 habitantes (r 2 =0,9; p<0,001) das taxas de internação por doenças cardiovasculares. Tendência descrecente também foi identificada para hipertensão, insuficiência cardíaca e doenças cerebrovasculares, enquanto as taxas de internação por angina permaneceram estáveis. O decréscimo das taxas de internação por condições cardiovasculares foi semelhante entre os sexos, embora esses índices sejam mais elevadas para homens de 55 a 74 anos.Conclusão: o declínio das taxas de internação por doenças cardiovasculares sensíveis à atenção primária indica, além de outros fatores, melhora no acesso e qualidade das ações da atenção primária, principalmente para residentes de 55 a 74 anos, e também para as mulheres cujo declínio foi mais acentuado. A equipe de saúde deve implementar ações de prevenção das complicações das doenças crônicas e, consequenteme...

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Mortalidade por doenças cerebrovasculares por residência e local de ocorrência do óbito: Paraná, Brasil, 2007

Abstract: This study analyzed stroke mortality in Paraná State, Brazil, in 2007, according

Cited by 18 publications

References 14 publications

Factors Related to Cardioembolism as Major Predictors of Poor Survival after First-Ever Middle Cerebral Artery Stroke Treated with Thrombolysis

Factors Related to Cardioembolism as Major Predictors of Poor Survival after First-Ever Middle Cerebral Artery Stroke Treated with Thrombolysis

Perfil Social e Funcional dos Usuários da Estratégia Saúde da Família com Acidente Vascular Encefálico

Decline in Hospitalization Trend for Cardiovascular Diseases Sensitive to Primary Healthcare

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