Trends in hospitalizations for respiratory diseases in Salvador, Bahia State, Brazil, 1998-2009

Antunes, Fernanda Pedro; Costa, Maria da Conceição Nascimento; Paim, Jairnilson Silva; Vieira-da-Silva, Lígia Maria; Santos, Carlos Antônio de Souza Teles; Cruz, Álvaro Augusto; Barreto, Maurício L.

doi:10.1590/s0102-311x2012000500006

Cited by 16 publications

(16 citation statements)

References 24 publications

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“…In a survey of annual hospitalizations sensitive to primary care interventions in Brazil between 1998 and 2009, asthma has been found as the third most frequent cause of hospitalizations in the public health system [40]. These ten years have seen a continuous reduction in hospitalization rates, dropping from approximately 23 hospitalizations per 10,000 inhabitants to a little over 10 per 10,000 inhabitants in 2009, with an average annual reduction in hospitalizations of 6.5% among men and 7.7% among women [40].…”

Section: Introductionmentioning

confidence: 99%

Asthma: epidemiology of disease control in Latin America – short review

Solé

Aranda²,

Wandalsen³

2017

asthma res and pract

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Asthma is reported as one of the most common chronic diseases in childhood, impairing the quality of life of patients and their families and incurring high costs to the healthcare system and society. Despite the development of new drugs and the availability of international treatment guidelines, asthma is still poorly controlled, especially in Latin America. Original and review articles on asthma control or epidemiology with high levels of evidence have been selected for analysis among those published in PubMed referenced journals during the last 20 years, using the following keywords: “asthma control” combined with “Latin America”, ” epidemiology”, “prevalence”, “burden”, “mortality”, “treatment and unmet needs”, “children”, “adolescents”, and “infants”. There was a high prevalence and severity of asthma during the period analyzed, especially in children and adolescents. Wheezing in infants was a significant reason for seeking medical care in Latin American health centers. Moreover, the frequent use of quick-relief bronchodilators and oral corticosteroids by these patients indicates the lack of a policy for providing better care for asthmatic patients, as well as poor asthma control. Among adults, studies document poor treatment and control of the disease, as revealed by low adherence to routine anti-inflammatory medications and high rates of emergency care visits and hospitalization. In conclusion, although rare, studies on asthma control in Latin America repeatedly show that patients are inadequately controlled and frequently overestimate their degree of asthma control according to the criteria used by international asthma treatment guidelines. Additional education for doctors and patients is essential for adequate control of this illness, and therefore also for reduction of the individual and social burden of asthma.

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Section: Introductionmentioning

confidence: 99%

Asthma: epidemiology of disease control in Latin America – short review

Solé

Aranda²,

Wandalsen³

2017

asthma res and pract

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“…The consequences can be systemic 1,2 . COPD is a leading cause of death worldwide -including Europe 3,4 , the United States 5 , and Brazil 6 . COPD was the sixth leading cause of death in the world in 1990 and fourth in 2000, and is estimated to reach third place by 2020 3 .…”

Section: Introductionmentioning

confidence: 99%

Home or community-based pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease: a systematic review and meta-analysis

2016

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Home or community-based pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease: a systematic review and meta-analysis Reabilitação pulmonar domiciliar ou comunitária para indivíduos com doença pulmonar obstrutiva crônica: revisão sistemática e meta-análise Rehabilitación pulmonar domiciliaria o comunitaria para individuos con enfermedad pulmonar obstructiva crónica: revisión sistemática y metaanálisis

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“…1 Moreover, it is considered one of the main causes of death in Europe, 1 in the United States, 2 and in Brazil. 3 COPD can cause systemic alterations such as systemic inflammation, skeletal muscle dysfunction, peripheral muscle weakness, and inspiratory and expiratory muscle weakness caused by changes in the composition of muscle fibers and muscle atrophy. [4][5][6] Thus, the treatment of this disease should be multidisciplinary, and respiratory physiotherapy may act by improving the functional capacity of these subjects.…”

Section: Introductionmentioning

confidence: 99%

Expiratory and Expiratory Plus Inspiratory Muscle Training Improves Respiratory Muscle Strength in Subjects With COPD: Systematic Review

et al. 2014

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BACKGROUND: Inspiratory muscle training (IMT) produces beneficial effects in COPD subjects, but the effects of expiratory muscle training (EMT) and EMT plus IMT in ventilatory training are still unclear. The aim of this study was to systematically review the effects of EMT and EMT plus IMT compared to control groups of COPD subjects. METHODS: This study is a systematic review and meta-analysis. The search strategy included MEDLINE, Embase, LILACS, PEDro, and Cochrane CENTRAL and also manual search of references in published studies on the subject. Randomized trials comparing EMT and EMT plus IMT versus control groups of subjects with COPD were included. The outcomes analyzed were respiratory muscle strength and functional capacity. Two reviewers independently extracted the data. RESULTS: The search retrieved 609 articles. Five studies were included. We observed that EMT provided higher gain in maximum expiratory pressure (P E max 21.49 cm H 2 O, 95% CI 13.39 -29.59) and maximum inspiratory pressure (P I max 7.68 cm H 2 O, 95% CI 0.90 -14.45) compared to control groups. There was no significant difference in the 6-min walk test distance (29.01 m, 95% CI ؊39.62 to 97.65) and dyspnea (0.15, 95% CI ؊0.77 to 1.08). In relation to EMT plus IMT, we observed that P E max (31.98 cm H 2 O, 95% CI 26.93-37.03) and P I max (27.98 cm H 2 O, 95% CI 20.10 -35.85) presented higher values compared to control groups. CONCLUSIONS: EMT and EMT plus IMT improve respiratory muscle strength and can be used as part of the treatment during pulmonary rehabilitation of subjects with severe to very severe COPD.

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Trends in hospitalizations for respiratory diseases in Salvador, Bahia State, Brazil, 1998-2009

Abstract: Respiratory diseases are the leading cause of hospitalizations in Brazil (excluding hospital admissions related to childbirth, pregnancy, and postpartum). To analyze the trend and seasonality of hospitalizations for respiratory diseases in Salvador, Bahia State, Brazil, 1998-2009

Cited by 16 publications

References 24 publications

Asthma: epidemiology of disease control in Latin America – short review

Asthma: epidemiology of disease control in Latin America – short review

Home or community-based pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease: a systematic review and meta-analysis

Expiratory and Expiratory Plus Inspiratory Muscle Training Improves Respiratory Muscle Strength in Subjects With COPD: Systematic Review

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