Insuficiência Cardíaca no Brasil Subdesenvolvido: Análise de Tendência de Dez Anos

• DOI: 10.36660/abc.20180321
• Publication Date: 2019-12-06T17:57:08Z
• Authors: Amanda D. F. Fern...; Gilson C. Fernandes; Manuel Rivera Mazza; Leonardo M. Knijnik; Gustavo Soares Fe...; Andre Telis de Vi...; Amit Badiye; Sandra V. Chaparro
• Keywords: Adult; Male; Heart Failure/physiopathology; Time Factors; Adolescent; Heart Failure/trends; Comorbidade; Comorbidity; Insuficiência Cardíaca/tendências; Statistics, Nonparametric; Young Adult; 03 medical and health sciences; Age Distribution; 0302 clinical medicine; Insuficiência Cardíaca/fisiopatologia; Diseases of the circulatory (Cardiovascular) system; Humans; Insuficiência Cardíaca/epidemiologia; Hospital Mortality; Sex Distribution; Aged; Retrospective Studies; Hospitalização; Aged, 80 and over; Heart Failure; Heart Failure/mortality; Middle Aged; Hospitalization; RC666-701; Insuficiência Cardíaca/mortalidade; Original Article; Female; Heart Failure/epidemiology; Morbidity; Brazil

Data on heart failure (HF) epidemiology in less developed areas of Brazil are scarce.Our aim was to determine the HF morbidity and mortality in Paraiba and Brazil and its 10-year trends.A retrospective search was conducted from 2008 to 2017 using the DATASUS database and included patients ≥ 15 years old with a primary diagnosis of HF. Data on in-hospital and population morbidity and mortality were collected and stratified by year, gender and age. Pearson correlation and linear-by-linear association test for trends were calculated, with a level of significance of 5%.From 2008 to 2017, HF admissions decreased 62% (p = 0.004) in Paraiba and 34% (p = 0.004) in Brazil. The in-hospital mortality rate increased in Paraiba and Brazil [65.1% (p = 0.006) and 30.1% (p = 0.003), respectively], but the absolute in-hospital mortality had a significant decrease only in Paraiba [37.5% (p = 0.013)], which was maintained after age stratification, except for groups 15-19, 60-69 and > 80 years. It was observed an increase in the hospital stay [44% (p = 0.004) in Paraiba and 12.3% (p = 0.004) in Brazil]. From 2008 to 2015, mortality rate for HF in the population decreased 10.7% (p = 0.047) in Paraiba and 7.7% (p = 0.017) in Brazil.Although HF mortality rate has been decreasing in Paraiba and Brazil, an increase in the in-hospital mortality rate and length of stay for HF has been observed. Hospital-based clinical studies should be performed to identify the causes for these trends of increase.