Mortality and Incidence of Hospital Admissions for Stroke among Brazilians Aged 15 to 49 Years between 2008 and 2012

Autor(es)

Adami, Fernando ^{[1, 2]} ; dos Santos Figueiredo, Francisco Winter ^{[1, 2]} ; Paiva, Laercio da Silva ^{[1, 2]} ; de Sa, Thiago Herick ^[3] ; de Sousa Santos, Edige Felipe ^{[4, 1, 2, 5]} ; Martins, Bruno Luis ^[1] ; Valenti, Vitor Engracia ^[6] ; de Abreu, Luiz Carlos ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Fac Med ABC, Lab Epidemiol & Anal Dados, Dept Saude Coletividade, Santo Andre, SP - Brazil

^[2] Fac Med ABC, Lab Delineamento Estudos & Escrita Cient, Dept Saude Coletividade, Santo Andre, SP - Brazil

^[3] Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Sao Paulo, SP - Brazil

^[4] Univ Sao Paulo, Fac Saude Publ, Dept Epidemiol, BR-01255 Sao Paulo, SP - Brazil

^[5] Fac Leao Sampaio, Unidade Saude, Juazeiro De Norte, Ceara - Brazil

^[6] Univ Estadual Paulista, Fac Filosofia & Ciencias, Dept Fonoaudiol, Marilia, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PLoS One; v. 11, n. 6 JUN 22 2016.
• Citações Web of Science: 9

Resumo

Introduction The objective was to analyze rates of stroke-related mortality and incidence of hospital admissions in Brazilians aged 15 to 49 years according to region and age group between 2008 and 2012. Methods Secondary analysis was performed in 2014 using data from the Hospital and Mortality Information Systems and the Brazilian Institute of Geography and Statistics. Stroke was defined by ICD, 10th revision (I60-I64). Crude and standardized mortality (WHO reference) and incidence of hospital admissions per 100,000 inhabitants, stratified by region and age group, were estimated. Absolute and relative frequencies; and linear regression were also used. The software used was Stata 11.0. Results There were 35,005 deaths and 131,344 hospital admissions for stroke in Brazilians aged 15-49 years old between 2008 and 2012. Mortality decreased from 7.54 (95% CI 7.53; 7.54) in 2008 to 6.32 (95% CI 6.31; 6.32) in 2012 (beta = -0.27, p = 0.013, r(2) = 0.90). During the same time, incidence of hospital admissions stabilized: 24.67 (95% CI 24.66; 24.67) in 2008 and 25.11 (95% CI 25.10; 25.11) in 2012 (beta = 0.09, p = 0.692, r(2) = 0.05). There was a reduction in mortality in all Brazilian regions and in the age group between 30 and 49 years. Incidence of hospitalizations decreased in the South, but no significant decrease was observed in any age group. Conclusion We observed a decrease in stroke-related mortality, particularly in individuals over 30 years old, and stability of the incidence of hospitalizations; and also regional variation in stroke-related hospital admission incidence and mortality among Brazilian young adults. (AU)

• Processo FAPESP: 13/08943-1 - Incidência por acidente vascular encefálico na rede brasileira de saúde SUS: aplicação do DATA SUS
• Beneficiário: Bruno Luis Martins
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica