Trends in hospitalization for cerebral vascular accident in Ceará 2009-2020

Authors

DOI:

https://doi.org/10.33448/rsd-v11i8.30819

Keywords:

Stroke; Health information systems; Hospitalization; Epidemiology.

Abstract

Objective: To analyze the trend of hospitalizations caused by stroke in the adult population from the Ceará State, Brazil. Methods: An ecological study with a time-series design was carried out using data from two secondary databases, the Hospital Information System of the Unified Health System (SIH/SUS) and the Brazilian Institute of Geography and Statistics (IBGE), using data from Ceará and its health regions, from 2009 to 2020. Results: Of the total hospitalizations by stroke in Ceará, an average of 7,981.5 was obtained, with a gradual increase from 2012, with a peak in 2019 (9,485/year). Patients aged between 70 and 79 years had a higher annual average of hospitalizations (2,072.4/year). The absolute number of hospital deaths ranged from 3,277 in 2009 to 2,750 in 2020, which represents a reduction of approximately 16.08%. As for Ceará’s health regions, it was possible to observe a growing trend of hospitalizations in the East Coast, Central, and North Sertão. Conclusion: Ceará showed an increasing trend of hospitalizations by stroke in the last 11 years, with a predominance in people aged 70 to 79 years. Despite the increase in hospitalizations, there was a reduction in the number of hospital deaths.

References

Antunes, J. L. F. & Cardoso, M. R. A. (2015). Uso da análise de séries temporais em estudos epidemiológicos. Epidemiologia e Serviços de Saúde, 24(3):565-576. https://doi.org/10.5123/S1679-49742015000300024

Baumann, M., Le Bihan, E., Chau, K. & Chau, N. (2014). Associations between quality of life and socioeconomic factors, functional impairments and dissatisfaction with received information and home-care services among survivors living at home two years after stroke onset. BMC Neurology, 14:92. https://doi.org/10.1186/1471-2377-14-92

Brasil. (2011). Orientações acerca dos indicadores de monitoramento e avaliação do pacto pela saúde, nos componentes pela vida e de gestão para o biênio 2010 – 2011. Ministério da Saúde.

Brasil. (2012a). Vigitel Brasil 2011: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Ministério da Saúde.

Brasil. (2013). Manual de rotinas para atenção ao AVC. Editora do Ministério da Saúde.

Brasil. (2020). Linha de Cuidado do Acidente Vascular Cerebral (AVC) no adulto. Ministério da Saúde.

Brasil. (2022a). Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS). http://sihd.datasus.gov.br/principal/index.php

Brasil. (2022b). Instituto Brasileiro de Geografia e Estatística (IBGE). https://www.ibge.gov.br/

Brasil. (2022c). Departamento de Informática do SUS. http://datasus.saude.gov.br/2022

Brasil. (2022d). Sistema de Informação sobre Mortalidade (SIM). http://sim.saude.gov.br/default.asp

Ceará. (2022). Regionalização. https://www.saude.ce.gov.br/institucional/regionalizacao/

Cerqueira, D. R. C., Alves, P. P., Coelho, D. S. C., Reis, M. V. M. & Lima, A. S. (2019). Uma análise da base de dados do Sistema de Informação Hospitalar entre 2001 e 2018: Dicionário dinâmico, disponibilidade dos dados e aspectos metodológicos para a produção de indicadores sobre violência. IPEA.

Dantas, L. F., Marchesi, J. F., Peres, I. T., Hamacher, S., Bozza, F. A. & Neira, R. A. Q. (2019). Public hospitalizations for stroke in Brazil from 2009 to 2016. PLoS One, 14(3):e0213837. https://doi.org/10.1371/journal.pone.0213837

Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., Moran, A. E., Sacco, R. L., Anderson, L. A., Truelsen, T., O'Donnell, M., Venketasubramanian, N., Barker-Collo, S., Lawes, C. M. M., Wang, W., Shinohara, Y., Witt, E., Ezzati, M., Naghavi, M., & GBD Stroke Experts Group. (2014). Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. The Lancet, 383(9913):245-254. https://doi.org/10.1016/S0140-6736(13)61953-4

Feigin, V. L., Nguyen, G., Cercy, K., Johnson, C. O., Alam, T., Parmar, P. G., Abajobir, A. A., Abate, K. H., Abd-Allah, F., Abejie, A. N., Abyu, G. Y., Ademi, Z., Agarwal, G., Ahmed, M. B., Akinyemi, R. O., Al-Raddadi, R., Aminde, L. N., Amlie-Lefond, C., Ansari, H., & Roth, G. A. (2018). Global, Regional, and Country-Specific Lifetime Risks of Stroke, 1990 and 2016. The New England journal of medicine, 379(25):2429-2437. https://doi.org/10.1056/NEJMoa1804492

Gorelick, P. B. (2009). The future of stroke prevention by risk factor modification. Handbook of clinical neurology, 94:1261-1276. https://doi.org/10.1016/S0072-9752(08)94063-X

Gorelick, P. B. (2019). The global burden of stroke: persistent and disabling. The Lancet Neurology, 18(5):417-418. https://doi.org/10.1016/S1474-4422(19)30030-4

Johnson, A. J., Dudley, W. N., Wideman, L. & Schulz, M. (2019). Physiological risk profiles and allostatic load: Using latent profile analysis to examine socioeconomic differences in physiological patterns of risk. European Journal of Environment And Public Health, 3:2-9. https://doi.org/10.29333/ejeph/5870

Johnson, C. O., Nguyen, M., Roth, G. A., Nichols, E., Alam, T., Abate, D., Abd-Allah, F., Abdelalim, A., Abraha, H. N., Abu-Rmeileh, N. M. E., Adebayo, O. M., Adeoye, A. M., Agarwal, G., Agrawal, S., Aichour, A. N., Aichour, I., Aichour, M. T. E., Alahdab, F., Ali, R., & Murray, C. J. L. (2019). Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 48:439-458. https://doi.org/10.1016/S1474-4422(19)30034-1

Langhorne, P., Bernhardt, J. & Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778):1693–1702. https://doi.org/10.1016/S0140-6736(11)60325-5

Lei nº 17.006, de 30 de setembro de 2019 do Governo do Estado do Ceará. Diário Oficial do Estado (2019).

Locatelli, M. C., Furlaneto, A. F. & Cattaneo, T. N. (2017). Perfil epidemiológico dos pacientes com Acidente vascular cerebral isquêmico atendidos em um hospital. Revista da Sociedade Brasileira de Clínica Médica, 15(3):150-154. https://www.sbcm.org.br/ojs3/index.php/rsbcm/article/view/284

Mendes, E. V. (2011). As redes de atenção à Saúde. Organização Pan-Americana da Saúde.

Moreira, P., Arruda Neta, A., Ferreira, S. S., Ferreira, F., Lima, R., Vianna, R. P. T., Araújo, J. M., Rodrigues, R. E. A., Silva Neto, J. M. & O'Flaherty, M. (2021). Coronary heart disease and stroke mortality trends in Brazil 2000-2018. PloS One, 16(9):e0253639. https://doi.org/10.1371/journal.pone.0253639

Mourão, A. M., Vicente, L. C. C., Chaves, T. S., Sant’Anna, R. V., Meira, F. C., Xavier, R. M. B., Tanure, M. T. A., Souza, L. C. & Teixeira, A. L. (2017) Perfil dos pacientes com diagnóstico de AVC atendidos em um hospital de Minas Gerais credenciado na linha de cuidados. Revista Brasileira de Neurologia, 53(4):12-16. https://doi.org/10.46979/rbn.v53i4.14634

Oliveira, G. G. & Waters, C. (2021). Epidemiological profile of stroke patients. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, 66:e019. https://doi.org/10.26432/1809-3019.2021.66.019

Ovbiagele, B., Goldstein, L. B., Higashida, R. T., Howard, V. J., Johnston, S. C., Khavjou, O. A., Lackland, D. T., Lichtman, J. H., Mohl, S., Sacco, R. L., Saver, J. L., Trogdon, J. G., American Heart Association Advocacy Coordinating Committee and Stroke Council. (2013). Forecasting the future of stroke in the United States: a policy statement from the American Heart Association and American Stroke Association. Stroke, 44(8):2361-2375. https://doi.org/10.1161/STR.0b013e31829734f2

Portaria nº. 665, de 12 de abril de 2012 do Ministério da Saúde do Brasil. Diário Oficial da União (2012b).

Rodríguez-Castro, E., López-Dequit, I., Santamaría-Cadavid, M., Arias-Rivas, S., Rodríguez-Yáñez, M., Pumar, J. M., Hervella, P., López-Arias, E., Silva-Candal, A., Estany, A., Piñeiro-Lamas, M., Sobrino, T., Campos, F., Portela, M., Vázquez-Lima, M., Castillo, J. & Iglesias-Rey, R. (2018). Trends in stroke outcomes in the last ten years in a European tertiary hospital. BMC neurology, 18:164. https://doi.org/10.1186/s12883-018-1164-7

Rolim, C. L. R. C. & Martins, M. (2011). Qualidade do cuidado ao acidente vascular cerebral isquêmico no SUS. Cadernos de Saúde Pública, 27(11):2106-2116. https://doi.org/10.1590/S0102-311X2011001100004

Safanelli, J., Vieira, L. G. D. R., Araujo, T., Manchope, L. F. S., Kuhlhoff, M. H. R., Nagel, V., Conforto, A. B., Silva, G. S., Mazin, S., Magalhães, P. S. C. & Cabral, N. L. (2019). The cost of stroke in a public hospital in Brazil: a one-year prospective study. Arquivos de Neuro-Psiquiatria, 77(6):404-411. doi: https://doi.org/10.1590/0004-282x20190059

Saldanha, R. F., Bastos, R. R. & Barcellos, C. (2019). Microdatasus: Pacote para download e pré-processamento de microdados do Departamento de Informática do SUS (DATASUS). Cadernos de Saúde Pública, 35(9):e00032419. https://doi.org/10.1590/0102-311x00032419

Sarfo, F. S., Akassi, J., Awuah, D., Adamu, S., Nkyi, C., Owolabi, M. & Ovbiagele, B. (2015). Trends in stroke admission and mortality rates from 1983 to 2013 in central Ghana. Journal of the neurological sciences, 357(1–2):240-245. https://doi.org/10.1016/j.jns.2015.07.043

Silva, F. V. M., Brito, C. B., Maia, E. M., Ferreira, W. S. B., Oliveira, A. B. C., Sousa, F. D. S., Silva, H. V. P. & Nunes, P. P. B. (2021). Quality of life of patients affected by cerebral vascular accident. Revista de Atenção à Saúde, 19(69):329-338. https://doi.org/10.13037/ras.vol19n69.7739

Siqueira, A. S. E., Siqueira-Filho, A. G. & Land, M. G. P. (2017). Analysis of the Economic Impact of Cardiovascular Diseases in the Last Five Years in Brazil. Arquivos Brasileiros de Cardiologia, 109(1):39-46. https://doi.org/10.5935/abc.20170068

Siqueira, C. A. D. S. & Souza, D. L. B. (2020). Reduction of mortality and predictions for acute myocardial infarction, stroke, and heart failure in Brazil until 2030. Scientific Reports, 10(1):17856. https://doi.org/10.1038/s41598-020-73070-8

Thomas, H., Diamond, J., Vieco, A., Chaudhuri, S., Shinnar, E., Cromer, S., Perel, P., Mensah, G. A., Narula, J., Johnson, C. O., Roth, G. A. & Moran, A. E. (2018). Global Atlas of Cardiovascular Disease 2000–2016: the path to prevention and control. Global Heart, 13(3):143-163. https://doi.org/10.1016/j.gheart.2018.09.511

World Health Organization. (2017). Cardiovascular diseases (CVDs) [Internet]. https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

World Health Organization. (2018). Noncommunicable diseases country profiles 2018. https://apps.who.int/iris/handle/10665/274512

Downloads

Published

12/06/2022

How to Cite

BRAZ, A. I. D. .; ARAÚJO, S. T. .; PEREIRA, M. B. .; MENDONÇA, F. A. da C. .; RABÊLO, D. R. V. .; MACÊDO, A. L. C. A. .; GUIMARÃES, M. P. G. .; MEDEIROS, M. S. . Trends in hospitalization for cerebral vascular accident in Ceará 2009-2020. Research, Society and Development, [S. l.], v. 11, n. 8, p. e11611830819, 2022. DOI: 10.33448/rsd-v11i8.30819. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30819. Acesso em: 12 nov. 2024.

Issue

Vol. 11 No. 8

Section

Health Sciences

License

Copyright (c) 2022 Antônio Igor Duarte Braz; Samila Torquato Araújo; Maíra Barroso Pereira; Francisco Antônio da Cruz Mendonça; Dieison Roberto Vieira Rabêlo; André Luiz Coutinho Araújo Macêdo; Manoel Pedro Guedes Guimarães; Melissa Soares Medeiros

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.