Hospitalizations for Pulmonary Embolism in Brazil (2019-2023): Epidemiology and Public Expenditure

Authors

DOI:

https://doi.org/10.33448/rsd-v13i3.45311

Keywords:

Hospitalization; Pulmonary embolism; Epidemiology; Public health expenditure; Public health.

Abstract

Objective: To analyze the clinical and epidemiological profile of patients hospitalized for pulmonary embolism in Brazil and its cost to the public sector. Methodology: A descriptive ecological study was conducted in January 2024 by analyzing data obtained from the Hospital Information System (SIH/SUS). Epidemiological and financial variables related to hospitalization for pulmonary embolism in Brazil between 2019 and 2023 were analyzed. Results and Discussion: A total of 55,439 cases of hospitalizations for PE were reported in Brazil during the analyzed period, with a notable increase in 2023. There was a discrepancy in the comparison of total hospitalization costs in all analyzed regions. The Southeast and South regions stood out regarding number of hospitalizations, total expenditures, and hospitalization rates per 100,000 inhabitants. The analysis of these variables reveals vast inequality in access to the healthcare system among Brazilian regions. Conclusion: The development of public policies for equity in hospital resources, standardization of medical procedures, and prevention of pulmonary embolism is crucial, along with the promotion of new research. This is expected to enhance healthcare by ensuring early diagnosis and timely treatment, aiming to reduce hospitalizations, length of stay, mortality, and public spending.

References

Amado, M. V., & Santana, C. N. A. (2022). Desafios assistenciais aos pacientes com tromboembolismo pulmonar no Brasil. J Bras Pneumol. 48(3):e20220187. https://dx.doi.org/10.36416/1806-3756/e20220187

Anderson, F. A. Jr, Wheeler, H. B., Goldberg, R. J., Hosmer, D. W., Patwardhan, N. A., Jovanovic, B., Forcier, A., & Dalen, J. E. (1991). A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Archives of Internal Medicine, 151(5), 933–938

Andrade, M.V., Noronha, K. V. M. de S., Menezes, R. de M., Souza, M. N., Reis, C. de B., Martins, D. R., & Gomes, L. (2013). Desigualdade socioeconômica no acesso aos serviços de saúde no Brasil: um estudo comparativo entre as regiões brasileiras em 1998 e 2008. Economia Aplicada, 17(4), 623–645. https://doi.org/10.1590/s1413-80502013000400005

Arruda, N. M., Maia, A. G., & Alves, L. C. (2018). Desigualdade no acesso à saúde entre as áreas urbanas e rurais do Brasil: uma decomposição de fatores entre 1998 a 2008. Cadernos de Saúde Pública, 34(6). https://doi.org/10.1590/0102-311x00213816

Barbosa, D. C., Melo, K. F., Braga, L. C., & Aires, R. S. (2022). Impacto econômico das doenças cardiovasculares na população brasileira. Revista Científica Do Tocantins, 2(1), 1–10. Recuperado de https://itpacporto.emnuvens.com.br/revista/article/view/68

Charlo, P. B., Herget, A. R., & Moraes, A. O. (2020). Relação entre trombose venosa profunda e seus fatores de risco na população feminina. Global Academic Nursing Journal, 1(1), e10. https://doi.org/10.5935/2675-5602.20200010

Chehadi, C. A., Morandi, S. B., Neves, V. J. M. G., Dumoncel, C. P. M., Cardoso, M. M., Cartaxo, B. H. (2023). The prevalence of hospitalization for thrombosis, thrombophlebitis, phlebitis and embolism from 2018 to 2022 in Brazil and their relationship with COVID-19. Brazilian Journal of Development, Curitiba, v.9, n.8, p. 23731-23743, aug., 2023. DOI:10.34117/bjdv9n8-041

Dijk, F. N., Curtin, J., Lord, D., & Fitzgerald, D. A. (2012). Pulmonary embolism in children. Paediatric Respiratory Reviews, 13(2), 112-122. https://doi.org/10.1016/j.prrv.2011.09.002

Freund, Y., Cohen-Aubart, F., & Bloom, B. (2022). Acute pulmonary embolism: A review. JAMA, 328(13), 1336-1345. https://doi.org/10.1001/jama.2022.16815

Goldhaber, S. Z., & Bounameaux, H. (2012). Embolia pulmonar e trombose venosa profunda. The Lancet, 379(9828), 1835–1846. https://doi.org/10.1016/s0140-6736(11)61904-1

Goldhaber, S. Z., Savage, D. D., Garrison, R. J., Castelli, W. P., Kannel, W. B., McNamara, P. M., Gherardi, G., & Feinleib, M. (1983). Risk factors for pulmonary embolism. The Framingham Study. American Journal of Medicine, 74(6), 1023–1028. https://doi.org/10.1016/0002-9343(83)90805-7

Gomes, J. A., Barros, J. E. B., Nascimento, A. L. O. D., Rocha, C. A. O., Almeida, J. P. O., Santana, G. B. A., et al. (2022). Hospitalizations for pulmonary embolism in Brazil (2008-2019): An ecological and time series study. Jornal Brasileiro de Pneumologia, 48(3), e20210434. https://doi.org/10.36416/1806-3756/e20210434

Instituto Brasileiro de Geografia e Estatística. (2018). Projeção da população do Brasil por sexo e idade para o período 2010-2060. https://www.ibge.gov.br/estatisticas/sociais/populacao/9109-projecao-da-populacao.html?edicao=21830

Kearon, C., & Akl, E. A. (2014). Duration of anticoagulant therapy for deep vein thrombosis and pulmonary embolism. Blood, 123(12), 1794-1801. https://doi.org/10.1182/blood-2013-12-512681

Konstantinides, S. V., Torbicki, A., Agnelli, G., Danchin, N., Fitzmaurice, D., Galiè, N., Zompatori, M.; Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). (2014). 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. European Heart Journal, 35(43), 3033-3069. https://doi.org/10.1093/eurheartj/ehu283

Ministério da Saúde (2024). DATASUS: Departamento de Informática do Sistema Único de Saúde. SIH. Brasília: Portal da Saúde. Recuperado em 9 de março de 2024, de https://datasus.saude.gov.br/informacoes-de-saude-tabnet/

Miranda, C. H. (2022). Embolia pulmonar: uma entidade subdiagnosticada e subnotificada no Brasil. Jornal Brasileiro de Pneumologia, 48(4), e20220207. https://doi.org/10.36416/1806-3756/e20220207

Pauley, E. D., Orgel, R., Rossi, J., & Strassle, P. D. (2019). Age-Stratified National Trends in Pulmonary Embolism Admissions. Chest. https://doi.org/10.1016/j.chest.2019.05.021

Rassam, E., Pinheiro, T. C., Stefan, L. F. B., & Módena, S. F. (2009). Complicações tromboembólicas no paciente cirúrgico e sua profilaxia. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 22(1), 41–44. https://doi.org/10.1590/s0102-67202009000100009

Rodrigues, C. B., Wilkosz, A. E., Dominiaki, R. M., Martinelli, M. P. (2020). Prevalência de embolia pulmonar no Brasil durante a pandemia. Dom Acadêmico.

Rogers, M. A., Levine, D. A., Blumberg, N., Flanders, S. A., Chopra, V., & Langa, K. M. (2012). Triggers of hospitalization for venous thromboembolism. Circulation, 125(17), 2092-2099. https://doi.org/10.1161/CIRCULATIONAHA.111.084467

Santos, P. P. (2023). Perfil epidemiológico de tromboembolismo pulmonar no estado da Bahia antes e durante a pandemia do Covid-19. Salvador, BA

Santos, P. R. S., Brasileiro, M. E. G. de A., Itapary, P. G. A. P., Amorim, V. B. S., Veloso Junior, N. da S., Vieira, C. C. L., Sousa, M. K. R., Martins , W. F., Freire, D. P. C., & Nascimento, J. da S. do. (2023). Análise do perfil epidemiológico de óbitos por embolia pulmonar no Brasil de 2018 a 2023. Brazilian Journal of Implantology and Health Sciences, 5(5), 253–261. https://doi.org/10.36557/2674-8169.2023v5n5p253-261

Silva, J. P., Souza, R. B., Oliveira, L. C., Rocha, L. B., Spinelli, J. L. M., & Couto, M. H. S. H. F. (2021). Perfil Epidemiológico do Tromboembolismo Pulmonar no Brasil de 2015 a 2019. BEPA. Boletim Epidemiológico Paulista, 18(208), 1–10. https://doi.org/10.57148/bepa.2021.v.18.36275

Soriano, L. A., Castro, T. T., Vilalva, K., Borges, M. C., Pazin-Filho, A., & Miranda, C. H. (2019). Validação do Índice de Gravidade de Embolia Pulmonar para estratificação de risco após embolia pulmonar aguda em uma coorte de pacientes no Brasil. Jornal Brasileiro de Pneumologia, 45(1), e20170251. https://doi.org/10.1590/1806-3713/e20170251

Soriano, L., Santos, M. K., Wada, D. T., Vilalva, K., Castro, T. T., Weinheimer, O., Muglia, V. F., Pazin Filho, A., & Miranda, C. H. (2020, novembro). Pulmonary vascular volume estimated by automated software is a mortality predictor after acute pulmonary embolism. Arquivos Brasileiros de Cardiologia, 115(5), 809-818. https://doi.org/10.36660/abc.20190392

Toassi, R. F. C., & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde (2a ed.). Editora da UFRGS

Toplis, E., & Mortimore, G. (2020). The diagnosis and management of pulmonary embolism. British Journal of Nursing, 29(1), 22–26. https://doi.org/10.12968/bjon.2020.29.1.22

Volpe, G. J., Joaquim, L. F., Dias, L. B. A., Menezes, M. B., & Moriguti, J. C. (2010). Tromboembolismo pulmonar. Medicina (Ribeirão Preto), 43(3), 258–271. https://www.revistas.usp.br/rmrp/article/view/183/184

Published

27/03/2024

How to Cite

PRATES, A. L. M. .; SOUSA, A. L. S. de .; AZAMBUJA, A. V. P. .; BATISTA, K. D. .; SANTANA, A. C. C. .; RUELA, G. de A. . Hospitalizations for Pulmonary Embolism in Brazil (2019-2023): Epidemiology and Public Expenditure . Research, Society and Development, [S. l.], v. 13, n. 3, p. e10913345311, 2024. DOI: 10.33448/rsd-v13i3.45311. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45311. Acesso em: 15 jun. 2024.

Issue

Section

Health Sciences