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Hypertension and diabetes-related morbidity and mortality trends in a municipality in the countryside of São Paulo.

Reis AF, Lima JC, Beccaria LM, Ribeiro Rde C, Ribeiro DF, Cesarino CB - Rev Lat Am Enfermagem (2015 Nov-Dec)

Bottom Line: There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001).The highest lethality in hospital admissions was found to be due to CVD (10%).Those findings can back public policies which prioritize the promotion of health.

View Article: PubMed Central - PubMed

Affiliation: Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.

ABSTRACT

Objectives: To identify the main causes for hospital admissions and deaths related to systemic arterial hypertension and diabetes mellitus (DM), and to analyze morbidity and mortality trends, in a municipality in São Paulo's countryside, by comparing two three-years periods, 2002 to 2004 and 2010 to 2012.

Methods: Cross-sectional study which used secondary data regarding deaths from the Information System on Mortality and concerning hospital admissions from the DataSus Hospital Information System. Univariate and multivariate statistical analyses were conducted.

Results: From 2002 to 2012, 325,439 people were admitted to hospitals, 14.7% of them due to circulatory system diseases (CSD) and 0.7% due to DM. The deaths distributed as the following: 29,027 deaths (31.5%) were due to CSD; 8.06% due to cerebrovascular diseases (CVD); and 2.75% due to DM. There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001). The highest lethality in hospital admissions was found to be due to CVD (10%). That trend showed that mortality rates dropped, younger patients were admitted due to DM, and older patients were admitted due to CVD - they were more often females.

Conclusion: The main causes for hospital admissions were the CSDs; main mortality causes were the CVDs in hypertensive and diabetic women. Those findings can back public policies which prioritize the promotion of health.

No MeSH data available.


Related in: MedlinePlus

- Distribution of deaths caused by diabetes, cerebrovascular diseases(CVDs), ischemic heart diseases (IHDs), and circulatory causes, according toage ranges and genders, São José do Rio Preto, SP, Brazil, periods from 2002 to2004 and from 2010 to 2012
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f2: - Distribution of deaths caused by diabetes, cerebrovascular diseases(CVDs), ischemic heart diseases (IHDs), and circulatory causes, according toage ranges and genders, São José do Rio Preto, SP, Brazil, periods from 2002 to2004 and from 2010 to 2012

Mentions: Figure 2 shows the Multiple CorrespondenceAnalysis, as divided in four quadrants, showing that mortality rates are not differentin quadrants 1 and 2 between evaluated periods, as those periods were located close toone another and to the origin of the chart. Also in quadrant 1, it is possible toobserve that IHD-related mortality predominated in the age range between 40 and 69 yearsand in the male gender. In quadrant 2, patients who died of CVD and diabetes were foundto generally be females older than 70 years. Quadrants 3 and 4 show that patientsyounger than 39 years were not found to have high death frequencies regarding studiedcauses, as such patients were located far from the evaluated diseases and to have lowdiabetes-related death frequencies.


Hypertension and diabetes-related morbidity and mortality trends in a municipality in the countryside of São Paulo.

Reis AF, Lima JC, Beccaria LM, Ribeiro Rde C, Ribeiro DF, Cesarino CB - Rev Lat Am Enfermagem (2015 Nov-Dec)

- Distribution of deaths caused by diabetes, cerebrovascular diseases(CVDs), ischemic heart diseases (IHDs), and circulatory causes, according toage ranges and genders, São José do Rio Preto, SP, Brazil, periods from 2002 to2004 and from 2010 to 2012
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4664017&req=5

f2: - Distribution of deaths caused by diabetes, cerebrovascular diseases(CVDs), ischemic heart diseases (IHDs), and circulatory causes, according toage ranges and genders, São José do Rio Preto, SP, Brazil, periods from 2002 to2004 and from 2010 to 2012
Mentions: Figure 2 shows the Multiple CorrespondenceAnalysis, as divided in four quadrants, showing that mortality rates are not differentin quadrants 1 and 2 between evaluated periods, as those periods were located close toone another and to the origin of the chart. Also in quadrant 1, it is possible toobserve that IHD-related mortality predominated in the age range between 40 and 69 yearsand in the male gender. In quadrant 2, patients who died of CVD and diabetes were foundto generally be females older than 70 years. Quadrants 3 and 4 show that patientsyounger than 39 years were not found to have high death frequencies regarding studiedcauses, as such patients were located far from the evaluated diseases and to have lowdiabetes-related death frequencies.

Bottom Line: There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001).The highest lethality in hospital admissions was found to be due to CVD (10%).Those findings can back public policies which prioritize the promotion of health.

View Article: PubMed Central - PubMed

Affiliation: Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.

ABSTRACT

Objectives: To identify the main causes for hospital admissions and deaths related to systemic arterial hypertension and diabetes mellitus (DM), and to analyze morbidity and mortality trends, in a municipality in São Paulo's countryside, by comparing two three-years periods, 2002 to 2004 and 2010 to 2012.

Methods: Cross-sectional study which used secondary data regarding deaths from the Information System on Mortality and concerning hospital admissions from the DataSus Hospital Information System. Univariate and multivariate statistical analyses were conducted.

Results: From 2002 to 2012, 325,439 people were admitted to hospitals, 14.7% of them due to circulatory system diseases (CSD) and 0.7% due to DM. The deaths distributed as the following: 29,027 deaths (31.5%) were due to CSD; 8.06% due to cerebrovascular diseases (CVD); and 2.75% due to DM. There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001). The highest lethality in hospital admissions was found to be due to CVD (10%). That trend showed that mortality rates dropped, younger patients were admitted due to DM, and older patients were admitted due to CVD - they were more often females.

Conclusion: The main causes for hospital admissions were the CSDs; main mortality causes were the CVDs in hypertensive and diabetic women. Those findings can back public policies which prioritize the promotion of health.

No MeSH data available.


Related in: MedlinePlus