Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental
Ano de defesa: | 2016 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/7554 |
Resumo: | Introduction: asthma is a chronic disease that affects about of 20,000,000 people in Brazil, representing the third cause of hospitalization in the country. Disease impact data are scarce in the country, but are essential for better management in public health with consequent better control of the disease in the population. Objective: The aim of our study is to present a longitudinal official data about the impact of asthma in Brazil from 2008 to 2013. Methods: We performed a descriptive study from a Brazilian government database (DATASUS), analyzing hospitalizations, the number of deaths from asthma (between 2008 and 2013), and cost of admissions, with a geographical sub-analysis. Results: In the last year analyzed, 2047 people died from asthma in Brazil (5 deaths/day), with more than 120 000 hospitalizations/year. In the whole period analyzed, the absolute number of deaths and hospitalizations decreased 10% and 36%, respectively. However, the mortality rate in hospitalized patients increased by approximately 25% in this period. Analyzing the different regions of the country, the North/Northeast and Southeast regions have the highest rates of hospitalizations for asthma and deaths of hospitalized patients, respectively. When we evaluated representative states of the regions, we also observed discrepancies in hospitalization numbers and percentage of deaths among patients hospitalized. Finally, in the studied period, hospitalizations cost US$ 170 million to the public health system. Conclusions: Although the number of hospitalizations for asthma has decreased in Brazil since 2009, mortality rates have increased, with high budget costs, showing the importance of the burden of asthma in middle-income countries. |
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Pitrez, Paulo M?rcio Condessa625.797.970-68http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4763140Y0Roncada, Cristianhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4267722A8812.137.270-49http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4451953D1Cardoso, Thiago de Araujo2017-06-30T18:50:59Z2016-08-31http://tede2.pucrs.br/tede2/handle/tede/7554Introduction: asthma is a chronic disease that affects about of 20,000,000 people in Brazil, representing the third cause of hospitalization in the country. Disease impact data are scarce in the country, but are essential for better management in public health with consequent better control of the disease in the population. Objective: The aim of our study is to present a longitudinal official data about the impact of asthma in Brazil from 2008 to 2013. Methods: We performed a descriptive study from a Brazilian government database (DATASUS), analyzing hospitalizations, the number of deaths from asthma (between 2008 and 2013), and cost of admissions, with a geographical sub-analysis. Results: In the last year analyzed, 2047 people died from asthma in Brazil (5 deaths/day), with more than 120 000 hospitalizations/year. In the whole period analyzed, the absolute number of deaths and hospitalizations decreased 10% and 36%, respectively. However, the mortality rate in hospitalized patients increased by approximately 25% in this period. Analyzing the different regions of the country, the North/Northeast and Southeast regions have the highest rates of hospitalizations for asthma and deaths of hospitalized patients, respectively. When we evaluated representative states of the regions, we also observed discrepancies in hospitalization numbers and percentage of deaths among patients hospitalized. Finally, in the studied period, hospitalizations cost US$ 170 million to the public health system. Conclusions: Although the number of hospitalizations for asthma has decreased in Brazil since 2009, mortality rates have increased, with high budget costs, showing the importance of the burden of asthma in middle-income countries.Introdu??o: a asma ? uma doen?a cr?nica que acomete cerca de 20 milh?es de pessoas no Brasil, representando a terceira causa de hospitaliza??es no pa?s. Dados de impacto da doen?a s?o escassos no pa?s, mas s?o essenciais para melhor gest?o em sa?de p?blica com consequente melhor controle da doen?a na popula??o. Com isso, o objetivo deste estudo ? apresentar os dados oficiais longitudinais sobre o impacto da asma no Brasil a partir de 2008 a 2013. M?todos: Realizamos um estudo descritivo de um banco de dados do governo brasileiro (DATASUS), analisando as hospitaliza??es, o n?mero de mortes por asma (entre 2008 e 2013) e custo de admiss?es, com uma sub-an?lise geogr?fica. Resultados: No ?ltimo ano analisado, 2047 pessoas morreram de asma no Brasil (5 mortes/dia), com mais de 120 000 hospitaliza??es/ano. Em todo o per?odo analisado, o n?mero absoluto de mortes e interna??es diminuiu 10% e 36%, respectivamente. No entanto, a taxa de mortalidade de pacientes hospitalizados aumentou cerca de 25% neste per?odo. Analisando as diferentes regi?es do pa?s, as regi?es norte/nordeste e sudeste apresentam as maiores taxas de hospitaliza??es por asma e mortes de pacientes hospitalizados, respectivamente. Quando avaliamos os estados, das regi?es, observou-se tamb?m discrep?ncias nos n?meros de hospitaliza??o e a porcentagem de mortes entre pacientes hospitalizados. Finalmente, no per?odo estudado, as interna??es custaram US$ 170 milh?es para o Sistema de Sa?de P?blica. Conclus?es: Embora o n?mero de interna??es por asma tem diminu?do no Brasil desde 2009, as taxas de mortalidade aumentaram, com elevados custos no or?amento, mostrando a import?ncia da carga da asma em pa?ses em desenvolvimento.Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T18:50:43Z No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T18:50:50Z (GMT) No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5)Made available in DSpace on 2017-06-30T18:50:59Z (GMT). No. of bitstreams: 1 DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf: 433423 bytes, checksum: d92b2b78aff1d6d8d7d70ef28db3ccef (MD5) Previous issue date: 2016-08-31Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPqapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/169263/DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?aPUCRSBrasilEscola de MedicinaAsmaAlergiaEpidemiologiaSa?de P?blicaCIENCIAS DA SAUDE::MEDICINAImpacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamentalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho n?o apresenta restri??o para publica??o557290555552975733500500500600-224747486637135387-9693694523087866271802873727776104890info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.jpgDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.jpgimage/jpeg3021http://tede2.pucrs.br/tede2/bitstream/tede/7554/5/DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.jpg7a43e0b361fa8e4437c0636a9cc0de56MD55TEXTDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.txtDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.txttext/plain17811http://tede2.pucrs.br/tede2/bitstream/tede/7554/4/DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdf.txt62b154e6d3b9ee3d2dd2dbd1af6cb228MD54LICENSElicense.txtlicense.txttext/plain; charset=utf-8610http://tede2.pucrs.br/tede2/bitstream/tede/7554/3/license.txt5a9d6006225b368ef605ba16b4f6d1beMD53ORIGINALDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdfDIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdfapplication/pdf433423http://tede2.pucrs.br/tede2/bitstream/tede/7554/2/DIS_THIAGO_DE_ARAUJO_CARDOSO_PARCIAL.pdfd92b2b78aff1d6d8d7d70ef28db3ccefMD52tede/75542017-06-30 20:02:15.745oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2017-06-30T23:02:15Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
title |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
spellingShingle |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental Cardoso, Thiago de Araujo Asma Alergia Epidemiologia Sa?de P?blica CIENCIAS DA SAUDE::MEDICINA |
title_short |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
title_full |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
title_fullStr |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
title_full_unstemmed |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
title_sort |
Impacto da asma no Brasil : an?lise longitudinal e geogr?fica de uma base de dados governamental |
author |
Cardoso, Thiago de Araujo |
author_facet |
Cardoso, Thiago de Araujo |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Pitrez, Paulo M?rcio Condessa |
dc.contributor.advisor1ID.fl_str_mv |
625.797.970-68 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4763140Y0 |
dc.contributor.advisor-co1.fl_str_mv |
Roncada, Cristian |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4267722A8 |
dc.contributor.authorID.fl_str_mv |
812.137.270-49 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4451953D1 |
dc.contributor.author.fl_str_mv |
Cardoso, Thiago de Araujo |
contributor_str_mv |
Pitrez, Paulo M?rcio Condessa Roncada, Cristian |
dc.subject.por.fl_str_mv |
Asma Alergia Epidemiologia Sa?de P?blica |
topic |
Asma Alergia Epidemiologia Sa?de P?blica CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: asthma is a chronic disease that affects about of 20,000,000 people in Brazil, representing the third cause of hospitalization in the country. Disease impact data are scarce in the country, but are essential for better management in public health with consequent better control of the disease in the population. Objective: The aim of our study is to present a longitudinal official data about the impact of asthma in Brazil from 2008 to 2013. Methods: We performed a descriptive study from a Brazilian government database (DATASUS), analyzing hospitalizations, the number of deaths from asthma (between 2008 and 2013), and cost of admissions, with a geographical sub-analysis. Results: In the last year analyzed, 2047 people died from asthma in Brazil (5 deaths/day), with more than 120 000 hospitalizations/year. In the whole period analyzed, the absolute number of deaths and hospitalizations decreased 10% and 36%, respectively. However, the mortality rate in hospitalized patients increased by approximately 25% in this period. Analyzing the different regions of the country, the North/Northeast and Southeast regions have the highest rates of hospitalizations for asthma and deaths of hospitalized patients, respectively. When we evaluated representative states of the regions, we also observed discrepancies in hospitalization numbers and percentage of deaths among patients hospitalized. Finally, in the studied period, hospitalizations cost US$ 170 million to the public health system. Conclusions: Although the number of hospitalizations for asthma has decreased in Brazil since 2009, mortality rates have increased, with high budget costs, showing the importance of the burden of asthma in middle-income countries. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-08-31 |
dc.date.accessioned.fl_str_mv |
2017-06-30T18:50:59Z |
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por |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a |
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Brasil |
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Escola de Medicina |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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