Perfil epidemiológico de Morbidade Hospitalar por Insuficiência Cardíaca, entre 2019 e 2023: Estudo Ecológico
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Keywords

Cardiac insufficiency
Hospitalizations
Costs
Urgency
Epidemiology

How to Cite

Costa, I. G. M., Elias, G. M., da Silva, C. C. da P. D., Leal, M. P. B. H., Carneiro, A. M., Costa, J. R. N., Cardozo, V. M. A., de Oliveira, R. T. C., Simplicio, G. D., Santos, K. K. S., Melo, M. F., Lopes, M. C., Silva, V. C., & Mansur, R. J. K. L. (2024). Perfil epidemiológico de Morbidade Hospitalar por Insuficiência Cardíaca, entre 2019 e 2023: Estudo Ecológico. Brazilian Journal of Implantology and Health Sciences, 6(7), 2959–2973. https://doi.org/10.36557/2674-8169.2024v6n7p2959-2973

Abstract

INTRODUCTION: Heart failure (HF) is a clinical condition in which the heart cannot pump blood effectively, resulting in symptoms such as shortness of breath and fatigue. In Brazil, this pathology represents one of the main causes of hospitalization. This study analyzes hospitalizations, costs and demographic characteristics of patients with HF in Brazil, with the aim of informing health policies to reduce their impact. OBJECTIVE: This study aims to analyze hospital admissions for HF in Brazil from January 2019 to December 2023, with emphasis on distribution by age group, patient sex, types of care and hospital costs. METHODOLOGY: This is a quantitative retrospective study using data from the SUS Hospital Information System (SIH/SUS), accessed via the TABNET/DATASUS secondary database. Hospitalizations, age group, patient sex, types of care and hospital costs due to HF in Brazil between January 2019 and December 2023 were analyzed. The analysis used descriptive statistics and tabulation in a Microsoft Excel 2016 spreadsheet, with results presented in tables in Microsoft Word 10. RESULTS: Between January 2019 and December 2023, there were 941,669 hospitalizations for heart failure in Brazil, with a higher prevalence in the Southeast region (50.78%). Hospital costs totaled R$1,735,613,591.98. Hospitalizations were predominantly among elderly people over 60 years of age, and the majority of visits were urgent (94.43%). Men represented 51.40% of hospitalizations. These data highlight the importance of effective prevention and treatment strategies. CONCLUSION: Data on heart failure in Brazil indicate a high concentration of cases in the Southeast Region, with a predominance of hospitalizations in the elderly and emergency care. The higher prevalence among men highlights differences in risk. It is crucial to implement prevention and early management strategies, especially in less developed regions, to reduce dependence on emergency care and improve health outcomes, focusing on the elderly population.

https://doi.org/10.36557/2674-8169.2024v6n7p2959-2973
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References

BENJAMIN, E. J.; VIRANI, S. S.; CALLAWAY, C. W., et al. Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association. Circulation, v. 139, n. 10, p. e56–e528, 2019.

CRESPO LEIRO, M. G.; PANIAGUA MARTÍN, M. J. Management of Advanced or Refractory Heart Failure. Revista Española de Cardiología (English Edition), v. 57, n. 9, p. 869–883, 1 set. 2004.

FERNÁNDEZ GASSÓ, M. L., et al. Trends and Characteristics of Hospitalization for Heart Failure in a Population Setting From 2003 to 2013. Revista Española de Cardiología (English Edition), v. 70, n. 9, p. 720–726, 1 set. 2017.

MCDONAGH, T. A., et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, v. 42, n. 36, p. 3599–3726, 21 set. 2021.

MESQUITA, E. T., et al. Entendendo a Hospitalização em Pacientes com Insuficiência Cardíaca. International Journal of Cardiovascular Sciences, v. 30, p. 81–90, fev. 2017.

MINISTÉRIO DA SAÚDE (2024). Dados de morbidade hospitalar. Sistema de Informações Hospitalares do SUS. Disponível em: https://www.datasus.gov.br. Acesso em: 13 jul. 2024.

MURPHY, S. P.; IBRAHIM, N. E.; JANUZZI, J. L., Jr. Heart Failure With Reduced Ejection Fraction: A Review. JAMA, v. 324, n. 5, p. 488–504, 4 ago. 2020.

OMEN, S. R., et al. 2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy: Executive Summary. Journal of the American College of Cardiology, v. 76, n. 25, p. 3022–3055, 22 dez. 2020.

PONIKOWSKI, P., et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal, v. 37, n. 27, p. 2129–2200, 14 jul. 2016.

REGITZ-ZAGROSEK, V.; GEBHARD, C. Gender medicine: effects of sex and gender on cardiovascular disease manifestation and outcomes. Nature Reviews Cardiology, v. 20, n. 4, p. 236–247, abr. 2023.

SICHIERI, K.; REGINA SECOLI, S. Análise custo-efetividade da implementação da enfermagem de práticas avançadas: como avançar? Revista da Escola de Enfermagem da USP, v. 56, p. e20210463, 15 jun. 2022.

TSAO, C. W., et al. Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association. Circulation, v. 145, n. 8, p. e153–e639, 22 fev. 2022.

VARSHNEY, A. S., et al. Trends and Outcomes of Left Ventricular Assist Device Therapy. Journal of the American College of Cardiology, v. 79, n. 11, p. 1092–1107, 22 mar. 2022.

VIRANI, S. S., et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation, v. 143, n. 8, p. e254–e743, 23 fev. 2021.

YANCY, C. W., et al. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation, v. 136, n. 6, p. e137–e161, 8 ago. 2017.

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Copyright (c) 2024 Igor Gabriel Mendes Costa, Gabriella Maciel Elias, Carolina Candido da Penha Dantas da Silva, Maria Paula Barcelos Hundertmark Leal, Amanda Martins Carneiro, Jeane Rafaele Nunes Costa, Vitor Miranda Albo Cardozo, Raiany Thaise Camilo de Oliveira, Gusthavo Dias Simplicio, Kauanny Kathery Silva Santos, Mattheus Fernandes Melo, Márcia Costa Lopes, Viviane Cunha Silva, Renato José Kezen Leite Mansur