Epidemiological profile of stroke deaths in Brazil between 2007 and 2016: a national database study
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i4p335-342Keywords:
Stroke, Epidemiology, Mortality, Brazil/epidemiologyAbstract
Objective: To describe the epidemiological profile of patients with stroke death in Brazil and to analyze the temporal trend of stroke mortality according to geographic region. Methods: A descriptive observational time series study with secondary data obtained from the Department of Informatics of the Unified Health System (DATASUS), referring to the period between 2007 and 2016. Categories I60-I69 of the International Classification of Diseases, 10th edition (ICD-10), were used. It was not necessary the submission of the project to a Research Ethics Committee. Results: In the period analyzed, there were 998,529 stroke deaths in Brazil, of which 50.3% were male, 51.2% white, 35.9% aged 80 years or older, 37.2% married and 46.8% with education equal to or less than 3 years of schooling. There was a tendency of mortality reduction in the country, (β = -0.262), being strongly associated with time (r = 0.861) and statistically significant (p = 0.001). The southeastern and southern regions showed the highest mortality reduction trends (β = -0.519 and -0.461, respectively). Conclusions: Deaths from stroke occurred predominantly in male, white, older adults, married and with low education. The reduction in mortality from stroke occurred unevenly in the country, so that the regions with the best socioeconomic conditions, southeast and south, had the greatest downward trends.
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Martins SCO, Pontes-Neto OM, Alves CV, et al. Past, present, and future of stroke in middle-income countries: The Brazilian experience. Int J Stroke. 2013;8(100 A):106-111. https://doi.org/10.1111/ijs.12062.
Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, et al. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18:439-58. http://dx.doi.org/10.1016/ S1474-4422(19)30034-1.
Lotufo PA. Stroke in Brazil: a neglected disease. Sao Paulo Med J. 2005;123(1):3-4. https://doi.org/10.1590/S1516-31802005000100001.
Garritano CR, Luz PM, Pires MLE, Barbosa MTS, Batista KM. Análise da tendência da mortalidade por acidente vascular cerebral no Brasil no século XXI. Arq Bras Cardiol. 2012;98(6):519-27. https://doi.org/10.1590/S0066-782X2012005000041.
Vieira S. Introdução à bioestatística. 5a. ed. Rio de Janeiro: Elsevier Health Sciences Brazil - T; 2016.
Ladeia AMT, Lima BGC. Hipertensão arterial sistêmica e comorbidades associadas: relevância epidemiológica do acidente vascular cerebral no Brasil. Rev Hipertens. 2014;17:3-4.
De Santana N, Dos Santos Figueiredo F, De Melo Lucena D, Soares F, Adami F, De Carvalho Pádua Cardoso L, et al. The burden of stroke in Brazil in 2016: an analysis of the Global Burden of Disease study findings. BMC Res Notes. 2018;11(1). https://doi.org/10.1186/s13104-018-3842-3.
Norrving B, Kennard C. Oxford textbook of stroke and cerebrovascular disease. Oxford: Oxford University Press; 2014.
Lotufo P, Bensenor I. Raca e mortalidade cerebrovascular no Brasil. Rev Saúde Pública. 2013;47(6):1201-4. https://doi.org/10.1590/S0034-8910.2013047004890.
Deolinda M. Análise espacial e temporal da mortalidade por Acidente Vascular Cerebral no Brasil [Mestrado]. Criciuma: Universidade do Extremo Sul Catarinense; 2017.
Boehme A, Esenwa C, Elkind M. Stroke risk factors, genetics, and prevention. Circulation Res. 2017;120(3):472-95. https://doi.org/10.1161/CIRCRESAHA.116.308398.
Lotufo P, Goulart A, Bensenor I. Race, gender and stroke subtypes mortality in São Paulo, Brazil. Arq Neuro-Psiquiatria. 2007;65(3b):752-7. https://doi.org/10.1590/S0004-282X2007000500004.
Pereira A, Alvarenga H, Pereira Júnior R, Barbosa M. Prevalência de acidente vascular cerebral em idosos no município de Vassouras, Rio de Janeiro, Brasil, através do rastreamento de dados do Programa Saúde da Família. Cad Saude Publica. 2009;25(9):1929-36. https://doi.org/10.1590/S0102-311X2009000900007.
Chen R, Balami J, Esiri M, Chen L, Buchan A. Ischemic stroke in the elderly: an overview of evidence. Nature Rev Neurol. 2010;6(5):256-65. https://doi.org/10.1038/nrneurol.2010.36.
Wong C, Kwok C, Narain A, Gulati M, Mihalidou A, Wu P, et al. Marital status and risk of cardiovascular diseases: a systematic review and meta-analysis. Heart. 2018;104(23):1937-48. http://dx.doi.org/10.1136/heartjnl-2018-313005.
Lavados P, Hennis A, Fernandes J, Medina M, Legetic B, Hoppe A, et al. Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean. Lancet Neurol. 2007;6(4):362-72. https://doi.org/10.1016/S1474-4422(07)70003-0.
Pontes-Neto O, Silva G, Feitosa M, de Figueiredo N, Fiorot J, Rocha T, et al. Stroke awareness in Brazil. Stroke. 2008;39(2):292-6. https://doi.org/10.1161/STROKEAHA.107.493908.
O’Donnell M, Chin S, Rangarajan S, Xavier D, Liu L, Zhang H, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet. 2016;388(10046):761-75. https://doi.org/10.1016/S0140-6736(16)30506-2.
Paes N. Qualidade das estatísticas de óbitos por causas desconhecidas dos estados brasileiros. Rev Saúde Pública. 2007;41(3):436-45. https://doi.org/10.1590/S0034-89102007000300016.
Jorge M, Laurenti R, Lima-Costa M, Gotlieb S, Filho A. A mortalidade de idosos no Brasil: a questão das causas mal definidas. Epidemiol Serviços Saúde. 2008;17(4). http://dx.doi.org/10.5123/S1679-49742008000400004.
Nunes KVR, Nunes SMAS, Ignotti E. Mortality due to diseases of the circulatory system among the elderly population in Brazilian Amazon: temporal and spatial analysis. Rev Bras Epidemiol. 2013;16(4):838-48. https://doi.org/10.1590/S1415-790X2013000400004.
Programa das Nações Unidas para o Desenvolvimento, Instituto de Pesquisa Econômica Aplicada, Fundação João Pinheiro. Desenvolvimento humano nas macrorregiões brasileiras. Brasília: PNUD; 2016.
Lotufo P, Goulart A, Passos V, Satake F, Souza M, França E, et al. Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015. Rev Bras Epidemiol. 2017;20(suppl 1):129-41. https://doi.org/10.1590/1980-5497201700050011.
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