Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study
ABSTRACT Objective To assess the temporal trends of hospitalizations for pulmonary embolism (PE) in Brazil, its regions, and states between 2008 and 2019. Methods An ecological and time series study was conducted. Data were obtained from the Hospital Information System (SIH) of the Brazilian Minis...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Pneumologia e Tisiologia
2022-04-01
|
| Series: | Jornal Brasileiro de Pneumologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000300200&tlng=en |
| _version_ | 1818479106321285120 |
|---|---|
| author | Jéssica Alves Gomes José Elias Bezerra Barros André Luis Oliveira do Nascimento Carlos Alberto de Oliveira Rocha João Paulo Oliveira de Almeida Gibson Barros de Almeida Santana Divanise Suruagy Correia Márcio Bezerra Santos Rodrigo Feliciano do Carmo Carlos Dornels Freire de Souza |
| author_facet | Jéssica Alves Gomes José Elias Bezerra Barros André Luis Oliveira do Nascimento Carlos Alberto de Oliveira Rocha João Paulo Oliveira de Almeida Gibson Barros de Almeida Santana Divanise Suruagy Correia Márcio Bezerra Santos Rodrigo Feliciano do Carmo Carlos Dornels Freire de Souza |
| author_sort | Jéssica Alves Gomes |
| collection | DOAJ |
| description | ABSTRACT Objective To assess the temporal trends of hospitalizations for pulmonary embolism (PE) in Brazil, its regions, and states between 2008 and 2019. Methods An ecological and time series study was conducted. Data were obtained from the Hospital Information System (SIH) of the Brazilian Ministry of Health. The inflection point regression model was applied for temporal trend analyses. Trends were classified as increasing, decreasing, or stationary according to the slope of the regression line. The Annual Percent Charge (APC) and the Average Annual Percent Change (AAPC) were calculated considering a confidence interval of 95% and p-value <0.05. Furthermore, spatial distribution maps of epidemiological indicators related to PE in Brazil were elaborated. Results There was an increasing trend in the hospitalization rate for PE in Brazil, ranging from 2.57 in 2008 to 4.44/100,000 in 2019 (AAPC=5.6%; p<0.001). Total and average hospitalizations costs also showed increasing trend in the country (AAPC=9.2% and 3.0%, respectively). Still, there was a decrease in the in-hospital mortality rate (from 21.21% to 17.11%; AAPC=-1.9%; p<0.001). Similar trends were observed in most regions. The average hospitalization time in Brazil showed a stationary trend. The hospitalization rate has also increased in 18 states (66.67%). Seven states showed a decrease in the mortality rate (25.93%), except for Roraima, which showed an increasing trend. Conclusion Hospitalizations for PE represent a serious public health problem in Brazil and the temporal patterns observed herein demonstrate an increasing trend in all regions and states of the country. |
| first_indexed | 2024-12-10T09:56:50Z |
| format | Article |
| id | doaj.art-4dd73ce5a34949e09cc3db203d225312 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-10T09:56:50Z |
| publishDate | 2022-04-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-4dd73ce5a34949e09cc3db203d2253122022-12-22T01:53:28ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562022-04-0148310.36416/1806-3756/e20210434Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series studyJéssica Alves Gomeshttps://orcid.org/0000-0002-7807-8348José Elias Bezerra Barroshttps://orcid.org/0000-0003-2808-8043André Luis Oliveira do Nascimentohttps://orcid.org/0000-0001-5274-3277Carlos Alberto de Oliveira Rochahttps://orcid.org/0000-0003-2927-5043João Paulo Oliveira de Almeidahttps://orcid.org/0000-0002-0414-4744Gibson Barros de Almeida Santanahttps://orcid.org/0000-0003-2443-720XDivanise Suruagy Correiahttps://orcid.org/0000-0001-7293-4169Márcio Bezerra Santoshttps://orcid.org/0000-0001-9962-6537Rodrigo Feliciano do Carmohttps://orcid.org/0000-0001-9601-6995Carlos Dornels Freire de Souzahttps://orcid.org/0000-0001-7995-1893ABSTRACT Objective To assess the temporal trends of hospitalizations for pulmonary embolism (PE) in Brazil, its regions, and states between 2008 and 2019. Methods An ecological and time series study was conducted. Data were obtained from the Hospital Information System (SIH) of the Brazilian Ministry of Health. The inflection point regression model was applied for temporal trend analyses. Trends were classified as increasing, decreasing, or stationary according to the slope of the regression line. The Annual Percent Charge (APC) and the Average Annual Percent Change (AAPC) were calculated considering a confidence interval of 95% and p-value <0.05. Furthermore, spatial distribution maps of epidemiological indicators related to PE in Brazil were elaborated. Results There was an increasing trend in the hospitalization rate for PE in Brazil, ranging from 2.57 in 2008 to 4.44/100,000 in 2019 (AAPC=5.6%; p<0.001). Total and average hospitalizations costs also showed increasing trend in the country (AAPC=9.2% and 3.0%, respectively). Still, there was a decrease in the in-hospital mortality rate (from 21.21% to 17.11%; AAPC=-1.9%; p<0.001). Similar trends were observed in most regions. The average hospitalization time in Brazil showed a stationary trend. The hospitalization rate has also increased in 18 states (66.67%). Seven states showed a decrease in the mortality rate (25.93%), except for Roraima, which showed an increasing trend. Conclusion Hospitalizations for PE represent a serious public health problem in Brazil and the temporal patterns observed herein demonstrate an increasing trend in all regions and states of the country.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000300200&tlng=enPulmonary embolismEpidemiologyEcological studiesTime series |
| spellingShingle | Jéssica Alves Gomes José Elias Bezerra Barros André Luis Oliveira do Nascimento Carlos Alberto de Oliveira Rocha João Paulo Oliveira de Almeida Gibson Barros de Almeida Santana Divanise Suruagy Correia Márcio Bezerra Santos Rodrigo Feliciano do Carmo Carlos Dornels Freire de Souza Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study Jornal Brasileiro de Pneumologia Pulmonary embolism Epidemiology Ecological studies Time series |
| title | Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study |
| title_full | Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study |
| title_fullStr | Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study |
| title_full_unstemmed | Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study |
| title_short | Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study |
| title_sort | hospitalizations for pulmonary embolism in brazil 2008 2019 an ecological and time series study |
| topic | Pulmonary embolism Epidemiology Ecological studies Time series |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132022000300200&tlng=en |
| work_keys_str_mv | AT jessicaalvesgomes hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT joseeliasbezerrabarros hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT andreluisoliveiradonascimento hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT carlosalbertodeoliveirarocha hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT joaopaulooliveiradealmeida hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT gibsonbarrosdealmeidasantana hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT divanisesuruagycorreia hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT marciobezerrasantos hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT rodrigofelicianodocarmo hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy AT carlosdornelsfreiredesouza hospitalizationsforpulmonaryembolisminbrazil20082019anecologicalandtimeseriesstudy |