Medical care and deaths due to coronary artery disease in Brazil, 1980-1999
OBJECTIVE: To estimate the frequency of medical care preceding deaths due to coronary artery diseases (CAD) in different Brazilian regions and capitals and to describe trends in medical care from 1980 to 1999. METHODS: Information on medical care preceding deaths due to coronary artery diseases/acut...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2003-10-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200001 |
| _version_ | 1819212791916003328 |
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| author | Ines Lessa |
| author_facet | Ines Lessa |
| author_sort | Ines Lessa |
| collection | DOAJ |
| description | OBJECTIVE: To estimate the frequency of medical care preceding deaths due to coronary artery diseases (CAD) in different Brazilian regions and capitals and to describe trends in medical care from 1980 to 1999. METHODS: Information on medical care preceding deaths due to coronary artery diseases/acute myocardial infarction in adults > 20 years from 1980 to 1999 was collected in the DATASUS, the databank of the Brazilian Health Ministry. Sex, states, and capitals selected for 1999 were analyzed in the study. Medical care was stratified as follows: with, without, and ignored medical care. The descriptive analysis comprised frequencies, ratios of frequency, test for proportions, and increments or reductions in frequencies. RESULTS: Acute myocardial infarction (AMI) represented 75 to 85% of the CAD in the period; the frequency of deaths with medical care ranged from 48.9 to 63%, and that of ignored medical care ranged from 27.2 to 41.5%. The frequency of other CAD with medical care ranged from 56 to 76%. The frequency of deaths preceded by medical care decreased by 17.8%, and that with ignored medical care increased by 36.5% (RF=2). The values for the other CAD were -20.2% and +64.6% (RF=44.4). Deaths preceded by medical care were more frequent in females at all ages and in all Brazilian regions. CONCLUSION: The results show a high frequency of sudden death and suggest errors in diagnosis or codification and overestimation of the statistics about mortality. Validation of the death certificate diagnosis and frequent surveillance are required. |
| first_indexed | 2024-12-23T06:48:35Z |
| format | Article |
| id | doaj.art-bdd75e7505c541afaf3b54069acea91d |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-23T06:48:35Z |
| publishDate | 2003-10-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-bdd75e7505c541afaf3b54069acea91d2022-12-21T17:56:30ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702003-10-0181433634210.1590/S0066-782X2003001200001Medical care and deaths due to coronary artery disease in Brazil, 1980-1999Ines LessaOBJECTIVE: To estimate the frequency of medical care preceding deaths due to coronary artery diseases (CAD) in different Brazilian regions and capitals and to describe trends in medical care from 1980 to 1999. METHODS: Information on medical care preceding deaths due to coronary artery diseases/acute myocardial infarction in adults > 20 years from 1980 to 1999 was collected in the DATASUS, the databank of the Brazilian Health Ministry. Sex, states, and capitals selected for 1999 were analyzed in the study. Medical care was stratified as follows: with, without, and ignored medical care. The descriptive analysis comprised frequencies, ratios of frequency, test for proportions, and increments or reductions in frequencies. RESULTS: Acute myocardial infarction (AMI) represented 75 to 85% of the CAD in the period; the frequency of deaths with medical care ranged from 48.9 to 63%, and that of ignored medical care ranged from 27.2 to 41.5%. The frequency of other CAD with medical care ranged from 56 to 76%. The frequency of deaths preceded by medical care decreased by 17.8%, and that with ignored medical care increased by 36.5% (RF=2). The values for the other CAD were -20.2% and +64.6% (RF=44.4). Deaths preceded by medical care were more frequent in females at all ages and in all Brazilian regions. CONCLUSION: The results show a high frequency of sudden death and suggest errors in diagnosis or codification and overestimation of the statistics about mortality. Validation of the death certificate diagnosis and frequent surveillance are required.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200001medical caredeathscoronary artery disease |
| spellingShingle | Ines Lessa Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 Arquivos Brasileiros de Cardiologia medical care deaths coronary artery disease |
| title | Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 |
| title_full | Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 |
| title_fullStr | Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 |
| title_full_unstemmed | Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 |
| title_short | Medical care and deaths due to coronary artery disease in Brazil, 1980-1999 |
| title_sort | medical care and deaths due to coronary artery disease in brazil 1980 1999 |
| topic | medical care deaths coronary artery disease |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200001 |
| work_keys_str_mv | AT ineslessa medicalcareanddeathsduetocoronaryarterydiseaseinbrazil19801999 |