Dados do Trabalho

Título

PANORAMA OF HOSPITALIZATIONS AND DEATHS ATTRIBUTABLE TO STROKE IN BRAZIL FROM 2016 TO 2022

Resumo

Introduction: Cerebrovascular diseases are the second cause of death in the world, and stroke a leading cause of long-term disability. In the United States (US) in 3% of males and 2% it led to disability, and caused 6.6 million deaths in 2019. Early treatment is critical, but there are several factors that lead to disparities, while in the US whites have higher proportional rates of access to treatments, worldwide the differences are of overall access to quality health care. Methods: An ecological and descriptive study of the hospitalizations due to Stroke in Brazil, from January 2016 to April 2022, for which data collection was obtained via the Health Information (TAB- NET) and the SUS Hospital Information System (SIH/SUS). Results: During the past 7 years in Brazil there were 127.956 stroke admissions. The region with the highest incidence was the Southeast, with a total of 48.861 cases (38,18%), followed by the Southern region with 35.453 cases. The region with the lower incidence was the Central-West, with only 7.119 cases (5,56%). There was a predominance of males, representing 66.612 cases (52,05%). The age group with most cases was from 70 to 79 years, with 33.272 cases (26%). There were a total of 10.020 deaths due to stroke, with the highest incidence in patients with 80 years or more (4.023 cases, 40,14%). From 2016 to 2021, there was a decrease of 10,97% in the number of hospitalizations, with a fluctuation of incidence. While 2019 was the year with the highest incidence of hospitalizations, the year with most deaths due to stroke was 2016, with 1.755 cases, followed by a decrease up until 2020, with the lowest cases 1.469, and a new increase in 2021 with 1.555 cases. When it came to racial differences, patients with the highest hospitalization rates for Stroke where whites, with 38.270 cases (41,9%), followed by browns, blacks, yellows, with the lowest incidence among indigenous people, and deaths followed the proportions of hospitalizations, with the highest among whites 4.057 and lowest among indigenous people, 6. Conclusion: Hence, white men from 70-79 were the most affected, having the highest amount of hospitalizations and deaths, and the region with most hospitalizations was Southeast. It is crucial to focus on primary prevention, especially in primary care, along with educational programs towards the population, so that they may seek medical attention sooner, while also making policies and approaches to improve access to medical care.

Palavras Chave

Stroke; Epidemiology; Neurology; Hospitalizations; Deaths