Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 489
Filter
1.
Rev. bras. cir. cardiovasc ; 37(4): 566-574, Jul.-Aug. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1394718

ABSTRACT

ABSTRACT In some developing countries, congenital heart disease still stands out among the leading causes of death in the first year of life. Therefore, there is a great need to develop programs designed to improve outcomes in the diagnosis and surgical treatment of congenital heart disease in these nations, where children have always been and still are severely underserved. The Brazilian Public Health Care System demands universal access to treatment as a constitutional right. Therefore, an underfunded Pediatric Cardiac Surgery program is unacceptable since it will cost lives and increase the infant mortality rate. Additionally, poor funding decreases providers' interest, impedes technological advances and multidisciplinary engagement, and reduces access to comprehensive care. Unfortunately, in most developing countries, Pediatric Cardiac Surgery progress is still the result of isolated personal efforts, dedication, and individual resilience. This article aims to present the current state of Brazilian pediatric cardiac surgery and discuss the structural and human limitations in developing a quality care system for children with congenital heart disease. Considering such constraints, quality improvement programs via International collaboration with centers of excellence, based on proper data collection and outcomes analysis, have been introduced in the country. Such initiatives should bring a new dawn to Brazilian Pediatric Cardiac Surgery.

2.
Rev. Hosp. Ital. B. Aires (2004) ; 42(2): 71-76, jun. 2022. tab
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1378656

ABSTRACT

Introducción: la información sobre las causas de muerte es de gran importancia tanto para los países como para las instituciones sanitarias, en la medida en que contribuye a la evaluación y el seguimiento del estado de salud de la población y a la planificación de intervenciones sanitarias. El objetivo del estudio fue evaluar la proporción de causas de muerte mal definidas e imprecisas y su relación con el día de la semana y período lectivo de médicos residentes en el Hospital Italiano de Buenos Aires (HIBA) durante 2020. Métodos: se realizó un estudio analítico de corte transversal a partir de certificados médicos de defunción de pacientes fallecidos en el ámbito intrahospitalario, evaluando las causas de muerte mal definidas (términos médicos que no aportan información desde el punto de vista clínico y epidemiológico) y las imprecisas (no resultan lo suficientemente específicas como para identificar entidades nosológicas que permitan establecer acciones de prevención y control). Resultados: se analizaron 1030 certificados de defunción, con una proporción de certificados con causa básica de muerte mal definida del 2,3% (n = 24), mientras que en el 17,4% (n = 180) fue imprecisa. No se hallaron diferencias entre la proporción de causas básicas mal definidas y las imprecisas según el día de la semana o período lectivo. Al extender el análisis a todas las causas (básicas, mediatas e inmediatas), la proporción de causas mal definidas fue del 1,6% (n = 40) y la de imprecisas del 51% (n = 1212). Conclusiones: los resultados definen al HIBA como un centro de mediana calidad estadística en el registro de causas de muerte. Se concluye que es necesario mejorarla, para lo que resulta de interés la creación de un plan de capacitación y entrenamiento de los médicos en el grado y el posgrado. (AU)


Introduction: information on causes of death is of great importance both for countries and for health institutions, as it contributes to the evaluation and monitoring of the health status of the population and to the planning of health interventions. The purpose of this study was to evaluate the proportion of ill-defined and imprecise causes of death and its relationship with the day of the week and academic calendar during 2020 at the Hospital Italiano de Buenos Aires. Methods: a cross-sectional study was carried out from data recorded in the death certificates of patients who died in the intrahospital setting, evaluating ill-defined causes of death (medical terms that do not provide clinical or epidemiological information) and imprecise ones (not specific enough to identify nosological entities susceptible to prevention or control). Results: 1030 death certificates were analyzed. The proportion of certificates with ill-defined underlying causes of death was 2.3% (n=24), while 17.4% (n=180) was imprecise. No significant differences were found between the ill-defined and imprecise underlying causes of death and the day of the week and academic calendar. When extending the analysis to all causes (underlying, intermediate, and immediate) the percentage of ill-defined causes was 1.6% (n=40) and 51% (n=1212) was imprecise. Conclusions: results define our hospital as of medium statistical quality on medical death certification. It is concluded that it is necessary to improve the quality of the registry, for which the creation of a training plan for undergraduate and graduate physicians is of interest. (AU)


Subject(s)
Humans , Cause of Death/trends , Hospital Mortality/trends , Argentina , Death Certificates , Cross-Sectional Studies , Data Accuracy , Data Analysis
3.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1388722

ABSTRACT

Resumen La torsión del cordón umbilical como causa de muerte fetal es rara, con pocos casos reportados. No se conoce con claridad la causa y se presenta principalmente en el segundo trimestre de embarazo. Los factores de riesgo descritos son la longitud del cordón umbilical y el aumento del número de giros. Se reporta el caso de una paciente de 37 años, grávida 2, para 1 con embarazo de 23 semanas, con hallazgo ecográfico de muerte fetal. En el estudio de histopatología se evidenció el cordón umbilical con hiperenrollamiento y torsión a nivel de la unión feto-umbilical con oclusión de la luz de los vasos umbilicales como causa de muerte fetal. Se requiere la investigación de esta patología para determinar los factores de riesgo y el riesgo de recurrencia en futuros embarazos con el fin de establecer métodos de vigilancia fetal antenatal.


Abstract Torsion of the umbilical cord as a cause of fetal death is a rare occurrence, with few reported cases. The cause is not clearly known, and it transpires mainly in the second trimester of pregnancy; the risk factors described are the length of the umbilical cord with increased number of twists. The case of a 37-year-old woman is reported, gravida 2 para 1, 23 weeks pregnant with ultrasound diagnosis of fetal death. Histopathology revealed hypercoiled umbilical cord torsion at the point where the umbilical cord attaches to the fetus, with occlusion of the lumen of the umbilical vein, as a cause of fetal death. Further research of this pathology is required to determine the risk factors and risk of recurrence in future pregnancies that will allow the preparation of antenatal fetal surveillance methods.

4.
Hematol., Transfus. Cell Ther. (Impr.) ; 44(2): 177-185, Apr.-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1385051

ABSTRACT

Abstract Introduction There is a demand to update national mortality trends data related to sickle cell disease (SCD) in Brazil. This study describes causes of death and mortality issues related to SCD using the multiple-cause-of-death methodology. Methods The annual SCD mortality data was extracted from the public databases of the Mortality Information System by researching deaths in rubric D57 "sickle-cell disorders" of the International Classification of Diseases, Tenth Revision and processed by the Multiple Cause Tabulator. Results From 2000 to 2018 in Brazil, a total of 9817 deaths related to SCD occurred during the 19-year period, as the underlying cause in 6924 (70.5%) and as the associated cause of death in 2893 (29.5%). The mean and median ages at death during the entire period were significantly lower for males, 29.4 (±19.6) and 27.5 (15.5-41.5), respectively, than for females, 33.3 (±20.3) and 31.0 (19.5-46.5), respectively. The leading SCD overall associated causes of death were septicemias (32.1%), followed by pneumonias (19.4%) and respiratory failure (18.2%). On certificates with SCD as an associated cause, the underlying causes of death were circulatory system diseases (8.7%), followed, in males, by digestive system and infectious diseases and respiratory system failures, while in females, maternal deaths, included in the chapter on pregnancy, childbirth and the puerperium, accounting for 4.6% of female deaths, were succeeded by digestive system and infectious diseases. Conclusion This study revised mortality data on death rate trends, underlying and associated causes of death, age at death and regional distribution of death in Brazil.


Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Young Adult , Mortality/trends , Anemia, Sickle Cell/mortality , Maternal Mortality , Communicable Diseases , Cause of Death
5.
Rev. Bras. Saúde Mater. Infant. (Online) ; 22(1): 115-119, Jan.-Mar. 2022. tab
Article in English | LILACS | ID: biblio-1376209

ABSTRACT

Abstract Objectives: evaluate maternal mortality from January 2019 to January 2020 in the state of Ceará. Methods: this is a descriptive and retrospective ecological study. Data collection was carried out from October to November 2020, considering the time interval from January 2019 to January 2020, through information registered in a public domain database in the State of Ceará, Brazil. The variables considered to outline the profile of maternal deaths were: age group, causes, marital status, color/race and education. Data analysis was performed using descriptive statistics by frequency distribution and presented through tables. Results: 135 maternal deaths were registered, considering external, direct (most prevalent), indirect and late causes. The maternal mortality ratio in Ceará was 60.43%, whose profile of deaths was characterized by women with incomplete higher education (41.5%), brown (80%), in their 20-29 years (43%) and single (66.7%). Conclusion: the information in this study is extremely importance, as it allows the understanding of a key population, women, in addition to assisting in the design of strategies for coping with maternal mortality.


Resumo Objetivos: avaliar a mortalidade materna de janeiro de 2019 a janeiro de 2020 no estado do Ceará. Métodos: trata-se de um estudo ecológico descritivo e retrospectivo. A coleta de dados foi realizada no período outubro a novembro de 2020, considerando o intervalo temporal de janeiro de 2019 a janeiro de 2020, através das informações registradas em banco de dados de domínio público do estado do Ceará. As variáveis consideradas para delinear o perfil dos óbitos maternos foram: faixa etária, as causas, estado civil, cor/raça e escolaridade. A análise dos dados ocorreu pela estatística descritiva por distribuição de frequências e foi apresentada por meio de tabelas. Resultados: foram registrados 135 óbitos maternos, considerando causas externas, diretas (mais prevalentes), indiretas e tardias. A razão de mortalidade materna no Ceará foi de 60.43%, cujo perfil dos óbitos foi caracterizado por mulheres com nível superior incompleto (41.5%), pardas (80%), na faixa etária de 20-29 anos (43%) e solteiras (66.7%). Conclusão: as informações apresentadas neste estudo são de extrema relevância, pois possibilitam a compreensão de uma população-chave, as mulheres, além de auxiliar no delineamento de estratégias para o enfrentamento da mortalidade materna.


Subject(s)
Humans , Female , Pregnancy , Socioeconomic Factors , Maternal Mortality , Mortality , Cause of Death , Brazil , Ecological Studies
6.
Ciênc. Saúde Colet ; 27(1): 287-298, jan. 2022. tab, graf
Article in English | LILACS | ID: biblio-1356034

ABSTRACT

Abstract Using five cause-specific mortality data sourced by the Brazilian Ministry of Health, and over 17 years period, we applied Bayesian spatio-temporal models on 644 municipalities of the state of São Paulo, using logistic model to the binary outcome that specifies whether or not the death was from a specific cause. We modeled the temporal mortality effects using B-splines, while the spatial components were considered through Gaussian and Markov random field, and inference was based on Markov chain Monte Carlo simulation. The results demonstrate consistent downward trend in mortality from infectious and parasitic diseases and external causes, while those from neoplasms and respiratory are rising. Cardiovascular is the only cause-specific death that is kept constant in time. All the causes of death considered show heterogeneous spatial and temporal variations among the municipalities, which sometimes change considerably within successive years. Mortality from infectious diseases clustered around the Northwestern municipalities in 2000, but changes to the Southeastern part in 2016, a similar development as external death causes. The study identifies areas with increased and decreased odds mortality and could be useful in disease monitoring, especially if we consider small spatial units.


Resumo Usando dados do Ministério da Saúde do Brasil para cinco causa de mortes, e num período de 17 anos, aplicamos modelos espaço-temporais Bayesianos em 644 municípios do estado de São Paulo, utilizando um modelo logístico binário que especifica se o óbito foi (ou não) de uma determinada causa. Modelamos os efeitos temporais da mortalidade com B-splines, e os componentes espaciais foram estimados através de campos aleatórios de Gaussiano e Markov. Simulamos a inferência estatística com Monte Carlo via cadeias de Markov. Os resultados demonstraram tendência consistente de queda nas mortes por doenças infecciosas e causas externas, enquanto mortes por neoplasias e doenças respiratórias aumentaram no tempo. Cardiovascular foi a única causa de morte constante no tempo. As causas de morte apresentaram variações espaciais e temporais entre os municípios, com consideráveis mudanças em anos sucessivos. A mortalidade por doenças infecciosas se concentrou nos municípios do noroeste do estado em 2000, mas mudou para a parte sudeste em 2016, um desenvolvimento semelhante as causas externas de morte. Este estudo identificou áreas com maior e menor chances de morte entre diferentes causas, e pode ser útil no monitoramento de doenças, especialmente se considerarmos pequenas unidades espaciais.


Subject(s)
Humans , Cause of Death , Brazil/epidemiology , Bayes Theorem , Cities , Spatio-Temporal Analysis
7.
Article in Chinese | WPRIM | ID: wpr-920380

ABSTRACT

Objective To understand the epidemiology and trends of of unintentional injury deaths of children 2=16.44 , χ2=5.284 , P<0.05). The three leading causes of unintentional injury deaths were drowning (2.30/10000), suffocation (1.90/10000), and traffic accidents (1.42/10 000). Drowning among boys was 8.74 per cent, which was significantly higher than in girls(χ2=9.36,P<0.05). Drowning was the leading cause in boys, while suffocation was the leading cause of accidental death in girls. Accidents accounted for 57.49% of all deaths among children aged 1 to 4 years. Suffocation was the leading cause in children <1 year of age, but drowning(38.62%)was more prominent in children 1-4 years of age. Suffocation has high incidence in the winter, and drowning has high incidence in the summer season(P<0.05). Conclusions Effective childhood injury prevention may require different prevention policies combination depending on epidemiological characteristics such as genders, age groups,household register and seasons. The prevention programs should be carried especially the floating population.

8.
Article in English | WPRIM | ID: wpr-928977

ABSTRACT

OBJECTIVES@#To provide reference basis for reducing the mortality for children under 5 years old and promote the healthy development, the mortality for children under 5 years old and the main causes for death in Liuyang City from 2013 to 2020 are analyzed.@*METHODS@#The data of 725 cases of death for children under 5 years old in Liuyang City from 2013 to 2020 were collected.The causes and difference of death among the children were analyzed retrospectively by descriptive statistic methods.@*RESULTS@#There were a total of 144 516 live births in Liuyang City from 2013 to 2020. The mortality for children under 5 years old was 5.01‰, for infants was 3.39‰, and for newborns was 1.63‰. The male child mortality was 5.28‰, and the female child mortality rate was 4.72‰, with significant difference (P>0.05). The mortality for children under 5 years old was seasonal fluctuation, without significant difference among seasons (P>0.05). For the past 5 years, the top 3 causes for death among children under 5 years old were preterm birth and low birth weight, congenital heart disease, and pneumonia. Before death, 341 cases (47.04%) were treated in provincial hospitals, 198 cases (27.31%) in county-level hospitals, 56 cases (7.72%) in village-level hospitals, and 130 cases (17.93%) were not treated.@*CONCLUSIONS@#The mortality for children under 5 years old in Liuyang City is gradually reduced in the past 5 years. The main causes for death are premature birth and low birth weight, congenital heart disease and pneumonia. We should develop healthy education, improve the rate of prenatal diagnosis, promote the construction of obstetrics and paediatrics, and fundamentally reduce the mortality for children under 5 years old.


Subject(s)
Cause of Death , Child , Child Mortality , Child, Preschool , Female , Heart Defects, Congenital , Humans , Infant , Infant Mortality , Infant, Newborn , Male , Pneumonia/epidemiology , Pregnancy , Premature Birth , Retrospective Studies
9.
Rev. Soc. Bras. Med. Trop ; 55(supl.1): e0279, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1356801

ABSTRACT

Abstract INTRODUCTION Maternal death continues to be one of the most challenging public health problems that needs to be addressed in low and middle-income countries. The objective of this study was to describe the problem of maternal death in Brazil, using estimates from the Global Burden of Disease Study (GBD). METHODS This study used data from the GBD 2019 to show the numbers of deaths and the Maternal Mortality Ratio (MMR) - number of deaths/100,000 live births - in Brazil and its 27 Federated Units (FU), for ages 10 to 54 years, from 1990 to 2019. The annual variation of the MMR was estimated in 1990, 2010, and 2019. The MMR were shown for specific causes as well as for five-year age groups. The estimates were presented with 95% uncertainty intervals (UI). RESULTS The number of maternal deaths, as well as the MMR showed a 49% reduction from 1990 to 2019. This reduction occurred heterogeneously throughout the country, and the profile of the MMR for specific causes changed between 1990 and 2019: from hypertensive gestation diseases, to indirect maternal deaths, followed by hypertensive gestation diseases. In the extreme age groups, the MMR is higher, with mortality increasing exponentially in direct proportion with age. CONCLUSIONS Maternal deaths in Brazil have decreased substantially since 1990; however, the numbers still fall short of what was established by the World Health Organization (WHO). Indirect causes are the greatest problem in more than 60% of the FU, especially for hypertensive pregnancy diseases.

10.
Rev. méd. Chile ; 149(10)oct. 2021.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1389371

ABSTRACT

Background: Previous studies have shown a decrease in the maternal mortality (MM) rates in Chile, with a trend towards stability since 2001. However, some of its associated causes such as high blood pressure, obesity, or maternal age, have increased in the last years. Aim: To describe the trend and characteristics of MM in Chile between 1990 and 2018. Material and Methods: MM rates were calculated using death records available at the website of the Department of Health Statistics of the Ministry of Health, using the codes 630 to 679 of the International Classification Diseases (ICD)-9 (630-679) and O00-O99 from ICD-10. Live births were obtained from vital statistics of the National Statistics Institute (INE). The age at the time of death and the causes were recorded. Polynomial and Prais-Winsten modelings were applied. Results: There were 1,728 maternal deaths with an overall rate for the period of 23 / 100,000 live births. An inflection of the trend was observed in 2003, with a decrease between 1990-2003 and an increase between 2004-2018. While in the 1990-2003 period all age groups decreased their rate, in 2004-2018 it increased significantly in the 20-34 age group. Concerning the causes, "other obstetric conditions not classified elsewhere" showed a steady upward trend, particularly the late maternal deaths or deaths from sequelae of obstetric causes (O96-O97). Conclusions: MM rates increased in Chile in recent years, mainly due to the increase in women aged 20 to 34 years and in causes referred to as "other obstetric conditions not classified elsewhere." It is possible that changes in risk factors and in the registries could explain this increase.

11.
Ciênc. Saúde Colet ; 26(10): 4483-4496, out. 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1345698

ABSTRACT

Resumo Em 2020, completamos 30 anos desde a publicação das Leis Orgânicas do Sistema Único de Saúde. Desde então, a mudança no perfil de morbimortalidade tem desafiado a gestão, para que o serviço de saúde consiga atender à grande heterogeneidade dos quase seis mil municípios. Para isso, é necessário monitorar os principais indicadores do país. O objetivo do presente estudo foi apresentar uma visão geral das tendências de mortalidade e morbidade no Brasil entre 1990 e 2019. Utilizamos os dados do Estudo de Carga Global de Doenças para descrever a morbimortalidade pelos grandes grupos (doenças infecciosas, doenças crônicas e causas externas), segundo sexo e grupos etários. Há redução da morbimortalidade no período, independente do grupo de causa ou faixa etária, com variada diferença entre sexo de acordo com o grupo de causas. A contribuição das doenças crônicas é crescente com a progressão da idade, com diferença substancial segundo o sexo. As curvas de mortalidade e de anos perdidos por incapacidade possuem padrão típico, com destaque ao padrão diferenciado para curvas de homens por causas externas, com marcada sobremortalidade em idades jovens. A tendência ratifica o declínio dos indicadores de forma linear no período.


Abstract In 2020, the 30th anniversary of the publication of the Organic Laws of the Unified Health System was celebrated. Since then, the change in the profile of morbidity and mortality has been a challenge to management to ensure that the health services can attend the significant heterogeneity of approximately 6,000 municipalities. To achieve this, it is necessary to monitor the leading indicators of the country. The scope of this study was to present an overview of trends in mortality and morbidity in Brazil between 1990 and 2019. Data from the Study on the Global Burden of Disease was used to describe morbidity and mortality by major groupings (infectious diseases, chronic diseases, and external causes), according to gender and age groups. There was a reduction in morbidity and mortality in the period, irrespective of the cause or age group, albeit with a varied difference between the sexes depending on the cause. The contribution of chronic diseases increases with age, with a marked difference according to gender. The curves for mortality and years lost due to disability have a typical profile, with a different pattern of curves for men due to external causes, with marked excess mortality at young ages. The trend confirms the decline of indicators in a linear manner over the period.


Subject(s)
Humans , Male , Communicable Diseases , Anniversaries and Special Events , Brazil/epidemiology , Morbidity , Mortality , Cause of Death
12.
Hematol., Transfus. Cell Ther. (Impr.) ; 43(2): 171-178, Apr.-June 2021. tab
Article in English | LILACS | ID: biblio-1286690

ABSTRACT

ABSTRACT Introduction Multiple cause of death methodology enhances mortality studies beyond the traditional underlying cause of death approach. Aim: This study aims to describe causes of death and mortality issues related to haemophilia with the use of multiple-cause-of-death methodology. Methods: Annual male haemophilia mortality data was extracted from the public multiple-cause-of-death databases of the Mortality Information System, searching deaths included in rubrics D66 "hereditary factor VIII deficiency" (haemophilia A), and D67 "hereditary factor IX deficiency" (Haemophilia B) of the International Classification of Diseases, Tenth Revision, and processed by the Multiple Cause Tabulator. Results: In Brazil, from 1999 to 2016, a total of 927 male deaths related to haemophilia occurred during the 18 year period, of which 418 (45,1 %) as underlying cause, and 509 (54,9 %) as associated cause of death. The leading associated cause of 418 deaths of haemophilia as underlying cause was hemorrhage (52.6%), half of which intracranial hemorrhage. Infectious and parasitic diseases accounted for 40,5% as the underlying causes of 509 deaths where haemophilia was an associated cause, where human immunodeficiency virus disease prevailed, however falling from 37,0% to 19.7%, and viral hepatitis increased from 6.0% to 7.9%; diseases of the circulatory system, increased from 13.5% to 18.4%, including intracranial hemorrhage from 5.7% to 7.0%, and neoplasms, from 8,5% to 13.2%, respectively from 1999-2007 to 2008-2016, followed as main underlying causes. Conclusion: Hemorrhages, mainly intracranial hemorrhage, human immunodeficiency virus disease, and viral hepatitis are the chief prevention goals aiming at the control of haemophilia mortality.


Subject(s)
Humans , Male , Mortality , Cause of Death , Intracranial Hemorrhages , Hemophilia A , Hemophilia B
13.
Medisur ; 19(3): 438-447, 2021. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1287326

ABSTRACT

RESUMEN Fundamento La concordancia y discrepancia de las causas de muerte entre el diagnóstico clínico y el morfológico son, de forma indirecta, indicadores de calidad en la atención hospitalaria, y han tenido un papel fundamental en la educación médica. Objetivo describir el comportamiento de la concordancia clínico-patológica en una serie de fallecidos en edades pediátricas. Métodos se realizó un estudio observacional, descriptivo, en el Hospital Pediátrico de Cienfuegos, en el periodo comprendido del 1ro. de enero de 2000 hasta el 31 diciembre de 2015, que incluyó 214 fallecidos con necropsias. Del total que fue objeto de análisis, se clasificaron por el método de Goldman 36 fallecidos a partir de 2013. Resultados las enfermedades infecciosas predominaron en todos los grupos de edades, y fueron las neumonías y la sepsis, las más frecuentes. El síndrome de disfunción múltiple de órganos fue la afección más descrita como causa directa de muerte, vinculado no solo a enfermedades infecciosas, pues también se manifestó como evento final. Se obtuvo una baja frecuencia de discrepancia diagnóstica clínico-patológica, tanto para las causas básicas de muerte como para las directas, con 13,6 % y 18,2 %, respectivamente. Según la clasificación de Goldman, en el 69,4 % de los fallecidos no hubo discrepancias entre ambos diagnósticos. Conclusión existió una correlación clínico-patológica aceptable durante el periodo de estudio. Esta variable resulta útil como patrón para la evaluación de la calidad de la asistencia médica.


ABSTRACT Background Causes of death concordance and discrepancy between the clinical and the morphological diagnoses are, indirectly, indicators of quality in hospital care, and have played a fundamental role in medical education. Objective to describe the behavior of the clinical-pathological concordance in a series of pediatric deaths. Methods an observational, descriptive study was carried out in the Cienfuegos Pediatric Hospital, from January the 1st 2000 to December the 31st, 2015, which included 214 deaths with autopsies. Of the total that was analyzed, 36 deceased from 2013 were classified by the Goldman method. Results infectious diseases predominated in all age groups, pneumonia and sepsis were the most frequent. Multiple organ dysfunction syndrome was the condition most described as a direct cause of death, linked not only to infectious diseases, as it also manifested as a final event. A low frequency of clinicopathological diagnostic discrepancy was obtained, both for the basic causes of death and for the direct ones, with the 13.6% and the 18.2%, respectively. According to the Goldman classification, the 69.4% of the deceased did not present discrepancies. Conclusion there was an acceptable clinicopathological correlation during the study period. This variable is useful as a standard for evaluating the medical care quality.

14.
Rev. Finlay ; 11(2): 174-181, 2021. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1340758

ABSTRACT

RESUMEN Fundamento las enfermedades cerebrovasculares representan un panorama potencialmente grave, de consecuencias evitables, cuyo pronóstico depende de la rapidez y efectividad en las actuaciones. El ictus es la principal causa neurológica de mortalidad y la tercera causa más común de muerte en el mundo. Objetivo caracterizar las variables clínico-epidemiológicas de los pacientes con ictus en la Unidad de Cuidados Intensivos del Instituto de Neurología y Neurocirugía de La Habana. Método se realizó una investigación retrospectiva que incluyó a 30 pacientes ingresados con diagnóstico de ictus, en la Unidad de Cuidados Intensivos del Instituto de Neurología y Neurocirugía desde enero a diciembre del 2020. Se consideraron variables demográficas y clínicas, así como el estado al egreso y la estadía hospitalaria. Se realizaron estadísticas descriptivas para las variables continuas: medias y desviación estándar y para las cualitativas: frecuencias absolutas y relativas y para conocer la posible asociación entre variables se realizó la prueba de Chi Cuadrado. Resultados la edad media de los pacientes fue de 59,4 años. El 20 % eran obesos, el antecedente de tabaquismo estuvo presente en el 73,3 % y la diabetes mellitus tipo 2 en el 70 %. El ictus hemorrágico se presentó en el 63,3 % de los casos. Fallecieron 6 pacientes para un 20 % que tenían como factores de riesgo, la diabetes en el 100 %, la edad mayor de 60 años en el 83,3 % y la obesidad en el 50 %. La estadía hospitalaria promedio fue de 13,9 días y fue superior en los pacientes que consumían alcohol y los que presentaron ictus hemorrágico. Conclusiones los factores de riesgo que tuvieron mayor frecuencia fueron: el tabaquismo, la diabetes mellitus tipo 2 y la edad mayor de 60 años.


ABSTRACT Background: cerebrovascular diseases represent a potentially serious panorama, with avoidable consequences and whose prognosis depends on the speed and effectiveness of the actions. Stroke is the main neurological cause of death and the third most common cause of death in the world. Objective: to characterize the clinical-epidemiological variables of stroke patients in the Havana Institute of Neurology and Neurosurgery´s Intensive Care Unit. Method: a retrospective research was carried out that included 30 patients admitted with a diagnosis of stroke, in the Neurology and Neurosurgery Institute´s intensive care unit from January to December 2020. Demographic and clinical variables were considered, as well as the status at discharge and the hospital stay. Descriptive statistics were performed for continuous variables: means and standard deviation, and for qualitative variables: absolute and relative frequencies and the Chi Square test were performed to determine the possible association between variables. Results: the mean age of the patients was 59.4 years. 20 % were obese, a history of smoking was present in 73.3 % and type 2 diabetes mellitus in 70 %. Hemorrhagic stroke occurred in 63.3 % of the cases. 6 patients died for 20 % who had as risk factors, diabetes in 100 %, age over 60 years old in 83.3 % and obesity in 50 %. The average hospital stay was 13.9 days and was higher in patients who consumed alcohol and those who had hemorrhagic stroke. Conclusions: the risk factors with the highest frequency were: smoking, type 2 diabetes mellitus and age over 60 years old.

15.
Gac. méd. espirit ; 23(1): 24-34, ene.-abr. 2021. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1250003

ABSTRACT

RESUMEN Fundamento: El comportamiento de la mortalidad y morbilidad de la población femenina ocupada, es relevante por el rol de la mujer en lo laboral y familiar en un contexto envejecido. Objetivo: Analizar el comportamiento de la mortalidad y morbilidad de la población femenina ocupada en la Empresa Contratista General de Obras de Villa Clara. Metodología: El análisis documental de datos oficiales sobre la mortalidad femenina condujo a realizar un estudio de caso en la Empresa Contratista General de Obras de Villa Clara, mediante el trabajo grupal y la aplicación de la escala de autovaloración Dembo-Rubistein. Resultados: La mayor morbilidad y discapacidad de las mujeres se justifica por los patrones de socialización, roles familiares, obligaciones, expectativas laborales y tipos de ocupación que generan situaciones de sobrecarga física y emocional con marcada influencia en su salud. Conclusiones: En las condiciones actuales se hace necesario atender a la mujer más allá de su salud reproductiva y tener en cuenta el costo que para ella, la familia y la sociedad representa, el tener que asumir determinados roles como cargos de dirección, el ser trabajadora, jefas de hogar, cuidadoras, lo que puede ocasionar una sobrecarga psicológica, física y de su salud en general.


ABSTRACT Background: The mortality and morbidity behavior in employed female population is significant due to the role of women regarding work and family matters in an aging context. Objective: To analyze the mortality and morbidity behavior in employed female population at the Villa Clara General Work Contractor Enterprise. Methodology: The documentary analysis of official data on female mortality led to a case study at the Villa Clara General Work Contractor Enterprise, through group work and the application of the Dembo-Rubistein self-assessment scale. Results: The greater morbidity and disability of women is justified by socialization patterns, family roles, responsibilities, job expectations and types of occupation that generate some physical and emotional overload conditions with a marked influence on their health. Conclusions: At present, it is essential to give attention to women outside their reproductive health, also consider the cost that family and society represents for her, assuming different roles such as management positions, being a worker, heads of household, caregivers, which can produce a general psychological, physical and health overload.

16.
Chinese Journal of Dermatology ; (12): 790-797, 2021.
Article in Chinese | WPRIM | ID: wpr-911522

ABSTRACT

Objective:To summarize clinical characteristics of and treatment experience with patients with critical illnesses in a dermatological ward.Methods:All patients with serious or life-threatening conditions, who were hospitalized at the dermatological ward of the Second Xiangya Hospital of Central South University from July 9, 2011 to December 31, 2020, were collected, and their clinical data were retrospectively analyzed. Demographic characteristics, disease types and proportions, main complications, causes of serious or life-threatening conditions, important treatment measures and outcomes were summarized, and causes of death were also analyzed and discussed.Results:A total of 1 057 patients with critical illnesses were collected, with a male-to-female ratio of 1∶1.11, and 64.81% of them aged 18 to 65 years. The types of diseases mainly included drug eruptions (332 cases) , connective tissue diseases (226 cases) , bullous skin diseases (104 cases) , psoriasis (57 cases) , erythroderma (45 cases) , infectious skin diseases (67 cases) , etc. Among them, psoriasis (39 cases) and erythroderma (32 cases) mostly occurred in males, and connective tissue diseases (168 cases) mostly occurred in females. Common complications mainly involved infections, important organ damage or dysfunction, hypoalbuminemia, and fluid, electrolyte and acid-base imbalances. A total of 94 patients were diagnosed with life-threatening conditions, which were found to be mainly caused by primary skin diseases, hematologic abnormalities, respiratory failure, nervous system abnormalities, renal failure, sepsis, fluid, electrolyte and acid-base imbalances, etc. During the management of critical illnesses, 43 patients were treated with high-dose glucocorticoid pulse therapy, 264 were treated with gamma-globulin pulse therapy, 355 were transfused with other blood products, and 34 received special therapies such as hemoperfusion/immunoadsorption therapy, plasma exchange, dialysis, artificial liver support therapy; 42 patients were transferred to the intensive care unit (ICU) , 12 were transferred to the department of surgery for operations, and 12 were transferred to the department of obstetrics and gynecology for delivery or induction of labor. After treatment, 989 patients (93.57%) achieved improvement and were discharged. A total of 14 patients (1.32%) died, of whom 7 died of secondary sepsis, 2 died of severe pulmonary infections, 2 died of asphyxia caused by respiratory mucosa shedding-induced airway obstruction, the other 3 died of gastrointestinal hemorrhage, cerebral hemorrhage and neuropsychiatric systemic lupus erythematosus, respectively.Conclusions:Critical cases in the dermatological ward mainly suffered from serious skin diseases such as severe drug eruptions, connective tissue diseases and bullous skin diseases, as well as complications such as severe underlying diseases, severe organ dysfunction, sepsis or severe fluid, electrolyte and acid-base imbalances. In terms of treatment, it is of critical significance to make a clear diagnosis and assess the severity of disease as early as possible, monitor and prevent possible complications, and to consult with specialists in relevant disciplines in time.

17.
Article in Chinese | WPRIM | ID: wpr-876170

ABSTRACT

Objective:To characterize the mortality rate of residents in Minhang District of Shanghai from January to April in 2016-2020, and to determine the change in the epidemic Coronavirus Disease 2019 (COVID-19) in 2020. Methods:Data of mortality surveillance was collected from the death registry of Shanghai residents. Cause of death was coded and classified per the International Classification of Diseases (ICD-10). The standardized mortality rate was calculated based on the standard population of China in 1990. The analysis was performed by Excel 2016 and SPSS 20.0. Results:From 2016 to 2020, the average crude mortality rate of residents was 281.75/100 000 from January to April in Minhang District of Shanghai, and the standardized mortality rate was 66.57/100 000. The top five causes of death in the latest five years were cardiovascular diseases, tumor, respiratory diseases, endocrine diseases, and injury and poisoning. The mortality rate was the lowest from January to April in 2020 in the past five years; furthermore, the mortality rate of respiratory system diseases has decreased significantly. Conclusion:Sex, age, place and causes of death in residents are consistent from January to April across years in Minhang District of Shanghai. However, there are minor differences in 2020, which may be attributable to the epidemic of COVID-19.

18.
Article in Chinese | WPRIM | ID: wpr-876158

ABSTRACT

Objective:Death causes and life reduction of malignant tumors in the residents of Zhuanqiao Town in Minhang District from 2013 to 2017 were analyzed to provide scientific evidence for the strategies on comprehensive prevention and control of cancer. Methods:The data of death causes of malignant tumors in the residents of Zhuanqiao Town were collected and analyzed. The mortality rate, annual percent change (APC), composition ratio, potential years of life lost (PYLL), potential years of life lost rate (PYLLR) and average years of life lost (AYLL) of the registered population were analyzed. Results:The standardized mortality rate of malignant tumors in the residents of Zhuanqiao Town from 2013 to 2017 was 128.05/105, and the rate was higher in males than that in females. The top four cancers regarding PYLL were lung cancer, liver cancer, stomach cancer and colorectal cancer, which were roughly the same order as the top four regarding the mortality. This indicates that these four cancers had a greater impact on residents. Lung cancer had a greater impact on female life expectancy. PYLL and SPYLL ranked the first in liver cancer in males and thus had a greater impact on the males. Breast cancer was one of the most important malignant tumors in causing early death of women. Conclusion:Malignant tumor has become an important public health problem endangering the health of residents. The focus of future work in the town remains to improve public awareness of carcinogenic risk factors, actively carry out health education, lifestyle intervention and early screening in order to reduce cancer risk, alleviate cancer burden and improve the life expectancy of residents.

19.
Article in Chinese | WPRIM | ID: wpr-862723

ABSTRACT

Objective To analyze the basic characteristics and variation trend of death causes of permanent residents in Enshi City during 2013-2018, to assess the burden of different diseases, and to provide a scientific basis for formulating disease prevention and control strategies. Methods The death monitoring data of permanent residents in Enshi City, Hubei Province from 2013 to 2018 was collected. The crude mortality, standardized mortality, life expectancy, potential years of life loss (PYLL), standard potential years of life loss (SPYLL), average years of life lost (AYLL), and annual percentage change (APC) were calculated to describe the distribution and trend of death causes. Results The average annual crude death rate and standardized death rate of residents in Enshi City from 2013 to 2018 were 679.43 per 100 000 and 615.02 per 100 000, respectively. The top 5 causes of death were circulatory system diseases, respiratory system diseases, malignant tumors, injuries, and digestive system diseases, accounting for 91.2% of the total deaths. Analysis of life expectancy found that the average life expectancy of local residents from 2013 to 2018 was 78.02 years, and the value in the male group (75.57 years) was lower than that in the female group (80.78 years). Life loss analysis revealed that PYLL caused by various diseases was 171 620 person-years, SPYLL was 171 284.62 person-years, and AYLL was 15.03 years/person in Enshi City from 2013 to 2018. Among all the death causes, the top five in terms of life loss were injuries, malignant tumors, circulatory diseases, respiratory diseases and digestive diseases. Conclusion From 2013 to 2018, the death rate of residents in Enshi City was relatively higher compared with those in other cities in China, the average annual crude death rate was on the rise, and the average annual standardized death rate was on the decline, indicating a highly ageing region. Chronic diseases such as circulatory system diseases, malignant tumors, and respiratory diseases, as well as injuries were the main death causes and caused a heavy burden of diseases, which should be the focus of future prevention and control work. Considering the higher levels of death and life loss indicators of male residents than those of women, targeted prevention and control measures should be taken to narrow the gap between men and women and improve the overall life quality of the whole population.

20.
J. bras. pneumol ; 47(2): e20200166, 2021. tab, graf
Article in English | LILACS | ID: biblio-1154698

ABSTRACT

ABSTRACT Objective: To describe causes of death and mortality data related to cystic fibrosis (CF) using a multiple-cause-of-death methodology. Methods: Annual mortality data for the 1999-2017 period were extracted from the Brazilian National Ministry of Health Mortality Database. All death certificates in which category E84 (CF) of the ICD-10, was listed as an underlying or associated cause of death were selected. Epidemiological and clinical data were described, and standardized mortality rates were calculated per year and for the 2000-2017 period. A joinpoint regression analysis was performed to detect changes in the mortality rates during the study period. Results: Overall, 2,854 CF-related deaths were identified during the study period, ranging from 68 in 1999 to 289 in 2017. CF was the underlying cause of death in 83.5% of the death certificates. A continuous upward trend in the death rates was observed, with a significant annual percent change of 6.84% (5.3-8.4%) among males and 7.50% (6.6-8.4%) among females. The median age at death increased from 7.5 years in 1999 to 56.5 years in 2017. Diseases of the respiratory system accounted for 77% of the associated causes in the death certificates that reported CF as the underlying cause of death. Conclusions: A significant and continuous increase in CF-related death rates was found in Brazil in the last years, as well as a concurrent increase in the median age at death.


RESUMO Objetivo: Descrever as causas de morte e dados sobre mortalidade relacionada à fibrose cística (FC) por meio da metodologia de causas múltiplas de morte. Métodos: Dados sobre a mortalidade anual no período de 1999 a 2017 foram extraídos do Sistema de Informações sobre Mortalidade do Ministério da Saúde do Brasil. Foram selecionadas todas as declarações de óbito em que a categoria E84 (FC) da CID-10 foi citada como causa básica ou associada de morte. Foram descritos os dados epidemiológicos e clínicos e calculadas as taxas padronizadas de mortalidade por ano e para o período de 2000 a 2017. Foi realizada a análise de regressão por pontos de inflexão para detectar mudanças nas taxas de mortalidade durante o período estudado. Resultados: No total, foram identificadas 2.854 mortes relacionadas à FC durante o período de estudo: de 68 em 1999 a 289 em 2017. A FC foi a causa básica de morte em 83,5% das declarações de óbito. Observou-se uma tendência contínua de aumento das taxas de mortalidade, com variação percentual anual significativa de 6,84% (5,3-8,4%) nos homens e de 7,50% (6,6-8,4%) nas mulheres. A mediana da idade de óbito aumentou de 7,5 anos em 1999 para 56,5 anos em 2017. As doenças do aparelho respiratório representaram 77% das causas associadas nas declarações de óbito em que a FC foi a causa básica de morte. Conclusões: Observou-se no Brasil um aumento significativo e contínuo das taxas de mortalidade relacionada à FC nos últimos anos, bem como um aumento concomitante da mediana da idade de óbito.


Subject(s)
Humans , Male , Female , Cystic Fibrosis , Brazil/epidemiology , Regression Analysis , Mortality , Cause of Death
SELECTION OF CITATIONS
SEARCH DETAIL