Profile of hospitalization in the health unic system in the municipality of São Paulo for acute myocardial infarction in the year 2021

INTRODUCTION: Despite significant scientific advances and public prevention policies, acute myocardial infarction corresponds to a high rate of hospitalizations and morbidity and mortality. OBJECTIVE: To analyze and describe the profile of patients who are hospitalized in the city of São Paulo for Acute Myocardial Infarction in the year 2021. METHODOLOGY: It consists of a descriptive, retrospective, longitudinal epidemiological study, based on the analysis of a secondary source of data, with the aim of the studies being hospital admissions in the Unified Health System of the city of São Paulo, in the year 2021, for causes related to diseases. hypertensive As inclusion criteria, all hospital admissions were selected through the Hospital Information System (SIH), through DATASUS. The period studied was the year 2021. The morbidities were separated and selected according to the main hospitalization diagnosis and classified according to the International Disease Code 10 (ICD10), the following being selected: I10 -Essential hypertension, I11 - Hypertensive heart disease , I12 - Hypertensive kidney disease, I13 - Hypertensive heart and kidney disease, I15 - Secondary hypertension. Gender, race/color and age group were also taken into account. RESULTS: During the study period, 2219 hospitalizations were performed for hypertensive diseases, of which 49.2% were male and 50.8% female. Among the target audience of the study, when considering race/color, 35.8% of patients consider themselves white, 8% black, 29.5% brown and 0.2% yellow. 26.5% of the registered admissions had no description of race/color. Regarding the age groups studied, there is a gradual increase in the number of hospitalizations as the observed age group also increases, with the group of patients over 80 years of age having the highest number of hospitalizations, corresponding to 14% of all the hospitalizations. CONCLUSION: Hospitalizations in the city of São Paulo due to hypertensive syndromes were slightly higher in males, most of whom were white and aged over 80 years.

Hospitalization in the public health system in the municipality of São Paulo resulting from hypertensive diseases in the year of 2021

INTRODUCTION: In Brazil, arterial hypertension has a high prevalence and low control rate, being a risk factor for cardiovascular diseases, which implies large public health expenses related to hospitalizations resulting from complications. OBJECTIVE: To quantitatively analyze the hospitalizations resulting from hypertensive syndromes in the city of São Paulo in the year 2021. METHODOLOGY: It consists of a descriptive, retrospective, longitudinal epidemiological study, based on the analysis of a econdary source of data, with the aim of the studies being hospital admissions in the Unified Health System of the city of São Paulo, in the year 2021, for causes related to diseases. Hypertensive as inclusion criteria, all hospital admissions were selected through the Hospital Information System (SIH), through DATASUS. The period studied was the year 2021. The morbidities were separated and selected according to the main hospitalization diagnosis and classified according to the International Disease Code 10 (ICD10), the following being selected: I10 - Essential hypertension, I11 - Hypertensive heart disease, I12 - Hypertensive kidney disease, I13 - Hypertensive heart and kidney disease, I15 - Secondary hypertension. Gender, race/color and age group were also taken into account. RESULTS: During the study period, 2219 hospitalizations were performed for hypertensive diseases, of which 49.2% were male and 50.8% female. Among the target audience of the study, when considering race/color, 35.8% of patients consider themselves white, 8% black, 29.5% brown and 0.2% yellow. 26.5% of the registered admissions had no description of race/color. Regarding the age groups studied, there is a gradual increase in the number of hospitalizations as the observed age group also increases, with the group of patients over 80 years of age having the highest number of hospitalizations, corresponding to 14% of all the hospitalizations. CONCLUSIONS: Hospitalizations in the city of São Paulo due to hypertensive syndromes were slightly higher in males, most of whom were white and aged over 80 years.

Factors related to infertility in Brazil and their relationship with success rates after assisted reproduction treatment: an integrative review.

This integrative review evaluated the most commonly diagnosed causes of infertility in men and women in Brazil, as well as the medically assisted reproduction technologies regularly employed in these cases. We searched in four electronic databases (PubMed, including Medline; Scopus; Web of Science and LILACS), and two grey literature (Google Scholar and OpenGrey), guided by the focused question: "What are the main factors responsible for male and female infertility in Brazil, and what are its relationships with success rates after assisted reproduction treatment?". We included interventional or observational studies, without limitation by language or year of publication. Our searches in the electronic indexers recovered 1,119 articles, and after analyzing the inclusion and exclusion criteria, 27 articles composed the body of analysis for this review. We grouped the studies into four themes: factors responsible for male and female infertility, assisted reproductive technologies (ART) used in the infertility treatment, assisted reproduction procedures, and clinical predictors of success rates in ART. Despite the scarcity of studies analyzing the association between infertility and assisted reproductive technologies in Brazil, it was possible to infer that the most prevalent infertility cause in women was endometriosis, while in men it was azoospermia. The most widely assisted reproductive technology applied in the country is the intracytoplasmic injection of spermatozoa (ICSI), ensuring better success rates in the treatment of infertility for men and women.

Internações por causas sensíveis à atenção primaria relacionadas à distúrbios cardiovasculares na cidade de São Paulo no ano de 2018 / Hospitalizations for primary care-sensitive causes related to cardiovascular disorders in the city of São Paulo in 2018

INTRODUÇÃO: As internações por causas sensíveis à atenção primária representam condições de saúde que podem ter o risco de hospitalização desnecessária diminuído, por meio de ações efetivas da atenção primária. Essas internações vêm sendo usadas como indicador do acesso e qualidade da atenção básica. Levando em consideração a alta prevalência populacional na atual sociedade brasileira das doenças crônicas não transmissíveis, ressalta-se que grande parte destas internações seja por não tratamento ou mal controle dessas doenças, muitas delas que elevam o risco cardiovascular, como a hipertensão arterial, o diabetes, a obesidade, o tabagismo e entre outras. OBJETIVO: Analisar as tendências das principais causas de internações hospitalares entre aquelas sensíveis à atenção primária relacionadas à prevenção de eventos cardiovasculares na cidade de São Paulo no ano de 2018. MÉTODO: Trata-se de um estudo transversal descritivo e retrospectivo por notificação das internações sensíveis por causas sensíveis à atenção primária nos serviços hospitalares do Sistema Único de Saúde, da população residente na cidade de São Paulo. O período estudado foi de janeiro a dezembro de 2018. Resultados: As internações por causa sensíveis à atenção primária relacionadas a doenças cardiovasculares representam 39% do total de internações por causas sensíveis à atenção primaria. Neste sentido, deste total: 3,1% são por hipertensão (3% por hipertensão essencial e apenas 0,1% por doença cardíaca hipertensiva); 5,8% são por angina; 10,8% por insuficiência cardíaca (sendo 10,1% por insuficiência cardíaca e 0,7 por edema agudo de pulmão); 13,6% por doenças cerebrovasculares e 5,7% por diabetes mellitus (3,6% com complicações renais e/ou oftalmológicas, 1,4% com coma ou cetoacidose e 0,7% sem complicações especificas). CONCLUSÃO: Apesar das doenças relacionadas a distúrbios cardiovasculares estarem listadas em apenas 5 (hipertensão, angina, insuficiência cardíaca, doenças cérebro vasculares e diabetes mellitus) elas representam grande parte das internações por causas sensíveis à atenção primaria. Tal fato reflete a necessidade de mais e melhores políticas públicas para redução de prevalência e incidência dessas doenças, através de diagnósticos mais eficazes e também de tratamentos que realmente levem ao controle dessas moléstias. (AU)