COPD - Impact on Mortality in Locals with and without Specific Medication

Abstract

COPD has a high mortality. Analyzing the factors involved can contribute to the reduction measures, especially protocols for providing specific medication. In Brazil, only 6 of the 27 states have protocols in place for the distribution of COPD drugs. <b>Objective:</b> to analyze the mortality rate associated with COPD exacerbation by age group, by states that may or may not have protocols in place to provide specific treatment. Data available at the Ministry of Health, ICD 10: J44, J44.0 and J44.1, from 50 yo. Period : 2014 to 2017. States analyzed: <b>a) with protocols:</b> Ceará (CE), Pernambuco (PE), Espirito Santo (ES), São Paulo (SP), Distrito Federal (DF), Minas Gerais (MG) and <b>b) without protocols:</b> Goiás (GO), Bahia(BA), Rio de Janeiro(RJ), Paraná(PR), Santa Catarina (SC) and Rio Grande do Sul (RS). <b>Results:</b> Mortality is important from the age of 70. The average rate for states with a protocol was 151.6 for 70 years and over and 11.9 for 50-60 years. For states without and with protocol, it was 178.3 and 16.3, respectively. States in the southern region (RS, SC, PR), which did not have protocols implemented in the period and a higher prevalence of smoking, have high average rates, mainly between 50-60 years(fig1 and 2). <b>Conclusion:</b> COPD mortality associated with exacerbation in the 50-60 age group is higher in states that do not have protocols in place. Studies identifying regional situations can induce effective public policies to reduce exacerbated COPD mortality in Brazil.