DECLINE IN HOSPITALIZATION TREND FOR CARDIOVASCULAR DISEASES SENSITIVE TO PRIMARY HEALTHCARE

Maicon Henrique Lentsck,Thais Aidar De Freitas Mathias,Ana Claudia Saito

doi:10.1590/0104-07072017003170015

Maicon Henrique Lentsck, Thais Aidar De Freitas Mathias + Show 1 more

Open Access

https://doi.org/10.1590/0104-07072017003170015

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Abstract

ABSTRACT Objective: was to analyze the trend of hospitalizations for cardiovascular conditions sensitive to primary healthcare from 2000 to 2011. Method: an ecological study of the tendency of hospitalization rates for cardiovascular diseases by residence, aged between 35 and 74 years, according to the main diagnoses of hospitalization, gender and age, with data from the Hospital Information System of the Brazilian National Unified Health System (Sistema de Informações Hospitalares do Sistema Único de Saúde) and using polynomial regression models. Results: an average annual decline of 5.6 per 10,000 inhabitants ( r2 =0.9; p<0.001) of hospitalization rates by cardiovascular diseases was observed. Decreasing trends for hypertension, heart failure and cerebrovascular diseases were also identified, while hospitalization rates by angina remained stable. The decrease in admission rates due to cardiovascular conditions was similar between both genders, although these rates were higher for men aged 55 to 74 years. Conclusion: the decline in hospitalization rates for primary care-sensitive cardiovascular diseases indicates, in addition to other factors, improved access and quality of primary healthcare actions, especially for residents aged 55-74 years, and also for women whose decline was more pronounced. The health team should implement actions to prevent chronic disease complications, and consequently hospitalizations for men and for angina, in order to eliminate health disparities.

Highlights

Cardiovascular diseases (CVDs) are the main cause of death worldwide, and their impact on the population’s health and quality of life is noticed in hospitalizations, which even with a decline in the 2000s, remains among the main causes of hospitalizations.[1]
CVD hospitalization rates were analyzed according to: a) the number and proportion of hospitalizations for conditions sensitive to primary care (CSPC) and cardiovascular conditions sensitive to primary care (CCSPC) in relation to the total hospitalizations; B) hospitalization rates per 10,000 inhabitants according to gender, age, cardiovascular cause and total hospitalizations for all causes, CSPC and CCSPC, and c) the relative differences of the rates were calculated between triennium points and the extreme triennium of the studied period
For CCSPC admissions, a decreasing trend in hospitalization rates was observed for systemic arterial hypertension (SAH), heart failure (HF) and cerebrovascular disease (CbVD)

Summary

Introduction

Cardiovascular diseases (CVDs) are the main cause of death worldwide, and their impact on the population’s health and quality of life is noticed in hospitalizations, which even with a decline in the 2000s, remains among the main causes of hospitalizations.[1]. Economic and social changes which have occurred in Brazil in the last decades, besides contributing to a rapid demographic transition, exposed the population to the risk of developing CVDs.[2,3] Among the risk factors for CVDs are: smoking, alcoholism, physical inactivity and inadequate diet. Despite the decreasing tendency of heavy and passive smokers and increased physical activity in the Brazilian population, overweight and obesity have increased in recent years,[3] leading to the presence of important risk factors for the occurrence of CVDs

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