Abstract
Introduction: The Rheumatic Fever (RF) is a systemic inflammatory disease, caused by Group A beta-hemolytic Streptococcus, predominating in children and adolescents. The clinical manifestations are varied and included in Jones Criteria for diagnosis. The cardiac manifestations are the most relevant, causing severe sequelae such as valvulitis. The RF is still a major public health problem in developing countries despite its primary prophylaxis being simple and effective if well applied. The overall objective of this study was to evaluate the number of hospital admissions and deaths in Brazil from 2008 to 2018. Methodology: Cross-sectional, descriptive, quantitative, documentary study with database provided by the Health Informatics Department of the Brazilian Ministry of Health (DATASUS). Results: In the studied period, a higher prevalence was observed among females (48,232 hospitalizations) and in the adult age group (59,270 hospitalizations and 3972 deaths). The total number of hospitalizations was 83,209 and the total number of deaths was 6572. The total mortality rate was 7.84. The region with the highest number of hospitalizations was the Southeast (22,863 hospitalizations). The total amount spent in hospitalizations was R$879,676,458.63, with an average value per hospitalization of R$ 10,496.21. The average length of stay was 12.7 days. Conclusion: Rheumatic heart disease is an important cause of hospitalizations in Brazil. Measures of early diagnosis and adequate treatment should be strongly stimulated.
Highlights
The Rheumatic Fever (RF) is a systemic inflammatory disease, caused by Group A beta-hemolytic Streptococcus, predominating in children and adolescents
The Rheumatic Fever (RF) is a systemic inflammatory disease caused by a complication of oropharyngeal infection by Group A beta-hemolytic Streptococcus, Streptococcus pyogenes, that affects people with genetic predisposition
The number of hospitalizations by age group showed a predominance among adults, a fact compatible with the natural progression of the disease, since the acute phase is common in children, but the complications occur predominantly in the adult age group, when the disease is in its chronic phase [1]
Summary
The Rheumatic Fever (RF) is a systemic inflammatory disease, caused by Group A beta-hemolytic Streptococcus, predominating in children and adolescents. Results: In the studied period, a higher prevalence was observed among females (48,232 hospitalizations) and in the adult age group (59,270 hospitalizations and 3972 deaths). The total amount spent in hospitalizations was R$879,676,458.63, with an average value per hospitalization of R$ 10,496.21. The Rheumatic Fever (RF) is a systemic inflammatory disease caused by a complication of oropharyngeal infection by Group A beta-hemolytic Streptococcus, Streptococcus pyogenes, that affects people with genetic predisposition. Carditis is the most severe manifestation in patients with rheumatic fever. It occurs in 40% - 70% of the first outbreaks, usually arising at an early stage and being diagnosed in the first weeks of the acute phase. Pancarditis and valve lesions characterize the cardiac manifestation of rheumatic fever [4] [5] [6]
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