Abstract
Objectives: to identify the main causes for hospital admissions and deaths related to systemic arterial hypertension and diabetes mellitus (DM), and to analyze morbidity and mortality trends, in a municipality in São Paulo's countryside, by comparing two three-years periods, 2002 to 2004 and 2010 to 2012. Methods: cross-sectional study which used secondary data regarding deaths from the Information System on Mortality and concerning hospital admissions from the DataSus Hospital Information System. Univariate and multivariate statistical analyses were conducted. Results: from 2002 to 2012, 325,439 people were admitted to hospitals, 14.7% of them due to circulatory system diseases (CSD) and 0.7% due to DM. The deaths distributed as the following: 29,027 deaths (31.5%) were due to CSD; 8.06% due to cerebrovascular diseases (CVD); and 2.75% due to DM. There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001). The highest lethality in hospital admissions was found to be due to CVD (10%). That trend showed that mortality rates dropped, younger patients were admitted due to DM, and older patients were admitted due to CVD - they were more often females. Conclusion: the main causes for hospital admissions were the CSDs; main mortality causes were the CVDs in hypertensive and diabetic women. Those findings can back public policies which prioritize the promotion of health.
Highlights
Most non-communicable diseases (NCDs) are some of the main public health problems, and they have been known worldwide to be the main causes for deaths and hospital admissions for decades
The data were analyzed according to the set of circulatory system diseases and the codes regarding diseases in the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD10), according to its morbidity list: complications from diabetes mellitus, E10 to E14; and arterial hypertension: the circulatory system diseases (CSDs) among these, especially, ischemic heart disease (IHD), I20 to I25; and cerebrovascular diseases (CVD), I60 to I69
In São José do Rio Preto, from 2002 to 2012, 325,439 hospital admissions were recorded, 14.7% of which due to CSD and 0.7% due to diabetes mellitus (DM). 29,027 deaths were recorded, 31.5% of which being attributed to CSD, and 2.75% to DM
Summary
Most non-communicable diseases (NCDs) are some of the main public health problems, and they have been known worldwide to be the main causes for deaths and hospital admissions for decades Those diseases play an important role regarding the number of disabilityadjusted life years (DALY - life years that are lost due to early death or disability). Systemic arterial hypertension (SAH) and diabetes mellitus (DM) are included in the NCDs, accounting for the main death causes all over Brazil. Those are clinical conditions with an important social impact, considering their multiple risk factor, being seen as health problems that should be prioritized by society, due to the high numbers of hospital admissions and deaths they are responsible for[1,2]
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