Insuficiência cardíaca na Paraíba: análise epidemiológica de 2008 a 2018

Abstract

Heart failure (HF) is a complex clinical syndrome and one of the main health problems of the cardiovascular disease group, and is the final common pathway of most heart diseases. Its prognosis is closely related to the number of hospitalizations, and there is a worldwide relationship between the increase in the number of cases and the increase in health care costs. Brazilian studies on epidemiological assessment and socioeconomic impact of heart failure are still very small. This study aims to track the epidemiological profile of heart failure in the state of Paraiba from 2008 to 2018, analyzing the total number of hospitalizations, age group, sex, color / race, regime and character of care, days and average, length of stay, total number of deaths and mortality rate, as well as the impact of hospital costs. This is an epidemiological, observational, descriptive and quantitative approach study, based on data available from the Department of Informatics of the Unified Health System (DATASUS), from the Hospital Information System (SIH / SUS). Over the period analyzed, 54,838 hospital admissions were authorized, with permanent patients 318,379 days hospitalized with an average stay in days of 5.8. The number of deaths was 5,136, with a mortality rate of 9,37%. The study shows that a HF reaches a higher proportion of males, over 80 years, self-declared browns and with status on an urgent basis. The prevalence of hospitalizations, average cost and total deaths were higher in the cities of João Pessoa, Campina Grande and Santa Rita, but the mortality rates reached higher levels in Soledade, Guarabira and Sumé. There was a reduction in hospitalizations over the years, however there was an average increase in length of stay, mortality rates and cost of hospitalization. This study allowed a deeper knowledge of the epidemiology of HF in Paraiba State, showing that even with the reduction of hospitalizations, HF remains a clinical syndrome with high mortality rates and high cost.