Morbimortalidade por diabetes mellitus no Brasil: análise de dados oficiais.

Abstract

Introduction: The Diabetes Mellitus (DM) is a representative disease of the non- communicable diseases group, is a worldwide epidemic and represents a enormous challenge to the health systems in the world. Is a syndrome that includes a heterogeneous group of metabolic disorders. Its most important feature is hyperglycemia, which results of a total or partial deficiency in the production of insulin or defects in the action of the hormone, or both. Objective: To analyze the official information about hospital mortality and morbidity on the Brazilian Health System (SUS) caused DM in Brazil in 2013. Methodology: It is a ecological study, retrospective, descriptive, with a quantitative approach. Secondary data were analyzed regarding the deaths and hospitalizations obtained in the Unified Health System Mortality Information System (SIM-SUS) and Hospital Information System (SIH-SUS), respectively, referring to the DM (main diagnosis CID 10 E10-E14), available in the SUS information technology department (DATASUS). The data were analyzed in Microsoft Office Excel 2007 for the preparation of tables contained absolute and percentage values. Results: Between 2004-2013, 502.418 deaths and 112.391.848 hospitalizations were caused by Diabetes. In the year 2013, of the 58.017 deaths by DM, 55,6% were women, 80% were 60 years old or older, 49,6% were White, 84,8% were of the CID-10 E14 category, 27,8% had 1-3 years of study, 51,6% were single, 38,9% were from the Brazilian southeast. In 2013, of the 140.273 hospitalizations by DM, 55,7% were women, 54,2% were 60 years old or older, 35% were of unknown breed, and 34,4% were from southeast region. Conclusion: the results reinforce the tendencies of other studies conducted in other countries, which show the predominance of older women in the hospitalizations and deaths by DM. The findings show a need for diffusion and consolidation of preventive strategies, articulated intra and intersectoral, to provide more adequate coverage of the population, to reduce hospitalizations and deaths, and the psychosocial and economic impact caused by DM.