Hospitalization and mortality rates by diarrhea in Brazil: 2000-2015
DOI:
https://doi.org/10.15448/1983-652X.2019.2.30022Keywords:
epidemiology, diarrhea, mortality, hospitalization.Abstract
Introduction: Diarrhea is one of the oldest signs described, reaching all age groups, rich and poor, developed and developing countries, but with a significant relation with poverty. It is related to high morbidity and mortality and its management is fundamental to improve social indicators. Objective: The present study proposes to analyze the evolution of hospitalization rates and mortality rates due to diarrhea in Brazil during the years 2000 to 2015. Materials and Methods: A 15-year retrospective and descriptive temporal aggregate study (2000 to 2015) was performed using the mortality and hospital admission rates of diarrhea in the 26 federal states and the Federal District. Data were extracted from DATASUS and IBGE. Results: In the analyzed period, there were more than 3.4 million cases of hospital admissions due to diarrhea and 72 thousand deaths in Brazil. The average hospitalization rate was 112/100 thousand inhabitants (95%CI 100-123). The highest mortality rates were in patients over 80 years old, with 49/100 thousand inhabitants (95%CI 47-52). An improvement in the pediatric indexes was observed over the years, however, it was noticed an increase in mortality and hospitalization in Northeastern states in the elderly population. Conclusion: Brazil presented improvement in hospitalization rates and mortality due to diarrheal disease in a general context, possibly due to the improvement of social infrastructure and hospital treatment. However, care for the elderly population still deserves special attention, especially in the Northeast region. However, investments must still be made to consolidate this scenario.
References
Victora CG. Diarrhea mortality: what can the world learn from Brazil? J Pediatr. 2009;85(1):3-5. https://doi.org/10.2223/jped.1860
Fleisher GR. Approach to diarrhea in children in resource-rich countries. Waltham: UpToDate; 2018.
Vasconcelos MJOB, Rissin A, Figueiroa JN, Lira PIC de, Batista Filho M. Doenças diarreicas e hospitalizações em menores de cinco anos no estado de Pernambuco, Brasil, nos anos de 1997 e 2006. Ciên Saúde Coletiva. 2018;23(3):715-22. https://doi.org/10.1590/1413-81232018233.14872016
Imada KS, de Araújo TS, Muniz PT, Pádua VL. Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon. Rev Saúde Pública. 2016;50:1-11. https://doi.org/10.1590/s1518-8787.2016050006505
LaRocque R, Pietroni M. Approach to the adult with acute diarrhea in resource-limited countries. Waltham: UpToDate; 2018.
Latorre MRDO, Cardoso MRA. Análise de séries temporais em epidemiologia: uma introdução sobre os aspectos metodológicos. Rev Bras Epidemiol. 2001;4(3):145-52. https://doi.org/10.1590/s1415-790x2001000300002
Kale PL, Fernandes C, Nobre FF. Temporal pattern of diarrhea hospitalizations and deaths in children, 1995 to 1998, Brazil. Rev Saude Publica. 2004;38(1):30-7.
Meneguessi GM, Mossri RM, Segatto TCV, Reis PO. Morbimortalidade por doenças diarreicas agudas em crianças menores de 10 anos no Distrito Federal, Brasil, 2003 a 2012. Epidemiol Serv Saúde. 2015;24(4):721-30. https://doi.org/10.5123/s1679-49742015000400014
Agarwal A, Agarwal T. 50 years ago in the journal of pediatrics: comparison of orally absorbable and nonabsorbable antibiotics in Shigellosis: a double-blind study with ampicillin and neomycin. J Pediatr. 2018;196:138.
Instituto Adolfo Lutz; Centro de Vigilância Epidemiológica “Professor Alexandre Vranjac”. Diarréia e rotavírus. Rev Saude Publica. 2004;38(6):844-5. https://doi.org/10.1590/s0034-89102004000600014
Oliveira TCR, Latorre MRDO. Tendências da internação e da mortalidade infantil por diarréia: Brasil, 1995 a 2005. Rev Saúde Pública. 2010;44(1):102-11. https://doi.org/10.1590/s0034-89102010000100011
Marinho F, Passos VM de A, França EB. Novo século, novos desafios: mudança no perfil da carga de doença no Brasil de 1990 a 2010. Epidemiol Serv Saúde. 2016;25(4):713-24. https://doi.org/10.5123/s1679-49742016000400005
Oliveira JSC, Medeiros AM, Castor LG, Carmo RF, Bevilacqua PD. Soluções individuais de abastecimento de água para consumo humano: questões para a vigilância em saúde ambiental. Cad Saúde Coletiva. 2017;25(2):217-24. https://doi.org/10.1590/1414-462x201700020371
Carlos Jr EAC. Saúde e povos indígenas no Brasil: reflexões a partir do I Inquérito Nacional de Saúde e Nutrição Indígena. Cad Saúde Pública. 2014;30(4):855-9. https://doi.org/10.1590/0102-311x00031214
Riddle MS, DuPont HL, Connor BA. ACG Clinical Guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016;111(5):602-22. https://doi.org/10.1038/ajg.2016.126
Bittencourt SA, Leal MC, Santos MO. Hospitalization due of infectious diarrhea in Rio de Janeiro State. Cad Saúde Pública. 2002;18(3):747-54. https://doi.org/10.1590/s0102-311x2002000300018
Brandt KG, Antunes MMC, Silva GAP. Diarreia aguda: manejo baseado em evidências. J Pediatr. 2015;91(6 suppl 1):S36-S43.
Brasil. Ministério da Saúde. DataSUS [Internet]. Brasilia: Departamento de Informática do Sistema Único de Saúde; 2018 [capturado em 22 jul. 2018]. Disponível em: www.datasus.saude.gov.br https://doi.org/10.11606/d.8.2007.tde-05032007-232241
Instituto Brasileiro de Geografia e Estatística. Projeção da população do Brasil e das unidades da federação [Internet]. Rio de Janeiro: IBGE; 2018 [capturado em 22 jul. 2018]. Disponível em: https://www.ibge.gov.br/apps/populacao/projecao/. https://doi.org/10.17143/ciaed/xxiilciaed.2017.00322
Lebrão ML, Jorge MHPM, Laurenti R. II - Morbidade hospitalar por lesões e envenenamentos. Rev Saúde Pública. 1997;31(4 suppl):26-37. https://doi.org/10.1590/s0034-89101997000500003
Gonçalves RF, Sousa IMC de, Tanaka OY, Santos CR dos, Brito- Silva K, Santos LX. Programa Mais Médicos no Nordeste: avaliação das internações por condições sensíveis à Atenção Primária à Saúde. Ciên Saúde Colet. 2016;21(9):2815-24. https://doi.org/10.1590/1413-81232015219.15392016
Bühler HF, Ignotti E, Neves SMAS, Hacon SS. Análise espacial de indicadores integrados de saúde e ambiente para morbimortalidade por diarreia infantil no Brasil, 2010. Cad Saúde Pública. 2014;30(9):1921-34. https://doi.org/10.1590/0102-311x00078013
Laranjeira C, Eiriz R, Santos P. Vacinação contra o rotavírus nos cuidados de saúde primários. Rev Port Med Geral Fam. 2014;30(2):78-82. https://doi.org/10.32385/rpmgf.v30i2.11281
Masukawa MLT, Moriwaki AM, Uchimura NS, Souza EM, Uchimura TT. Intervention analysis of introduction of rotavirus vaccine on hospital admissions rates due to acute diarrhea. Cad Saude Publica. 2014;30(10):2101-11. https://doi.org/10.1590/0102-311x00124713
França EB, Lansky S, Rego MAS, Malta DC, França JS, Teixeira R, Porto D, Almeida MF, Souza MFM , Szwarcwald CL, Mooney M, Naghavil M, Vasconcelos AMN. Principais causas da mortalidade na infância no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doença. Rev Bras Epidemiol. 2017;20(suppl 1):46-60. https://doi.org/10.1590/1980-5497201700050005
Solano JPC, Scazufca M, Menezes PR. Frequência de sintomas no último ano de vida de idosos de baixa renda em São Paulo: estudo transversal com cuidadores informais. Rev Bras Epidemiol. 2011;14(1):75-85. https://doi.org/10.1590/s1415-790x2011000100007
Rufino R, Gracie R, Sena A, Freitas CM, Barcellos C. Surtos de diarreia na região Nordeste do Brasil em 2013, segundo a mídia e sistemas de informação de saúde – Vigilância de situações climáticas de risco e emergências em saúde. Ciên Saúde Coletiva. 2016;21(3):777-88. https://doi.org/10.1590/1413-81232015213.17002015
Jones R, Lydeard S. Irritable bowel syndrome in the general population. BMJ. 1992;304(6819):87-90. https://doi.org/10.1136/bmj.304.6819.87
Santos FS, Santos FCS, Santos LH, Leite AM, Mello DF. Breastfeeding and protection against diarrhea: an integrative review of literature. Einstein (São Paulo). 2015;13(3):435-40. https://doi.org/10.1590/s1679-45082015rw3107
Pinto Junior EP, Silva IT, Vilela ABA, Casotti CA, Pinto FJM, Silva MGC. Dependência funcional e fatores associados em idosos corresidentes. Cad Saúde Coletiva. 2016;24(4):404-12. https://doi.org/10.1590/1414-462x201600040229
Santos M, Almeida A. Polimedicação no idoso. Rev Enf Ref.
;3(2):149-62. https://doi.org/10.12707/riii1011
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Ciência & Saúde implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Ciência & Saúde as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Ciência & Saúde , the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Ciência & Saúde endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
