Mortality and Incidence of Hospital Admissions for Stroke among Brazilians Aged 15 to 49 Years between 2008 and 2012

dc.contributor.authorAdami, Fernando
dc.contributor.authorSantos Figueiredo, Francisco Winter dos
dc.contributor.authorPaiva, Laercio da Silva
dc.contributor.authorSa, Thiago Herick de
dc.contributor.authorSousa Santos, Edige Felipe de
dc.contributor.authorMartins, Bruno Luis
dc.contributor.authorValenti, Vitor Engracia [UNESP]
dc.contributor.authorAbreu, Luiz Carlos de
dc.contributor.institutionFac Med ABC
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionFac Leao Sampaio
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-11-26T16:42:22Z
dc.date.available2018-11-26T16:42:22Z
dc.date.issued2016-06-22
dc.description.abstractIntroduction The objective was to analyze rates of stroke-related mortality and incidence of hospital admissions in Brazilians aged 15 to 49 years according to region and age group between 2008 and 2012. Methods Secondary analysis was performed in 2014 using data from the Hospital and Mortality Information Systems and the Brazilian Institute of Geography and Statistics. Stroke was defined by ICD, 10th revision (I60-I64). Crude and standardized mortality (WHO reference) and incidence of hospital admissions per 100,000 inhabitants, stratified by region and age group, were estimated. Absolute and relative frequencies; and linear regression were also used. The software used was Stata 11.0. Results There were 35,005 deaths and 131,344 hospital admissions for stroke in Brazilians aged 15-49 years old between 2008 and 2012. Mortality decreased from 7.54 (95% CI 7.53; 7.54) in 2008 to 6.32 (95% CI 6.31; 6.32) in 2012 (beta = -0.27, p = 0.013, r(2) = 0.90). During the same time, incidence of hospital admissions stabilized: 24.67 (95% CI 24.66; 24.67) in 2008 and 25.11 (95% CI 25.10; 25.11) in 2012 (beta = 0.09, p = 0.692, r(2) = 0.05). There was a reduction in mortality in all Brazilian regions and in the age group between 30 and 49 years. Incidence of hospitalizations decreased in the South, but no significant decrease was observed in any age group. Conclusion We observed a decrease in stroke-related mortality, particularly in individuals over 30 years old, and stability of the incidence of hospitalizations; and also regional variation in stroke-related hospital admission incidence and mortality among Brazilian young adults.en
dc.description.affiliationFac Med ABC, Lab Epidemiol & Anal Dados, Dept Saude Coletividade, Santo Andre, SP, Brazil
dc.description.affiliationFac Med ABC, Lab Delineamento Estudos & Escrita Cient, Dept Saude Coletividade, Santo Andre, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Saude Publ, Dept Epidemiol, BR-01255 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Saude Publ, Dept Nutr, Sao Paulo, SP, Brazil
dc.description.affiliationFac Leao Sampaio, Unidade Saude, Juazeiro De Norte, Ceara, Brazil
dc.description.affiliationUniv Estadual Paulista, Fac Filosofia & Ciencias, Dept Fonoaudiol, Marilia, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Filosofia & Ciencias, Dept Fonoaudiol, Marilia, SP, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2013/08943-1
dc.format.extent10
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0152739
dc.identifier.citationPlos One. San Francisco: Public Library Science, v. 11, n. 6, 10 p., 2016.
dc.identifier.doi10.1371/journal.pone.0152739
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11449/161628
dc.identifier.wosWOS:000378212800002
dc.language.isoeng
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.relation.ispartofsjr1,164
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.titleMortality and Incidence of Hospital Admissions for Stroke among Brazilians Aged 15 to 49 Years between 2008 and 2012en
dc.typeArtigo
dcterms.rightsHolderPublic Library Science
unesp.author.orcid0000-0002-9348-4483[4]
unesp.author.orcid0000-0002-7618-2109[8]

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