Keywords
Avaliação de Serviços de Saúde
Prevalência
Hospitalização
How to Cite
Abstract
Pulmonary Thromboembolism (PTE) is an acute cardiovascular disease that affects about 1 in every 1000 people per year in the United States, being the third most common cause of death in the hospital environment. Thus, the objective of this study was to describe the epidemiological profile of PTE cases in Brazil from January 2015 to December 2019. From the Hospital Information System of the Brazilian Unified Health System (SIH / SUS) data were obtained of all cases of PTE reported in Brazil from 2015 to 2019. During this period, the number of hospitalizations for PTE in Brazil was 42,411, concentrated in the southeastern region (54.7%), however, the region with the highest rate hospital lethality (25.38%) was the northeast. As for sex, the prevalence of hospitalizations and deaths in women is observed, however, in comparison, the hospital lethality rate of men is 1.77% higher. Regarding race, it appears that white is the most affected, especially in women. The correlation between sociodemographic factors and the development of PTE is notorious, since the regions with the lowest Human Development Index (HDI) in Brazil (north and northeast) lead the ranking in terms of hospital lethality. Therefore, it is necessary to implement tools that stimulate the prevention of PTE and its risk factors, aiming to decrease the lethality
rate and incidence of cases in Brazil.
References
Krause IA, Cecília RSAF, Albano AF, Carvalho RRL. Aspectos biofísicos da embolia pulmonar. Rev Interd Pens Cient. 2019 jul-dez; 5(5):596-610. doi: 10.20951/2446-6778
Darze ES, Casqueiro JB, Ciuffo LA, Santos JM, Magalhães IR, Latado AL. Mortalidade por embolia Pulmonar no Brasil entre 1989 e 2010: Disparidades Regionais e por Gênero. Arq Bras Cardiol [Internet]. 2016 jan [citado 2020 jul 22];106(1):4-12. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-
X2016000100004&lng=en&nrm=iso&tlng=en. doi: 10.5935/abc.20160001
Chau KY, Yuen ST, Ng TH, Ng WF. An autopsy study of pulmonary thromboembolism in Hong Kong Chinese.
Pathology [Internet]. 1991 jan [citado 2020 set 10];23(3):181-4. Disponível em: https://www.pathologyjournal.rcpa.edu.au/article/S0031-3025(16)36075-5/pdf. doi: 10.3109/00313029109063562
Gillum RF. Pulmonary embolism and thrombophlebitis in the United States, 1970-1985. Am Heart J [Internet]. 1987 nov [citado 2020 set 10];114(5):1262-
Disponível em: https://www.sciencedirect.com/science/article/abs/pii/0002870387902122?via%3Dihub. doi: 10.1016/0002-8703(87)90212-2
Pulido T, Reyes-Fuentes LF, Beltrán-Gámez M, Rodríguez A, Rosado C,Valle-Zamora K et al. Tratamiento de
tromboembolia pulmonar aguda. Arch Cardiol Mex. 2012 Mar;82(1):48-53.
Terra-Filho M, Menna-Barreto SS, Rocha AT, John AB, Jardim C, Jassinowodolinsky D, et al. Recomendações para o manejo da tromboembolia pulmonar. J Bras Pneumol. 2010 Mar; 1 Supl 36:1-68.
Heit JA, Silverstein MD, Mohr DN, Petterson TM, O’Fallon WM, Melton LJ. Predictors of survival after deep vein
thrombosis and pulmonary embolism: a population-based, cohort study. Arch Intern Med [Internet]. 1999 mar [citado 2020 jul 22];159(5):445-53. Disponível em: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/484966. doi: 10.1001/archinte.159.5.445
Yoo HH, Mendes FG, Alem CE, Fabro AT, Corrente JE, Queluz TT. Clinicopathological findings in pulmonary thromboembolism: a 24-year autopsy study. J Bras Pneumol [Internet]. 2004 set-out [citado 2020 set 10];30(5):426-32. Disponível em: https://www.scielo.br/scielo. php?script=sci_arttext&pid=S1806-
&lng=pt&tlng=pt. doi: 10.1590/S1806-37132004000500005 BEPA 2021;18(208):1-10
Perfil Epidemiológico do Tromboembolismo Pulmonar no Brasil de 2015 a 2019/Jaqueline Pinh eiro da Silva JP et al.
Carson JL, Kelley MA, Duff A, Weg JG, Fulkerson WJ, Palevsky HI, et al. The clinical course of pulmonary embolism. N Engl J Med [Internet]. 1992 mai [citado 2020 jul 22];326:1240-1245. Disponível em: https://www.nejm.org/doi/full/10.1056/NEJM199205073261902. doi: 10.1056/NEJM199205073261902
Stein PD, Beemath A, Matta F, Weg JG, Yusen RD, Hales CA, et al. Clinical characteristics of patients with acute
pulmonary embolism: data from PIOPED II. Am J Med [Internet]. 2007 out [citado 2020 jul 22];120(10):871-9. Disponível em: https://www.amjmed.com/article/S0002-9343(07)00463-9/fulltext. doi: 10.1016/j.amjmed.2007.03.024
Vitoriano PT, Vasconcelos V. Cardiologia para o internato: Uma abordagem prática. Rio de Janeiro: Thieme Revinter Publicações; 2019.
Valente ACM, Silva JF, Rodrigues JPE, Silva MDS, Borges LCM, Coelho MR. Internações e óbitos por embolia
pulmonar no Brasil. In: Anais da 4ª Semana Integrada de Ciências e Tecnologia de Gurupi [Internet]; 2018
out 17-19; Gurupi, Brasil. Tocantins: Secretaria Municipal de Ciência e Tecnologia de Gurupi; 2018 [citado 2020
jul 22]. Disponível em: http://sicteg.com.br/documentos/ANAIS_4a_SICTEG.pdf
Anderson FA Jr, Wheeler HB, Goldberg RJ, Hosmer DW, Patwardhan NA, Jovanovic B, et al. A population-based
perspective of the hospital incidence and case fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med [Internet]. 1991 mai [citado 2020 jul 22];151(5):933-
Disponível em: https://jamanetwork. com/journals/jamainternalmedicine/article-abstract/615052. doi: 10.1001/archinte.1991.00400050081016
Talbot S. Epidemiological features of pulmonary embolism. Br J Clin Pract. 1972 Mai;26(6):257-62.
Stein PD, Huang H, Afzal A, Noor HA. Incidence of acute pulmonary embolism in a general hospital: relation to age, sex, and race. Chest J [Internet]. 1999 out [citado 2020 jul 22];116(4):909-913. Disponível em: https://journal.chestnet. org/article/S0012-3692(15)37138-5/fulltext. doi: 10.1378/chest.116.4.909
Ro A, Kageyama N, Tanifuji T, Fukunaga T. Pulmonary thromboembolism: Overview and update from medico legal aspects. Legal Medicine [Internet]. 2008 mar [citado 2020 jul 22];10(2):57-71. Disponível em: https://
www.sciencedirect.com/science/article/abs/pii/S1344622307001459?via%3Dihub. doi: 10.1016/j.legalmed.2007.09.003
Yakar A, Yakar F, Ziyade N, Yildiz M, Uzun I. Fatal pulmonary thromboembolism. Eur Rev for Med
Pharmacol Sci. 2016 Abr;20(7):1323-6.
Tang Y, Sampson B, Pack S, Shah K, Um SY, Wang D, et al. Ethnic differences in out-of-hospital fatal pulmonary
embolism. Circulation [Internet]. 2011 mai [citado 2020 jul 22];123:2219-2225. Disponível em: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.110.976134. doi: 10.1161/CIRCULATIONAHA.110.976134
Bordoni LS, Cunha NM, Koga TYF, Bordoni PHC. Estudo transversal dos óbitos provocados por tromboembolismo pulmonar necropsiados no Instituto Médico Legal de Belo Horizonte, 2008-2011. Brazilian
Journal of Forensic Sciences, Medical Law and Bioethics [Internet]. 2017 mar [citado 2020 jul 22];6(2):194-209. Disponível em: http://www.ipebj.com.br/forensicjournal/edicoes?volume=6&numero=2&artigo=258. doi: 10.17063/bjfs6(2)y2017194 BEPA 2021;18(208):1-10 página 10 Perfil Epidemiológico do Tromboembolismo Pulmonar no Brasil de 2015 a 2019/Jaqueline Pinheiro da Silva JP et al.
Giuntini C, Di Ricco G, Marini C, Melillo E, Palla A. Pulmonary embolism: epidemiology. Chest J. 1995 Jan;1 Supl 107:3-9.
Horlander KT, Mannino DM, Leeper KV. Pulmonary embolism mortality in the United States, 1979-1998: analysis using multiple-cause mortality data. Arch Intern Med [Internet]. 2003 jul [citado 2020 jul 2];163(14):1711-1717. Disponível em: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/215882. doi: 10.1001/archinte.163.14.1711
Stein PD, Kayali F, Olson RE, Milford CE. Pulmonary thromboembolism in Asians/Pacific Islanders in the
United States: analysis of data from the National Hospital Discharge Survey and the United States Bureau
of the Census. Am J Med [Internet] 2004 abr [citado 2020 jul 22];116(7):435‑42. Disponível em: https://www.amjmed.com/article/S0002-9343(03)00802-7/fulltext. doi: 10.1016/j.amjmed.2003.11.020
Ministério da Saúde (BR). Sistema de Informações Hospitalares (SIH/SUS) [Internet]. 2020 [citado 2020 jul 5].
Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/nipa.def
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Copyright (c) 2021 Jaqueline Pinheiro da Silva, Ranná Barros Souza, Lucas Costa de Oliveira, Letícia de Barros Rocha, Jorge Luís Monteiro Spinelli, Mayra Herminia Simões Hamad Farias do Couto