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Multiple causes of death related to Chagas' disease in Brazil, 1999 to 2007
Francisco Rogerlândio Martins-Melo1, Alberto Novaes Ramos Junior, Carlos Henrique Alencar
1Departamento de Saúde Comunitária, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Insights
Cardiovascular diseases are the primary cause of death in Chagas
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Chagas' disease poses a significant public health challenge in Brazil, necessitating comprehensive data for effective control strategies.
- Understanding the specific causes of mortality is crucial for developing targeted prevention and treatment interventions.
Purpose of the Study:
- To identify and describe the most frequent underlying and associated causes of death in individuals with Chagas' disease in Brazil.
- To analyze mortality data to inform public health policies and clinical management of Chagas' disease.
Main Methods:
- Analysis of national mortality data from Brazil's Ministry of Health, covering approximately 9 million deaths between 1999 and 2007.
- Inclusion of all death certificates mentioning Chagas' disease as an underlying or associated cause of death.
Main Results:
- A total of 53,930 deaths related to Chagas' disease were identified.
- Cardiac complications, including conduction disorders/arrhythmias (41.4%) and heart failure (37.7%), were the leading causes when Chagas' disease was the underlying cause.
- Cerebrovascular disease (13.2%), ischemic heart disease (13.2%), and hypertensive diseases (9.3%) were prominent when Chagas' disease was an associated cause.
Conclusions:
- Cardiovascular diseases are frequently linked to mortality in Chagas' disease patients.
- Utilizing multiple cause-of-death data enhances understanding of Chagas' disease progression.
- This information supports the development of more specific preventive and therapeutic measures.
Introduction:
Chagas' disease is a major public health problem in Brazil and needs extensive and reliable information to support consistent prevention and control actions. This study describes the most common causes of death associated with deaths related to Chagas' disease (underlying or associated cause of death).
Methods:
Mortality data were obtained from the Mortality Information System of the Ministry of Health (approximately 9 million deaths). We analyzed all deaths that occurred in Brazil between 1999 and 2007, where Chagas' disease was mentioned on the death certificate as underlying or associated cause (multiple causes of death).
Results:
There was a total of 53,930 deaths related to Chagas' disease, 44,543 (82.6%) as underlying cause and 9,387 (17.4%) as associated cause. The main diseases and conditions associated with death by Chagas' disease as underlying cause included direct complications of cardiac involvement, such as conduction disorders/arrhythmias (41.4%) and heart failure (37.7%). Cerebrovascular disease (13.2%), ischemic heart disease (13.2%) and hypertensive diseases (9.3%) were the main underlying causes of deaths in which Chagas' disease was identified as an associated cause.
Conclusions:
Cardiovascular diseases were often associated with deaths related to Chagas' disease. Information from multiple causes of death recorded on death certificates allows reconstruction of the natural history of Chagas' disease and suggests preventive and therapeutic potential measures more adequate and specifics.
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