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Mortality from Circulatory System Diseases and Malformations in Children in the State of Rio de Janeiro
Thais Rocha Salim1, Gabriel Porto Soares1, Carlos Henrique Klein2
1Pós-Graduação em Cardiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Insights
Cardiovascular diseases and circulatory malformations significantly impact child and adolescent mortality in Rio de Janeiro. Malformations were highest in infants, while cardiovascular diseases affected adolescents more, suggesting potential diagnostic and treatment gaps.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Background:
- Understanding child and adolescent mortality patterns is crucial for public health interventions.
- Cardiovascular diseases and circulatory malformations represent significant causes of death in younger populations.
Purpose of the Study:
- To estimate mortality rates and proportional mortality from cardiovascular diseases and circulatory malformations in children and adolescents.
- To analyze trends in mortality from all causes, ill-defined, and external causes within this demographic.
Main Methods:
- A descriptive study analyzing mortality data in Rio de Janeiro from 1996 to 2012.
- Utilized population data from the Brazilian Institute of Geography and Statistics (IBGE) and death data from DATASUS/Ministry of Health.
Main Results:
- Total deaths: 115,728 (69,757 males).
- Annual mortality rates per 100,000: Cardiovascular diseases (2.7 men, 2.6 women), Circulatory malformations (7.5 men, 6.6 women).
- Cardiomyopathies were the leading specific cardiovascular cause; unspecified malformations predominated among circulatory defects.
Conclusions:
- Circulatory malformations were most prominent in early life, whereas cardiovascular diseases were more significant in adolescents.
- Limited access to prenatal or neonatal diagnosis may hinder effective treatment for circulatory malformations.
Background:
The epidemiological profile of mortality in a population is important for the institution of measures to improve health care and reduce mortality Objective: To estimate mortality rates and the proportional mortality from cardiovascular diseases and malformations of the circulatory system in children and adolescents.
Methods:
This is a descriptive study of mortality from cardiovascular diseases, malformations of the circulatory system, from all causes, ill-defined causes and external causes in children and adolescents in the state of Rio de Janeiro from 1996 to 2012. Populations were obtained from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and deaths obtained from the Department of Informatics of the Unified Health System (DATASUS)/Ministry of Health.
Results:
There were 115,728 deaths from all causes, 69,757 in males. The annual mortality from cardiovascular diseases was 2.7/100,000 in men and 2.6/100,000 in women. The annual mortality from malformations of the circulatory system was 7.5/100,000 in men and 6.6/100,000 in women. Among the specific causes of circulatory diseases, cardiomyopathies had the highest rates of annual proportional mortality, and from malformations of the circulatory system, it occurred due to unspecified malformations of the circulatory system, at all ages and in both genders.
Conclusion:
Mortality from malformations of the circulatory system was most striking in the first years of life, while cardiovascular diseases were more relevant in adolescents. Low access to prenatal diagnosis or at birth probably prevented the proper treatment of malformations of the circulatory system.
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