巴西静脉血栓塞栓症住院率的时间趋势
Felipe Soares Oliveira Portela1, Nelson Wolosker1,2, Andressa Cristina Sposato Louzada1
1Hospital Israelita Albert Einstein, Department of Vascular Surgery - São Paulo (SP), Brazil.
概括
静脉血栓栓塞 (VTE) 发生率在巴西富裕地区更高,但贫困地区的住院死亡率更高. 这表明,获得医疗保健的差异可能会影响VTE诊断和结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健政策 医疗保健政策
背景情况:
- 静脉血栓栓塞 (VTE) 是一个重大的公共卫生挑战,因为它有预防潜力和高发病率/死亡率.
- 在像巴西这样的大国,了解现实数据对于制定有效的卫生政策至关重要.
- 这项研究解决了巴西公共卫生系统中关于VTE发病率和死亡率的数据需求.
研究的目的:
- 评估静脉血栓栓塞 (VTE) 的发生率和住院死亡率.
- 为了分析巴西公共医院内的VTE数据.
- 为了确定巴西各地VTE结果的区域差异.
主要方法:
- 基于人口的,横截面的,回顾性分析.
- 利用巴西公共卫生系统中为VTE住院的公共数据库.
- 数据涵盖2008年至2022年,检查发病率,死亡率和区域差异.
主要成果:
- 在2008年至2022年期间,有超过70万名VTE入院者被记录在案 (3.02每1万居民/年).
- 东南地区住院率最高 (54.5%).
- 发病率较高的地区是富裕的地区 (东南,南);较高的死亡率是在较贫穷的地区 (北,东北).
结论:
- 巴西富裕地区的VTE录取率最高.
- 在贫困地区 (北部和东北部) 发生的住院死亡比例更高.
- 这种差异可能表明这些地区的医疗保健接入和潜在的诊断不足存在挑战.
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