Deaths related to stroke in the Unified Health System of the Federal District
DOI:
https://doi.org/10.34024/rnc.2025.v33.19125Keywords:
Public Health, Public Health Surveillance, Health Unic System, Hospital internment, StrokeAbstract
Introduction. Stroke is currently the second biggest cause of mortality in Brazil and understanding death resulting from hospitalization can provide answers to the severity of the condition, as well as the quality of the Unified Health System (SUS) in the care of critically ill patients. Objective. Describe hospitalizations with deaths of people who had a stroke, in the SUS, Federal District, as well as related expenses. Method. This is a cross-sectional, non-experimental epidemiological study. Data collection was carried out through the InfoSaúde website, between the months of August and September 2023. “hospitalizations with deaths” and “hospitalizations” were accessed. Results. In the Federal District, 7,632 hospitalizations with ICD I64 were identified, considering all ages. The prevalence was higher in males aged 60 or over. The District Reference Units (URD) had the highest percentage of hospitalizations with deaths, due to the severity of the cases as they are referenced locations. The Hospital de Base do Distrito Federal (HBDF), the main reference, had a total expenditure of R$12,225,196.19 invested in procedures, an increase of R$409,021.78 in 2022 compared to 2018. Conclusion. The number of deaths during hospitalization did not vary too much during the period analyzed, however, expenses increased with stroke treatment, showing the commitment of government officials to improve the quality of treatment, an issue that can be avoidable in tbe most of cases and which generates so many avoidable unnecessary.
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References
Omran AR. The epidemiologic transition: A theory of the Epidemiology of population change. Bull World Health Organ 2005;83:731-57. https://doi.org/10.1111/j.1468-0009.2005.00398.x
Brasil. Ministério da Saúde. Biblioteca Virtual em Saúde. AVC - Acidente Vascular Cerebral (internet). 2015 (Acessado em: 21/10/2023) Disponível em: https://bvsms.saude.gov.br/avc-acidente-vascular-cerebral/#:~:text=%E2%80%93%20perda%20s%C3%BAbita%20da%20fala%20ou,de%20equilíbrio%20ou%20de%20coordenação
Global Burden of Disease (GBD). The Institute For Health Metrics and Evaluation (Internet). 2019 (Acessado em: 10/09/2023). Disponível em: https://www.healthdata.org/research-analysis/health-by-location/profiles/brazil
Organização Pan-Americana da Saúde (OPAS). Doenças cardiovasculares (Internet). (Acessado em: 10/09/2023). Disponível em: https://www.paho.org/pt/topicos/doencas-cardiovasculares
Sociedade Brasileira de Doenças Cerebrovasculares (SBAVC). Números do AVC no Brasil e no mundo (Internet). 2022 (Acessado em: 10/09/2023). Disponível em: https://avc.org.br/sobre-a-sbavc/numeros-do-avc-no-brasil-e-no-mundo/
Moraes MA, Jesus PAP, Muniz LS, Costa GA, Pereira LV, Nascimento LM, et al. Ischemic stroke mortality and time for hospital arrival: analysis of the first 90 days. Rev Esc Enferm USP 2023;57:e20220309. https://doi.org/10.1590/1980-220X-REEUSP-2022-0309en
Sarikaya H, Ferro J, Arnold M. Stroke prevention - Medical and Life style measures. Eur Neurol 2015;73:150-7. https://doi.org/10.1159/000367652
Ministério da Saúde (BR). Biblioteca Virtual em Saúde. Tempo Precioso: Minutos Podem Salvar Vidas - 29/10 - Dia Mundial do AVC (Acidente Vascular Cerebral)(Internet). (Acessado em: 16/09/2023). Disponível em: https://bvsms.saude.gov.br/tempo-precioso-minutos-podem-salvar-vidas-29-10-dia-mundial-do-avc-acidente-vascular-cerebral/
Secretaria de Saúde do Distrito Federal (SESDF). Internações com óbitos (internet). 2023 (Acessado em: 10/09/2023). Disponível em: https://info.saude.df.gov.br/obitosduranteainternacaosalasit/
Secretaria de Saúde do Distrito Federal (SESDF). Internações de pacientes com diagnóstico de doenças cerebrovasculares (Intenet). 2023 (Acessado em: 10/09/2023). Disponível em: https://info.saude.df.gov.br/doencascerebrovascularesinternacoessalasit/
Secretaria de Saúde do Distrito Federal (SESDF). Saúde habilita hospitais como centros de atendimento de urgência em AVC (Internet). 2014 (Acessado em: 20/10/2023). Disponível em: https://www.saude.df.gov.br/web/guest/w/saude-habilita-hospitais-como-centros-de-atendimento-de-urgencia-em-avc
Bensenor IM, Goulart AC, Szwarcwald CL, Vieira MLFP, Malta DC, Lotufo PA, et al. Prevalência de acidente vascular cerebral e de incapacidade associada no Brasil: Pesquisa Nacional de Saúde – 2013. Arq Neuropsiquiatr 2015;73:746-50. https://doi.org/10.1590/0004-282X20150115
Pires SL, Gagliardi RJ, Gorzoni ML. Estudo das freqüências dos principais fatores de risco para acidente vascular cerebral isquêmico em idosos. Arq Neuropsiquiatr 2004;62:844-51. https://doi.org/10.1590/s0004-282x2004000500020
Abreu FG, Goulart AC, Birck MG, Benseñor IM. Stroke at baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a cross-sectional analysis. São Paulo Med J 2018;136:398-406. https://doi.org/10.1590/1516-3180.2018.0129060818
Rothschild JM, Bates DW, Leape LL. Preventable medical injuries in older patients. Arch Intern Med 2000;160:2717-28. https://doi.org/10.1001/archinte.160.18.2717
Secretaria de Saúde do Distrito Federal (SESDF). Um terço dos pacientes recenidos na rede pública de saúde do DF é do Entorno (Internet). 2019 (Acessado em: 16/11/2023). Disponível em: https://www.saude.df.gov.br/web/guest/w/um-terco-dos-pacientes-recebidos-na-rede-publica-de-saude-do-df-e-do-entorno
Lorenzetti J, Trindade LL, Pires DEP, Ramos FRS. Tecnologia, inovação tecnológica e saúde: uma reflexão necessária. Texto Contexto Enferm 2012;21:432-9. https://doi.org/10.1590/s0104-07072012000200023
Souza Jr JL, Teich VD, Dantas AC, Malheiro DT, Oliveira MA, Mello ES, et al. Impacto da pandemia da COVID-19 no volume de atendimentos no pronto atendimento: experiência de um centro de referência no Brasil. Einstein 2021;19:eAO6467. https://doi.org/10.31744/einstein_journal/2021AO6467
Nannoni S, Groot R, Bell S, Markus H. Stroke in COVID-19: A systematic review and meta-analysis. Inter J Stroke 2020;16:137-49. https://doi.org/10.1177/1747493020972922
Brainin M. World Stroke Organization. Cuidados com o avc e a pandemia de covid-19 (Internet). 2020 (Acessado em: 01/10/2023). Disponível em: https://www.world-stroke.org/news-and-blog/news/stroke-care-and-the-covid19-pandemic
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Copyright (c) 2025 Thaís Gontijo Ribeiro, Amanda Santos Silva, Alexandre Silva do Amorim, Débora Ronca Barbosa, Mariana Cecchi Salata

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Accepted 2025-02-12
Published 2025-02-21
