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Azevedo Lemos D, de Araújo Fonseca LG, Bento Florêncio R, Barbosa de Almeida JA, Dantas Florentino Lima IN, Peroni Gualdi L. Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study. BMJ Open Respir Res 2024; 11:e002103. [PMID: 38387997 PMCID: PMC10882403 DOI: 10.1136/bmjresp-2023-002103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 01/19/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Respiratory diseases (RDs) cause millions of hospitalisations and deaths worldwide, resulting in economic and social impacts. Strategies for health promotion and disease prevention based on the epidemiological profile of the population may reduce hospital costs. AIM To characterise hospitalisations and deaths due to RDs in Brazilian adults above 20 years old between 2008 and 2021. METHODS This ecological study used secondary data of hospitalisations and deaths due to RDs from the Hospital Information System of the Brazilian Unified Health System between 2008 and 2021. Data were grouped according to region, age group and sex. The period was divided into first (2008-2011), second (2012-2015) and third (2016-2019) quadrennia and one biennium (2020-2021), and all data were analysed using the GraphPad Prism; statistical significance was set at p<0.05. RESULTS A total of 9 502 378 hospitalisations due to RDs were registered between 2008 and 2021. The south and southeast regions presented the highest hospitalisation and fatality rate, respectively, in the age group ≥80 years with no significant differences between sexes. Also, RDs caused 1 170 504 deaths, with a national fatality rate of 12.32%. CONCLUSION RDs affected the Brazilian population and impaired the health system, especially the hospital environment. The south/southeast regions were the most affected, and the ageing process contributed to the increased incidence of RDs.
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Affiliation(s)
- Darllane Azevedo Lemos
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Luiza Gabriela de Araújo Fonseca
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Rencio Bento Florêncio
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - José Alexandre Barbosa de Almeida
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Illia Nadinne Dantas Florentino Lima
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Lucien Peroni Gualdi
- Programa de Pós-Graduação em Ciências da Reabilitação/Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
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Weber P, Menezes AMB, Gonçalves H, de Oliveira PD, Wendt A, Perez-Padilla R, Wehrmeister FC. Smoking exposure trajectories and pulmonary function in early adulthood in a Brazilian cohort. Pulmonology 2023:S2531-0437(23)00168-X. [PMID: 37903685 DOI: 10.1016/j.pulmoe.2023.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 08/29/2023] [Accepted: 09/15/2023] [Indexed: 11/01/2023] Open
Abstract
OBJECTIVES To investigate smoking trajectories and their association with pulmonary function (PF) and respiratory symptoms at age 22. METHODS Data from a population-based cohort study of 3350 individuals and their spirometries were analysed. The outcomes were: forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), forced expiratory flow at the mid expiratory phase (FEF25-75 %), FEV1/FVC and FEF25-75/FVC ratio. Smoking data were collected at perinatal follow-up (gestational exposure) and 15, 18 and 22 years. Group-based trajectory model was applied. RESULTS Four groups were identified: no exposure (NE), gestational (GE), gestational and adulthood (GAE) and continuous (CE) exposure. Both CE and GAE trajectories were associated with lower values of FEV1/FVC (-1.77pp; p = 0.01 and -1.58 pp; p<0.001 respectively) and FEF25-75/FVC ratio (-7.27pp; p = 0.019 and -6.04pp; p<0.001 respectively) compared to the NE trajectory. Lower FEV1 and FEF25-75 % values were also related to the GAE trajectory (-68 ml; p = 0.03 and -253 ml/s;p<0.001 respectively). Compared to those who never smoked, individuals who smoked 10 or more cigarettes daily presented a reduction in the FEV1/FVC ratio by 1.37pp (p<0.001), FEF25-75 % by 126 ml (p = 0.012) and FEF25-75 %/FVC ratio by 3.62pp (p = 0.011). CE trajectory showed higher odds of wheezing (OR 4.14; p<0.001) and cough (OR 2.39; p = 0.002) compared to the non-exposed group. CONCLUSIONS The in-uterus exposure to maternal smoking reduces PF later in life. However, the perpetuation of smoking behaviour throughout adolescence and early adulthood is determinant for PF main reduction and the emergence of respiratory-related symptoms.
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Affiliation(s)
- P Weber
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil; Brazilian Company of Hospital Services (EBSERH), Brasilia, Brazil.
| | - A M B Menezes
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - H Gonçalves
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - P D de Oliveira
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil; Brazilian Company of Hospital Services (EBSERH), Brasilia, Brazil
| | - A Wendt
- Graduate Program in Health Technology, Pontifical Catholic University of Parana, Curitiba, Brazil
| | - R Perez-Padilla
- National Institute of Respiratory Diseases (INER), Mexico City, Mexico
| | - F C Wehrmeister
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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Kabbach EZ, Leonardi NT, Siddharthan T, Borghi-Silva A, Alqahtani JS, Hurst JR, Mendes RG. Case-Finding tool for COPD in LMIC (COLA) - translation and cross-cultural adaptation into Brazilian Portuguese language. Rev Saude Publica 2023; 57:63. [PMID: 37878849 PMCID: PMC10519672 DOI: 10.11606/s1518-8787.2023057004904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 11/21/2022] [Indexed: 10/27/2023] Open
Abstract
OBJECTIVE To translate and cross-culturally adapt the COPD in Low- and middle-income countries (LMICs) Assessment (COLA) questionnaire into Brazilian Portuguese, a case-finding instrument for chronic obstructive pulmonary disease (COPD). METHODS Translation and cross-cultural adaptation were completed in six steps: the original version was translated into Brazilian Portuguese by two native speakers of the target language; the translated versions were synthesized; back-translation was performed by two native speakers of the original language; the back-translation and the Brazilian Portuguese version of the COLA were reviewed and harmonized by an expert committee of specialists; and, then, the pre-final version was tested by 30 health professionals who were asked if the items were clear to understand. The acceptability, clarity, and understandability of the translated version were evaluated. A final review of the questionnaire was produced by the authors and approved by the author of the original questionnaire. RESULTS Some idiomatic, semantic, and experiential inconsistencies were identified and properly adjusted. Item 3 was considered the most unclear item (23,3%). Items 7, 8, and 9 presented clarity above 80% (93%, 90%, and 90%, respectively). Suggestions were discussed and incorporated into the tool and COLA was found to be clear and easy to understand. CONCLUSIONS The Brazilian version of the COLA was easily understood by healthcare professionals and adapted to Brazilian culture. Translation and cultural adaptation of the COLA instrument into Brazilian Portuguese can be an important case-finding instrument for chronic obstructive pulmonary disease in Brazil.
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Affiliation(s)
- Erika Zavaglia Kabbach
- Universidade Federal de São CarlosDepartment of Physical TherapySão CarlosSPBrazilUniversidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil
| | - Naiara Tais Leonardi
- Universidade Federal de São CarlosDepartment of Physical TherapySão CarlosSPBrazilUniversidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil
| | - Trishul Siddharthan
- University of MiamiMedicine Miller School of MedicineDivision of Pulmonary, Critical Care and SleepMiamiFLUSAUniversity of Miami, Medicine Miller School of Medicine, Division of Pulmonary, Critical Care and Sleep, Miami, FL, USA
| | - Audrey Borghi-Silva
- Universidade Federal de São CarlosDepartment of Physical TherapySão CarlosSPBrazilUniversidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil
| | - Jaber Saud Alqahtani
- Prince Sultan Military College of Health SciencesDepartment of Respiratory CareDammamSaudi ArabiaPrince Sultan Military College of Health Sciences, Dammam, Department of Respiratory Care, Saudi Arabia
| | - John R Hurst
- University College LondonUCL RespiratoryLondonUKUniversity College London, UCL Respiratory, London, UK
| | - Renata Gonçalves Mendes
- Universidade Federal de São CarlosDepartment of Physical TherapySão CarlosSPBrazilUniversidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil
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Oliveira MSD, Montovani EH, Santana MDFED, Ponce de Leon ACM, Marques MC. Mortality from chronic respiratory disease in Brazil: time trend and forecasts. Rev Saude Publica 2022; 56:52. [PMID: 35703606 PMCID: PMC9239334 DOI: 10.11606/s1518-8787.2022056003672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 07/26/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To analyze the time trend of monthly mortality rates from chronic respiratory diseases in Brazil from 1996 to 2017, with forecasts for 2022, besides analyzing the possibility of achieving the goal of the Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil (Strategic Action Plan to Tackle Chronic Noncommunicable Diseases in Brazil) from 2011 to 2022. METHODS This is an ecological study that uses data from Sistema de Informações sobre Mortalidade (SIM - Mortality Information System), Sistema de Informações Demográficas e Socioeconômicas (Demographic and Socioeconomic Information System) and Pesquisa Nacional por Amostra de Domicílios Contínua (PNAD Contínua - Continuous National Household Sample Survey). We established the age range between 30 and 69 years old and the evolution of the rates over time was made by autoregressive integrated moving average models in R statistical tool. RESULTS Premature mortality rates from chronic respiratory diseases are decreasing in Brazil as a whole, mostly in state capitals. There is also a trend to reach the Ministry of Health's goal in most of the country. For capitals that tend not to reach the goal, there is an association between mortality and social indicators, healthcare network and frequency of smoking. CONCLUSION This study intends to improve planning of the public health system for the control of chronic respiratory diseases.
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Affiliation(s)
- Marcio Sacramento de Oliveira
- Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil
| | - Elisa Hypólito Montovani
- Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil
| | | | | | - Márcio Candeias Marques
- Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Rio de Janeiro, RJ, Brasil
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Bai J, Zhao Y, Yang D, Ma Y, Yu C. Secular trends in chronic respiratory diseases mortality in Brazil, Russia, China, and South Africa: a comparative study across main BRICS countries from 1990 to 2019. BMC Public Health 2022; 22:91. [PMID: 35027030 PMCID: PMC8759233 DOI: 10.1186/s12889-021-12484-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 12/28/2021] [Indexed: 12/23/2022] Open
Abstract
Background As the emerging economies, the BRICS (Brazil, Russia, India, China, and South Africa) shared 61.58% of the global chronic respiratory diseases (CRD) deaths in 2017. This study aimed to assess the secular trends in CRD mortality and explore the effects of age, period, and cohort across main BRICS countries. Methods Data were obtained from the Global Burden of Disease Study (GBD) 2019 and analyzed using the age-period-cohort (APC) model to estimate period and cohort effects between 1990 and 2019. The net drifts, local drifts, longitudinal age curves, period/cohort rate ratios (RRs) were obtained through the APC model. Results In 2019, the CRD deaths across the BRICS were 2.39 (95%UI 1.95 to 2.84) million, accounting for 60.07% of global CRD deaths. Chronic obstructive pulmonary disease (COPD) and asthma remained the leading causes of CRD deaths. The age-standardized mortality rates (ASMR) have declined across the BRICS since 1990, with the most apparent decline in China. Meanwhile, the downward trends in CRD death counts were observed in China and Russia. The overall net drifts per year were obvious in China (-5.89%; -6.06% to -5.71%), and the local drift values were all below zero in all age groups for both sexes. The age effect of CRD presented increase with age, and the period and cohort RRs were following downward trends over time across countries. Similar trends were observed in COPD and asthma. The improvement of CRD mortality was the most obvious in China, especially in period and cohort effects. While South Africa showed the most rapid increase with age across all CRD categories, and the period and cohort effects were flat. Conclusions BRICS accounted for a large proportion of CRD deaths, with China and India alone contributing more than half of the global CRD deaths. However, the declines in ASMR and improvements of period and cohort effects have been observed in both sexes and all age groups across main BRICS countries. China stands out for its remarkable reduction in CRD mortality and its experience may help reduce the burden of CRD in developing countries. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-12484-z.
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Affiliation(s)
- Jianjun Bai
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 185# Donghu Road, 430072, Wuhan, China
| | - Yudi Zhao
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 185# Donghu Road, 430072, Wuhan, China
| | - Donghui Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 185# Donghu Road, 430072, Wuhan, China
| | - Yudiyang Ma
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 185# Donghu Road, 430072, Wuhan, China
| | - Chuanhua Yu
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 185# Donghu Road, 430072, Wuhan, China. .,Global Health Institute, Wuhan University, 185# Donghu Road, 430072, Wuhan, China.
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