Publicação
Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study
| Resumo: | OBJECTIVES: Remarkable changes in the epidemiology of abdominal aortic aneurysm (AAA) have occurred in many countries during last few decades, which have also affected Brazilian mortality concurrently. This study aimed to investigate mortality trends related to AAA mortality in Brazil from 2000 to 2016. METHODS: Annual AAA mortality data was extracted from the public databases of the Mortality Information System, and processed by the Multiple Cause Tabulator. RESULTS: In Brazil, 2000 through 2016, AAA occurred in 69,513 overall deaths; in 79.6% as underlying and in 20.4% as an associated cause of death, corresponding to rates respectively of 2.45, 1.95 and 0.50 deaths per 100,000 population; 65.4% male and 34.6% female; 60.6% in the Southeast region. The mean ages at death were 71.141 years overall, and 70.385 years and 72.573 years for men and women, respectively. Ruptured AAA occurred in 64.3% of the deaths where AAA was an underlying cause, and in 18.0% of the deaths where AAA was an associated cause. The standardized rates increased during 2000–2008, followed by a decrease during 2008–2016, resulting in an average annual percent change decline of -0.2 (confidence interval [CI], -0.5 to 0.2) for the entire 2000–2016 period. As associated causes, shock (39.2%), hemorrhages (33.0%), and hypertensive diseases (26.7%) prevailed with ruptured aneurysms, while hypertensive diseases (29.4%) were associated with unruptured aneurysms. A significant seasonal variation, highest during autumn and followed by in winter, was observed in the overall ruptured and unruptured AAA deaths. CONCLUSIONS: This study highlights the need to accurately document epidemiologic trends related to AAA in Brazil. We demonstrate the burden of AAA on mortality in older individuals, and our results may assist with effective planning of mortality prevention and control in patients with AAA. |
|---|---|
| Autores principais: | Santo, Augusto Hasiak |
| Outros Autores: | Puech-Leão, Pedro; Krutman, Mariana |
| Assunto: | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| Ano: | 2021 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871610908667543552 |
|---|---|
| author | Santo, Augusto Hasiak |
| author2 | Puech-Leão, Pedro Krutman, Mariana |
| author2_role | author author |
| author_facet | Santo, Augusto Hasiak Puech-Leão, Pedro Krutman, Mariana |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Santo, Augusto Hasiak\"},{\"Person.name\":\"Puech-Leão, Pedro\"},{\"Person.name\":\"Krutman, Mariana\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Santo, Augusto Hasiak Puech-Leão, Pedro Krutman, Mariana |
| datacite.subjects.subject.fl_str_mv | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| datacite.titles.title.fl_str_mv | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| dc.creator.none.fl_str_mv | Santo, Augusto Hasiak Puech-Leão, Pedro Krutman, Mariana |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://doi.org/10.6061/clinics/2021/e2388 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
| dc.source.none.fl_str_mv | Clinics; v. 76 (2021); e2388 Clinics; Vol. 76 (2021); e2388 Clinics; Vol. 76 (2021); e2388 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
| dc.subject.none.fl_str_mv | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| dc.title.fl_str_mv | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | OBJECTIVES: Remarkable changes in the epidemiology of abdominal aortic aneurysm (AAA) have occurred in many countries during last few decades, which have also affected Brazilian mortality concurrently. This study aimed to investigate mortality trends related to AAA mortality in Brazil from 2000 to 2016. METHODS: Annual AAA mortality data was extracted from the public databases of the Mortality Information System, and processed by the Multiple Cause Tabulator. RESULTS: In Brazil, 2000 through 2016, AAA occurred in 69,513 overall deaths; in 79.6% as underlying and in 20.4% as an associated cause of death, corresponding to rates respectively of 2.45, 1.95 and 0.50 deaths per 100,000 population; 65.4% male and 34.6% female; 60.6% in the Southeast region. The mean ages at death were 71.141 years overall, and 70.385 years and 72.573 years for men and women, respectively. Ruptured AAA occurred in 64.3% of the deaths where AAA was an underlying cause, and in 18.0% of the deaths where AAA was an associated cause. The standardized rates increased during 2000–2008, followed by a decrease during 2008–2016, resulting in an average annual percent change decline of -0.2 (confidence interval [CI], -0.5 to 0.2) for the entire 2000–2016 period. As associated causes, shock (39.2%), hemorrhages (33.0%), and hypertensive diseases (26.7%) prevailed with ruptured aneurysms, while hypertensive diseases (29.4%) were associated with unruptured aneurysms. A significant seasonal variation, highest during autumn and followed by in winter, was observed in the overall ruptured and unruptured AAA deaths. CONCLUSIONS: This study highlights the need to accurately document epidemiologic trends related to AAA in Brazil. We demonstrate the burden of AAA on mortality in older individuals, and our results may assist with effective planning of mortality prevention and control in patients with AAA. |
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| identifier.doi.fl_str_mv | https://doi.org/10.6061/clinics/2021/e2388 |
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| institution | IBICT |
| instname_str | IBICT |
| language | eng |
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| network_name_str | Oasisbr |
| oai_identifier_str | oai:revistas.usp.br:article/191758 |
| organization_str_mv | urn:organizationAcronym:oasisbr |
| person_str_mv | Santo, Augusto Hasiak Puech-Leão, Pedro Krutman, Mariana |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
| repo_facet_str | urn:repositoryAcronym:oasisbr{{{_:::_}}}Oasisbr |
| reponame_str | Oasisbr |
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| spelling | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death studySanto, Augusto HasiakPuech-Leão, PedroKrutman, MarianaAbdominal Aortic AneurysmMortality TrendsCause of DeathSeasonalityCopyright (c) 2021 Clinicsopen accesshttp://purl.org/coar/access_right/c_abf2https://doi.org/10.6061/clinics/2021/e2388DOIhttps://www.revistas.usp.br/clinics/article/view/191758URLHasVersionhttps://www.revistas.usp.br/clinics/article/view/191758/176654URLHasVersionhttps://doi.org/10.6061/clinics/2021/e2388DOI2021-11-09OBJECTIVES: Remarkable changes in the epidemiology of abdominal aortic aneurysm (AAA) have occurred in many countries during last few decades, which have also affected Brazilian mortality concurrently. This study aimed to investigate mortality trends related to AAA mortality in Brazil from 2000 to 2016. METHODS: Annual AAA mortality data was extracted from the public databases of the Mortality Information System, and processed by the Multiple Cause Tabulator. RESULTS: In Brazil, 2000 through 2016, AAA occurred in 69,513 overall deaths; in 79.6% as underlying and in 20.4% as an associated cause of death, corresponding to rates respectively of 2.45, 1.95 and 0.50 deaths per 100,000 population; 65.4% male and 34.6% female; 60.6% in the Southeast region. The mean ages at death were 71.141 years overall, and 70.385 years and 72.573 years for men and women, respectively. Ruptured AAA occurred in 64.3% of the deaths where AAA was an underlying cause, and in 18.0% of the deaths where AAA was an associated cause. The standardized rates increased during 2000–2008, followed by a decrease during 2008–2016, resulting in an average annual percent change decline of -0.2 (confidence interval [CI], -0.5 to 0.2) for the entire 2000–2016 period. As associated causes, shock (39.2%), hemorrhages (33.0%), and hypertensive diseases (26.7%) prevailed with ruptured aneurysms, while hypertensive diseases (29.4%) were associated with unruptured aneurysms. A significant seasonal variation, highest during autumn and followed by in winter, was observed in the overall ruptured and unruptured AAA deaths. CONCLUSIONS: This study highlights the need to accurately document epidemiologic trends related to AAA in Brazil. We demonstrate the burden of AAA on mortality in older individuals, and our results may assist with effective planning of mortality prevention and control in patients with AAA.engapplication/pdfHospital das Clínicas, Faculdade de Medicina, Universidade de São PauloClinics; v. 76 (2021); e2388Clinics; Vol. 76 (2021); e2388Clinics; Vol. 76 (2021); e23881980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study Santo, Augusto Hasiak Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| title | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| title_full | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| title_fullStr | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| title_full_unstemmed | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| title_short | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| title_sort | Trends in abdominal aortic aneurysm-related mortality in Brazil, 2000–2016: a multiple-cause-of-death study |
| topic | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| topic_facet | Abdominal Aortic Aneurysm Mortality Trends Cause of Death Seasonality |
| url | https://doi.org/10.6061/clinics/2021/e2388 |
| visible | 1 |
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