Banca de QUALIFICAÇÃO: ERIKA FERNANDES TRITANY

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : ERIKA FERNANDES TRITANY
DATE: 12/12/2025
TIME: 08:00
LOCAL: REMOTO-VIDEOCONFERÊNCIA
TITLE:

ASSESSMENT OF HOSPITAL MORBIDITY FROM CIRCULATORY SYSTEM DISEASES IN BRAZIL: A TIME SERIES STUDY FROM 2008 TO 2024

KEY WORDS:

Hospitalization. Morbidity. Cardiovascular Diseases. Unified Health System. Time Series Studies.

PAGES: 121
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Cardiovascular diseases are the leading cause of mortality and disability in Brazil and worldwide. Among premature deaths from chronic diseases, 38% occurred due to these causes. Social, environmental, behavioral, and metabolic factors influence their risk, requiring expanded care in healthcare networks and various technologies. The study aims to assess the hospital morbidity of circulatory system diseases in Brazil in the time series from 2008 to 2024. This is a time series study using data from the Hospital Information System of the Unified Health System. Hospitalizations under chapter IX of the ICD-10 between 2008 and 2024 were considered. The dependent variables were hospitalizations and costs related to hospitalizations. The independent variables of the study were: length of stay; gender; race; age group (30 to 49 years) and cause of hospitalization (Acute Myocardial Infarction and Stroke). The data were analyzed using the Joinpoint Regression Program to obtain linear regression and temporal analysis of the variables. It was found that the hospitalization rate for circulatory system diseases in Brazil varied from 573.28 hospitalizations per 100,000 inhabitants in 2008 to 623.58 in 2024. The lowest rate was recorded in 2021, at the beginning of the COVID-19 pandemic, with 480.24 hospitalizations per 100,000 inhabitants. Hospitalization costs increased throughout the period in Brazil and its regions. There was a variation of 3,706.36 days of stay per 100,000 inhabitants in 2008, reaching its peak in 2024, with 4,010.22 days of stay per 100,000 inhabitants. The analysis by gender shows similarity with general hospitalizations in the time series; however, the drop in hospitalizations during the pandemic period was more pronounced for females. White race/color followed a downward trend in hospitalizations until 2021, followed by an increase. For brown race/color, the main trend is an increase in hospitalizations, and for black race/color, there are variations in the trend of increase and decrease over time. Hospitalizations for stroke showed an overall upward trend, with a period of decline in Brazil and the north and northeast regions, which includes the early years of the pandemic. Hospitalizations in the 30-49 age group show a marked downward trend until 2021, when they begin to rise. Hospitalizations for acute myocardial infarction increased throughout the period in Brazil and its regions. It can be concluded that there is a trend toward an increase in hospitalizations for these conditions between 2008 and 2024 in Brazil and its regions, as well as in costs and length of stay. The increase in hospitalizations among adults aged 30 to 49 after the pandemic reinforces the need for strategies to promote, prevent, and control diseases, where differences by sex and race highlight inequalities and the importance of improving health records with a focus on regional trends, which highlight the relevance of strengthening integrated health care networks.

COMMITTEE MEMBERS:
Presidente - 1879353 - FABIA BARBOSA DE ANDRADE
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externa à Instituição - ELIANE ROLIM DE HOLANDA - UFPB