Maicon Henrique Lentsck

Trends in hospitalization due to cardiovascular conditions sensitive to primary health care

OBJECTIVE To analyze the trend in hospitalizations for primary care-sensitive cardiovascular conditions for residents of the state of Paraná, Brazil, from 2000 to 2011. METHODS Ecological, time series study of the rates of hospitalization for cardiovascular diseases in residents aged 35-74 years old by sex, age and main diagnosis for hospitalization. Data from the Hospital Information System of the Unified Health System (SIH-SUS) and polynomial regression models for trend analyses were used. RESULTS Hospitalization rates for cardiovascular conditions decreased during the period (r2 = 0.96; p < 0.001), with similar decreasing patterns for males and females, in all age ranges, although always higher for males. Although hospitalization trends for hypertension, heart failure and cerebrovascular disease decreased, angina remained stable for males and females. CONCLUSION A downward trend in hospital admissions due to primary care-sensitive cardiovascular conditions in the state of Paraná between 2000 and 2011 may have resulted from the expansion of the health network of and the access to primary health attention, as well as other factors that influence this set of diseases, such as improved socioeconomic conditions of the population, organization of primary care services for higher age ranges and women and decrease in risk factors.

Causas de internação hospitalar de idosos residentes em um município do Paraná, uma análise dos últimos 5 anos

The research objective was to describe the profile of hospital morbidity and mortality of elderly residents in Guarapuava/PR, by sex and age in the last five years. Descriptive study with data collected in the database of the Hospital Information System in the period September to December 2010. The four diseases with higher prevalence of hospitalizations were the circulatory, respiratory, digestive and neoplasms, with a total of 7,069, 6,123, 1,931 and 1,676 admissions, respectively. Hospitalizations were higher for females, diseases of the circulatory, respiratory, already in the digestive system diseases and cancer, the prevalence was higher in males. With these data there is a need for new policies, review in hospital care, to offer to this age population with an effective and quality service

CARACTERÍSTICAS DEFINIDORAS E FATORES ASSOCIADOS À OCORRÊNCIA DAS SÍNDROMES HIPERTENSIVAS GESTACIONAIS

Objective: to identify the defining characteristics and related factors of Gestational Hypertensive Syndromes. Method: longitudinal retrospective study performed at a high-risk prenatal health center in a city in the west of Santa Catarina in 2016. The inclusion criteria were singleton pregnancy that did not result in miscarriage of intrauterine fetal death, date of last menstrual period between January and December 2015 and diagnosis of Gestational Hypertensive Syndrome. SPSS software, version 20.0 was used in data analysis. Results: 90 medical records were analyzed, and the defining characteristics of the diagnoses were revealed by high blood pressure and the presence of proteinuria. The related factors were maternal age, weight gain, body mass index, history of hypertensive diseases, number of prenatal consultations and use of antihypertensive medication. Conclusion: the characteristics that more accurately predict the occurrence of the diagnosis investigated and the reduction of the severe forms of the disease were identified.

DECLINE IN HOSPITALIZATION TREND FOR CARDIOVASCULAR DISEASES SENSITIVE TO PRIMARY HEALTHCARE

Objective: was to analyze the trend of hospitalizations for cardiovascular conditions sensitive to primary healthcare from 2000 to 2011. Method: an ecological study of the tendency of hospitalization rates for cardiovascular diseases by residence, aged between 35 and 74 years, according to the main diagnoses of hospitalization, gender and age, with data from the Hospital Information System of the Brazilian National Unified Health System (Sistema de Informações Hospitalares do Sistema Único de Saúde) and using polynomial regression models. Results: an average annual decline of 5.6 per 10,000 inhabitants (r2=0.9; p<0.001) of hospitalization rates by cardiovascular diseases was observed. Decreasing trends for hypertension, heart failure and cerebrovascular diseases were also identified, while hospitalization rates by angina remained stable. The decrease in admission rates due to cardiovascular conditions was similar between both genders, although these rates were higher for men aged 55 to 74 years. Conclusion: the decline in hospitalization rates for primary care-sensitive cardiovascular diseases indicates, in addition to other factors, improved access and quality of primary healthcare actions, especially for residents aged 55-74 years, and also for women whose decline was more pronounced. The health team should implement actions to prevent chronic disease complications, and consequently hospitalizations for men and for angina, in order to eliminate health disparities. DESCRIPTORS: Cardiovascular diseases. Primary health care. Hospitalization. Time series studies. Health services evaluation. TENDÊNCIA DE DECLÍNIO DAS HOSPITALIZAÇÕES POR DOENÇAS CARDIOVASCULARES SENSÍVEIS À ATENÇÃO PRIMÁRIA RESUMO Objetivo: analisar a tendência das internações por condições cardiovasculares sensíveis à atenção primária, de 2000 a 2011. Método: estudo ecológico da tendência das taxas de internação por doenças cardiovasculares, por residência, entre 35 e 74 anos, segundo diagnóstico principal de internação, sexo e idade, com dados do Sistema de Informações Hospitalares do Sistema Único de Saúde e utilização de modelos de regressão polinomial. Resultados: houve declínio médio anual de 5,6 por 10.000 habitantes (r2=0,9; p<0,001) das taxas de internação por doenças cardiovasculares. Tendência descrecente também foi identificada para hipertensão, insuficiência cardíaca e doenças cerebrovasculares, enquanto as taxas de internação por angina permaneceram estáveis. O decréscimo das taxas de internação por condições cardiovasculares foi semelhante entre os sexos, embora esses índices sejam mais elevadas para homens de 55 a 74 anos. Conclusão: o declínio das taxas de internação por doenças cardiovasculares sensíveis à atenção primária indica, além de outros fatores, melhora no acesso e qualidade das ações da atenção primária, principalmente para residentes de 55 a 74 anos, e também para as mulheres cujo declínio foi mais acentuado. A equipe de saúde deve implementar ações de prevenção das complicações das doenças crônicas e, consequentemente, das internações para o sexo masculino e para a angina, para eliminar disparidades de saúde. DESCRITORES: Doenças cardiovasculares. Atenção primária à saúde. Hospitalização. Estudos de séries temporais. Avaliação de serviços de saúde. http://dx.doi.org/10.1590/0104-07072017003170015

Gestational and congenital syphilis: maternal, neonatal characteristics and outcome of cases

Objectives: to describe the occurrence of gestational and congenital syphilis in Guarapuava-PR, according to maternal, neonatal characteristics and outcome of cases. Methods: cross-sectional study, retrospective, held in Guarapuava/PR, with secondary data collected in the laboratory of clinical analyses and information system of Compulsory Notification, collected between October 2015 and August/2016, the variables were described through absolute and relative frequencies. Results: of the 40 newborn (NB) children of pregnant women with syphilis, 30.0% had congenital syphilis. The variables that were associated with were: gestational quarter of positive examination (p=0.008), number of antenatal consultations (p=0.041), gestational risk stratification (p=0.041) and treatment of partner (p<0.001). The variables that were associated with the occurrence of congenital syphilis were: risk classification at birth (p=0.004) and examination VDRL in the peripheral blood of the NB (p=0.004). Conclusions: reinforcing prenatal, with the early capture of the pregnant woman by basic care, expansion of the diagnostic coverage and timely and adequate treatment of the pregnant woman and partner, as a prophylactic measure of a possible reinfection.

Hospitalizações de crianças por condições evitáveis no Estado do Paraná: causas e tendência

Resumo Objetivo Analisar a tendencia das hospitalizacoes por condicoes sensiveis a atencao primaria, segundo principais causas em menores de cinco anos. Metodos Estudo de series temporais do tipo ecologico realizado com dados do Sistema de Informacao Hospitalar do Estado do Parana. A analise ocorreu a partir das taxas de hospitalizacao e de modelos de regressao polinomial segundo idade e causa. Resultados As causas mais frequentes foram pneumonias, gastrenterites, asma, infecao no rim e trato urinario e deficiencias nutricionais. As hospitalizacoes [...]

BIOSSEGURANÇA EM ODONTOLOGIA: UTILIZAÇÃO DE MINI MANUAL COMO ESTRATÉGIA DE EDUCAÇÃO PERMANENTE

Objetivo: iniciar o processo de implementacao da educacao permanente sobre biosseguranca em odontologia. Metodos: trata-se de um estudo descritivo, desenvolvido por meio de projeto aplicativo, junto a profissionais de odontologia do municipio de Guarapuava/PR entre os meses de outubro a dezembro de 2014. A aplicacao se deu em quatro fases: 1) Identificacao dos problemas de biosseguranca durante as visitas da vigilância sanitaria a estabelecimentos odontologicos; 2) Elaboracao do minimanual de biosseguranca em odontologia; 3) Educacao permanente dos profissionais de odontologia; e 4) Avaliacao do interesse dos profissionais pela atividade realizada. Resultados: apos identificar a necessidade de atualizacao dos profissionais de odontologia quanto as normas de biosseguranca, foi elaborado e distribuido o minimanual contendo informacoes sobre o tema, alem de conceitos e normas regulamentadoras. Realizaram-se orientacoes sobre adequacao e cumprimento das normas dos estabelecimentos, e instituido em sua rotina de trabalho a Educacao Permanente em Saude. Conclusoes: O desenvolvimento do PA viabilizou o inicio de um processo de implementacao da educacao permanente e impactou positivamente em uma acao dialogica, desenvolvida a partir das necessidades de atualizacao dos profissionais.

Internaciones por enfermedades cardiovasculares y la cobertura de la estrategia salud de la familia

Objetivo:verificar a correlacao entre taxas de internacao por doencas cardiovasculares sensiveis a atencao primaria e a cobertura da Estrategia Saude da Familia de residentes no estado do Parana, por regionais de saude, no periodo de 2000 a 2011.Metodo:estudo ecologico, desenvolvido a partir de dados do Sistema de Informacoes Hospitalares do Sistema Unico de Saude e do Departamento de Atencao Basica do Ministerio da Saude. Correlacionaram-se as taxas de internacao por doencas cardiovasculares com as coberturas anuais da Estrategia Saude da Familia, utilizando-se os coeficientes de correlacao de Pearson e Spearman.Resultado:houve correlacao negativa e forte no estado do Parana (r=-0,91; p<0,001) e na maioria das regionais de saude, sendo maior na Metropolitana e Toledo (r=-0,93; p<0,001) e Paranagua (r=-0,92; p<0,001).Conclusao:os resultados sugerem que o aumento da cobertura da Estrategia Saude da Familia foi fator importante para a diminuicao das internacoes por condicoes cardiovasculares em residentes no estado do Parana e na maioria das regionais de saude. Outros estudos devem ser realizados para analisar fatores e causas nas regioes do estado onde nao houve correlacao com incremento da Estrategia Saude da Familia.Abstract Objective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011. Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearsons and Spearmans correlation coefficients. Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions. Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

Internações por doenças cardiovasculares e a cobertura da estratégia saúde da família

Objetivo:verificar a correlacao entre taxas de internacao por doencas cardiovasculares sensiveis a atencao primaria e a cobertura da Estrategia Saude da Familia de residentes no estado do Parana, por regionais de saude, no periodo de 2000 a 2011.Metodo:estudo ecologico, desenvolvido a partir de dados do Sistema de Informacoes Hospitalares do Sistema Unico de Saude e do Departamento de Atencao Basica do Ministerio da Saude. Correlacionaram-se as taxas de internacao por doencas cardiovasculares com as coberturas anuais da Estrategia Saude da Familia, utilizando-se os coeficientes de correlacao de Pearson e Spearman.Resultado:houve correlacao negativa e forte no estado do Parana (r=-0,91; p<0,001) e na maioria das regionais de saude, sendo maior na Metropolitana e Toledo (r=-0,93; p<0,001) e Paranagua (r=-0,92; p<0,001).Conclusao:os resultados sugerem que o aumento da cobertura da Estrategia Saude da Familia foi fator importante para a diminuicao das internacoes por condicoes cardiovasculares em residentes no estado do Parana e na maioria das regionais de saude. Outros estudos devem ser realizados para analisar fatores e causas nas regioes do estado onde nao houve correlacao com incremento da Estrategia Saude da Familia.Abstract Objective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011. Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearsons and Spearmans correlation coefficients. Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions. Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

Objetivo:verificar a correlacao entre taxas de internacao por doencas cardiovasculares sensiveis a atencao primaria e a cobertura da Estrategia Saude da Familia de residentes no estado do Parana, por regionais de saude, no periodo de 2000 a 2011.Metodo:estudo ecologico, desenvolvido a partir de dados do Sistema de Informacoes Hospitalares do Sistema Unico de Saude e do Departamento de Atencao Basica do Ministerio da Saude. Correlacionaram-se as taxas de internacao por doencas cardiovasculares com as coberturas anuais da Estrategia Saude da Familia, utilizando-se os coeficientes de correlacao de Pearson e Spearman.Resultado:houve correlacao negativa e forte no estado do Parana (r=-0,91; p<0,001) e na maioria das regionais de saude, sendo maior na Metropolitana e Toledo (r=-0,93; p<0,001) e Paranagua (r=-0,92; p<0,001).Conclusao:os resultados sugerem que o aumento da cobertura da Estrategia Saude da Familia foi fator importante para a diminuicao das internacoes por condicoes cardiovasculares em residentes no estado do Parana e na maioria das regionais de saude. Outros estudos devem ser realizados para analisar fatores e causas nas regioes do estado onde nao houve correlacao com incremento da Estrategia Saude da Familia.Abstract Objective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011. Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearsons and Spearmans correlation coefficients. Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions. Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.