Increased hospitalizations for decompensated heart failure and acute myocardial infarction during mild winters: A seven-year experience in the public health system of the largest city in Latin America

Imagem de Miniatura
Arquivos
art_LEVIN_Increased_hospitalizations_for_decompensated_heart_failure_and_acute_2018.PDF (753.93 KB)
Citações na Scopus
18
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PUBLIC LIBRARY SCIENCE
Autores
LEVIN, Renato Kawahisa
KATZ, Marcelo
CAIXETA, Adriano
FRANKEN, Marcelo
PEREIRA, Carolina
COSLOVSKY, Salo V.
PESARO, Antonio E.
Citação
PLOS ONE, v.13, n.1, article ID e0190733, 10p, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background In high-income temperate countries, the number of hospitalizations for heart failure (HF) and acute myocardial infarction (AMI) increases during the winter. This finding has not been fully investigated in low-and middle-income countries with tropical and subtropical climates. We investigated the seasonality of hospitalizations for HF and AMI in Sao Paulo (Brazil), the largest city in Latin America. Methods This was a retrospective study using data for 76,474 hospitalizations for HF and 54,561 hospitalizations for AMI obtained from public hospitals, from January 2008 to April 2015. The average number of hospitalizations for HF and AMI per month during winter was compared to each of the other seasons. The autoregressive integrated moving average (ARIMA) model was used to test the association between temperature and hospitalization rates. Findings The highest average number of hospital admissions for HF and AMI per month occurred during winter, with an increase of up to 30% for HF and 16% for AMI when compared to summer, the season with lowest figures for both diseases (respectively, HF: 996 vs. 767 per month, p<0.001; and AMI: 678 vs. 586 per month, p<0.001). Monthly average temperatures were moderately lower during winter than other seasons and they were not associated with hospitalizations for HF and AMI. Interpretation The winter season was associated with a greater number of hospitalizations for both HF and AMI. This increase was not associated with seasonal oscillations in temperature, which were modest. Our study suggests that the prevention of cardiovascular disease decompensation should be emphasized during winter even in low to middle-income countries with tropical and subtropical climates.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/29586
Referências
  1. Albuquerque DC, 2015, ARQ BRAS CARDIOL, V104, P433, DOI 10.5935/ABC.20150031
  2. Barnes M, 2015, HEART, V101, P1738, DOI 10.1136/heartjnl-2015-307691
  3. Boulay F, 1999, CIRCULATION, V100, P280, DOI 10.1161/01.CIR.100.3.280
  4. Box GEP, 1976, TIME SERIES ANAL FOR
  5. Brasil. Ministerio da Saude, DAT INF SAUD MORB IN
  6. Brasil. Ministerio do Planejamento Orcamento e Instituto Brasileiro de Geografia e Estatistica, 2013, PESQ NAC AM DOM AC U
  7. Campos AM, 2016, BBA CLIN, V6, P108, DOI 10.1016/j.bbacli.2016.09.001
  8. CETESB-SP, 2013, EM VEIC EST SAO PAUL
  9. CETESB-SP, COMP TECN SAN AMB RE
  10. Diaz Alejandro, 2007, Congest Heart Fail, V13, P263, DOI 10.1111/j.1527-5299.2007.07124.x
  11. Fares Auda, 2013, N Am J Med Sci, V5, P266, DOI 10.4103/1947-2714.110430
  12. Gallerani M, 2011, CLIN CARDIOL, V34, P389, DOI 10.1002/clc.20895
  13. Gasparrini A, 2015, LANCET, V386, P369, DOI 10.1016/S0140-6736(14)62114-0
  14. Godoy HL, 2011, ARQ BRAS CARDIOL, V97, P402, DOI 10.1590/S0066-782X2011005000096
  15. Goggins WB, 2017, INT J CARDIOL, V228, P537, DOI 10.1016/j.ijcard.2016.11.106
  16. Goggins WB, 2013, INT J CARDIOL, V168, P243, DOI 10.1016/j.ijcard.2012.09.087
  17. Healy JD, 2003, J EPIDEMIOL COMMUN H, V57, P784, DOI 10.1136/jech.57.10.784
  18. Khan RC, 2014, BMC CARDIOVASC DISOR, V14, DOI 10.1186/1471-2261-14-76
  19. Loughnan ME, 2008, INT J HEALTH GEOGR, V7, DOI 10.1186/1476-072X-7-42
  20. Lozano R, 2012, LANCET, V380, P2095, DOI 10.1016/S0140-6736(12)61728-0
  21. Qiu H, 2013, CIRC-HEART FAIL, V6, P930, DOI 10.1161/CIRCHEARTFAILURE.113.000360
  22. Rivero A, 2015, MEDICC REV, V17, P14
  23. Rodriguez-Garcia JL, 1999, INT J CARDIOL, V70, P293, DOI 10.1016/S0167-5273(99)00095-9
  24. SALDIVA PHN, 1995, ARCH ENVIRON HEALTH, V50, P159, DOI 10.1080/00039896.1995.9940893
  25. Sanchez-Ccoyllo OR, 2002, ENVIRON POLLUT, V116, P257, DOI 10.1016/S0269-7491(01)00129-4
  26. Shah ASV, 2013, LANCET, V382, P1039, DOI 10.1016/S0140-6736(13)60898-3
  27. Sharovsky Rodolfo, 2002, Arq. Bras. Cardiol., V78, P106, DOI 10.1590/S0066-782X2002000100009
  28. Spencer FA, 1998, J AM COLL CARDIOL, V31, P1226, DOI 10.1016/S0735-1097(98)00098-9
  29. Stewart S, 2002, J AM COLL CARDIOL, V39, P760, DOI 10.1016/S0735-1097(02)01685-6
  30. WESTHEIM A, 1992, CLIN PHYSIOL, V12, P95, DOI 10.1111/j.1475-097X.1992.tb00296.x
  31. World Health Organization, INT CLASS DIS
  32. Yeh C J, 1996, Chin J Physiol, V39, P111

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/05
Artigos e Materiais de Revistas Científicas - ODS/03