Artigo Original/Original Article
Internamento e mortalidade intra-hospitalar por asma em Portugal continental (2000-2007)
Asthma hospital admission and mortality in mainland Portugal 2000-2007
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Bugalho de Almeida, A. Covas, L. Prates, E. Fragoso" "autores" => array:4 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Bugalho de Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Covas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "L." "apellidos" => "Prates" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Fragoso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Clínica Universitária de Pneumologia da Faculdade de Medicina de Lisboa/ Hospital Universitário de Santa Maria/Lisbon University School of Medicine/Hospital Universitário de Santa Maria Pulmonology Clinic" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Administração Central dos Serviços de Saúde/Health Services Central Aministration" "etiqueta" => "2" "identificador" => "af0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Asthma hospital admission and mortality in mainland Portugal 2000-2007" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-07" "fechaAceptado" => "2009-01-30" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570250" "palabras" => array:4 [ 0 => "Asma brônquica" 1 => "internamento" 2 => "mortalidade" 3 => "custos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570251" "palabras" => array:4 [ 0 => "Bronchial asthma" 1 => "costs" 2 => "hospital admission" 3 => "mortality" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Para avaliarmos um dos objectivos do Programa Nacional de Controlo da Asma que, no ano 2007, deveria ter uma redução de 20% nos internamentos de crianças e jovens, decidimos analisar os internamentos hospitalares por asma, ocorridos em Portugal continental no período compreendido entre 2000 e 2007.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Utilizando a base de dados da Administração Central dos Serviços de Saúde, avaliámos 24 271 internamentos, tendo-se verificado que 48,7% dos doentes tinham menos de 19 anos e 61,8% tinham 40 ou menos.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">A taxa média anual global de internamento por asma foi de 30,79 por 100 000 habitantes.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">A demora média global foi de 5,94 dias, com varia-ções entre os 2,93 e os 9,73 dias, de acordo com os vários grupos etários.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Ao longo destes oito anos observou-se uma tendência para o decréscimo dos internamentos nas regiões Norte e Lisboa e Vale do Tejo.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Faleceram 189 doentes, 25 dos quais com idade igual ou inferior a 40 anos.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">As taxas de mortalidade variaram entre os 0,162 em 2002 e os 0,324 por 100 000 habitantes em 2005, tendo falecido em média 0,77 doentes por cada 100 internamentos.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">O custo médio anual ultrapassou os €3,3 milhões, possibilitando uma estimativa do custo anual da asma, em Portugal, de cerca de €117,5 milhões.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Conclui-se que, em Portugal, muitos asmáticos não têm a sua doença devidamente controlada e que este controlo se pode traduzir numa melhoria da qualidade de vida e redução dos custos da doença.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 367-383</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall">We conducted a review of asthma hospital admissions in mainland Portugal 2000-2007 to evaluate if one of the aims of the National Asthma Control Programme, a 20% reduction in hospital admissions in children and adolescents in 2007, had been achieved.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall">Using the Health Services Central Administration data base we reviewed 24271 admissions and saw that 48.7% of patients admitted were aged under 19 years old and that 61.8% were aged 40 years old or under. Mean global annual asthma hospital admission rate was 30.79 per 100 000 inhabitants.</p><p id="sp0065" class="elsevierStyleSimplePara elsevierViewall">Mean global hospital stay was 5.94<span class="elsevierStyleHsp" style=""></span>days, range 2.93 - 9.73<span class="elsevierStyleHsp" style=""></span>days, depending on the age group. We saw a drop in admission in both the northern and the Lisbon and Tagus Valley regions over the 8 year period. 189 patients died, 25 of who were aged 40 years old or under.</p><p id="sp0070" class="elsevierStyleSimplePara elsevierViewall">The mortality rate ranged from 0.162 in 2002 to 0.324 per 100 000 inhabitants in 2005, with a mean patient death of 0.77 patients per 100 admissions. Mean annual costs were in excess of €3.3 million, meaning an estimated annual financial asthma burden of around €117.5 million in Portugal.</p><p id="sp0075" class="elsevierStyleSimplePara elsevierViewall">We concluded that many asthma sufferers in Portugal do have sufficient disease controlled. Improved management would equal better quality of life and reduced disease costs.</p><p id="sp0080" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 367-383</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Viskum" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.05.00099204" "Revista" => array:5 [ "tituloSerie" => "Eur Respir J" "fecha" => "2005" "volumen" => "25" "paginaInicial" => "891" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15863648" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bb0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality in asthmatics over 15<span class="elsevierStyleHsp" style=""></span>yrs: a dynamic cohort study from 1983-1998" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C.K. Connolly" 1 => "S.M. Alcock" 2 => "R.J. 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Cerveri" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2007.01523.x" "Revista" => array:5 [ "tituloSerie" => "Allergy" "fecha" => "2008" "volumen" => "63" "paginaInicial" => "116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18053021" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001500000003/v1_201509151500/S0873215915301410/v1_201509151500/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000003/v1_201509151500/S0873215915301410/v1_201509151500/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301410?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
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| 2024 November | 7 | 1 | 8 |
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| 2023 October | 14 | 39 | 53 |
| 2023 September | 30 | 30 | 60 |
| 2023 August | 13 | 19 | 32 |
| 2023 July | 24 | 33 | 57 |
| 2023 June | 19 | 17 | 36 |
| 2023 May | 23 | 20 | 43 |
| 2023 April | 23 | 15 | 38 |
| 2023 March | 21 | 27 | 48 |
| 2023 February | 12 | 18 | 30 |
| 2023 January | 25 | 15 | 40 |
| 2022 December | 19 | 24 | 43 |
| 2022 November | 38 | 28 | 66 |
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| 2022 May | 35 | 36 | 71 |
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| 2022 January | 23 | 38 | 61 |
| 2021 December | 31 | 33 | 64 |
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| 2021 August | 14 | 17 | 31 |
| 2021 July | 27 | 25 | 52 |
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| 2021 April | 53 | 64 | 117 |
| 2021 March | 40 | 15 | 55 |
| 2021 February | 28 | 10 | 38 |
| 2021 January | 27 | 24 | 51 |
| 2020 December | 19 | 7 | 26 |
| 2020 November | 49 | 19 | 68 |
| 2020 October | 20 | 20 | 40 |
| 2020 September | 59 | 15 | 74 |
| 2020 August | 54 | 24 | 78 |
| 2020 July | 68 | 14 | 82 |
| 2020 June | 45 | 18 | 63 |
| 2020 May | 59 | 17 | 76 |
| 2020 April | 57 | 13 | 70 |
| 2020 March | 53 | 10 | 63 |
| 2020 February | 41 | 19 | 60 |
| 2020 January | 46 | 21 | 67 |
| 2019 December | 42 | 25 | 67 |
| 2019 November | 61 | 16 | 77 |
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| 2019 September | 37 | 16 | 53 |
| 2019 August | 51 | 21 | 72 |
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| 2019 June | 24 | 13 | 37 |
| 2019 May | 30 | 23 | 53 |
| 2019 April | 37 | 22 | 59 |
| 2019 March | 49 | 16 | 65 |
| 2019 February | 40 | 12 | 52 |
| 2019 January | 23 | 18 | 41 |
| 2018 December | 30 | 8 | 38 |
| 2018 November | 3 | 0 | 3 |
| 2018 October | 4 | 10 | 14 |
| 2018 September | 9 | 8 | 17 |
| 2018 August | 47 | 17 | 64 |
| 2018 July | 34 | 24 | 58 |
| 2018 June | 48 | 13 | 61 |
| 2018 May | 38 | 17 | 55 |
| 2018 April | 40 | 26 | 66 |
| 2018 March | 36 | 26 | 62 |
| 2018 February | 26 | 9 | 35 |
| 2018 January | 15 | 13 | 28 |
| 2017 December | 19 | 16 | 35 |
| 2017 November | 27 | 24 | 51 |
| 2017 October | 25 | 16 | 41 |
| 2017 September | 21 | 8 | 29 |
| 2017 August | 18 | 7 | 25 |
| 2017 July | 16 | 6 | 22 |
| 2017 June | 22 | 19 | 41 |
| 2017 May | 37 | 15 | 52 |
| 2017 April | 12 | 5 | 17 |
| 2017 March | 20 | 7 | 27 |
| 2017 February | 17 | 3 | 20 |
| 2017 January | 9 | 3 | 12 |
| 2016 December | 12 | 2 | 14 |
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| 2016 October | 14 | 6 | 20 |
| 2016 September | 0 | 10 | 10 |
| 2016 August | 3 | 2 | 5 |
| 2016 July | 3 | 1 | 4 |
| 2016 June | 3 | 1 | 4 |
| 2016 May | 0 | 10 | 10 |
| 2016 April | 1 | 8 | 9 |
| 2016 March | 2 | 6 | 8 |
| 2016 February | 6 | 8 | 14 |
| 2016 January | 3 | 4 | 7 |
| 2015 December | 8 | 8 | 16 |
| 2015 November | 5 | 2 | 7 |
| 2015 October | 3 | 3 | 6 |
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