Asthma hospital admission and mortality in mainland Portugal 2000–2007
Internamento e mortalidade intra-hospitalar por asma em Portugal continental (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" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Covas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "L." "apellidos" => "Prates" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Fragoso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Clínica Universitária de Pneumologia da Faculdade de Medicina de Lisboa/ Hospital Universitário de Santa Maria/<span class="elsevierStyleItalic">Lisbon University School of Medicine/Hospital Universitário de Santa Maria Pulmonology Clinic</span>" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Administração Central dos Serviços de Saúde/<span class="elsevierStyleItalic">Health Services Central Aministration</span>" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Internamento e mortalidade intra-hospitalar por asma em Portugal continental (2000–2007)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-07" "fechaAceptado" => "2009-01-30" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160071" "palabras" => array:4 [ 0 => "Bronchial asthma" 1 => "costs" 2 => "hospital admission" 3 => "mortality" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160070" "palabras" => array:4 [ 0 => "Asma bronquica" 1 => "internamento" 2 => "mortalidade" 3 => "custos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0040" 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="spar0045" 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="spar0050" class="elsevierStyleSimplePara elsevierViewall">Mean global hospital stay was 5.94 days, range 2.93 – 9.73 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="spar0055" 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="spar0060" 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>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Para avaliarmos um dos objectivos do Programa Nacional de Controlo da Asma que, no ano 2007, deveria ter uma reducao de 20% nos internamentos de criancas e jovens, decidimos analisar os internamentos hospitalares por asma, ocorridos em Portugal continental no periodo compreendido entre 2000 e 2007.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Utilizando a base de dados da Administracao Central dos Servicos de Saude, avaliamos 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="spar0015" class="elsevierStyleSimplePara elsevierViewall">A taxa media anual global de internamento por asma foi de 30,79 por 100 000 habitantes. A demora media global foi de 5,94 dias, com variacoes entre os 2,93 e os 9,73 dias, de acordo com os varios grupos etarios.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Ao longo destes oito anos observou-se uma tendencia para o decrescimo dos internamentos nas regioes Norte e Lisboa e Vale do Tejo. Faleceram 189 doentes, 25 dos quais com idade igual ou inferior a 40 anos.</p><p id="spar0025" 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 media 0,77 doentes por cada 100 internamentos.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">O custo medio anual ultrapassou os €3,3 milhoes, possibilitando uma estimativa do custo anual da asma, em Portugal, de cerca de €117,5 milhoes.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Conclui-se que, em Portugal, muitos asmaticos nao tem a sua doenca devidamente controlada e que este controlo se pode traduzir numa melhoria da qualidade de vida e reducao dos custos da doenca.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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| 2024 November | 4 | 2 | 6 |
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