Mortality from Circulatory System Diseases and Malformations in Children in the State of Rio de Janeiro

Salim, Thais Rocha; Soares, Gabriel Porto; Klein, Carlos Henrique; Oliveira, Glaucia Maria Moraes de

doi:10.5935/abc.20160069

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Arquivos Brasileiros de Cardiologia

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Original Articles • Arq. Bras. Cardiol. 106 (6) • June 2016 • https://doi.org/10.5935/abc.20160069 copy

Mortality from Circulatory System Diseases and Malformations in Children in the State of Rio de Janeiro

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Background:

The epidemiological profile of mortality in a population is important for the institution of measures to improve health care and reduce mortality

Objective:

To estimate mortality rates and the proportional mortality from cardiovascular diseases and malformations of the circulatory system in children and adolescents.

Methods:

This is a descriptive study of mortality from cardiovascular diseases, malformations of the circulatory system, from all causes, ill-defined causes and external causes in children and adolescents in the state of Rio de Janeiro from 1996 to 2012. Populations were obtained from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and deaths obtained from the Department of Informatics of the Unified Health System (DATASUS)/Ministry of Health.

Results:

There were 115,728 deaths from all causes, 69,757 in males. The annual mortality from cardiovascular diseases was 2.7/100,000 in men and 2.6/100,000 in women. The annual mortality from malformations of the circulatory system was 7.5/100,000 in men and 6.6/100,000 in women. Among the specific causes of circulatory diseases, cardiomyopathies had the highest rates of annual proportional mortality, and from malformations of the circulatory system, it occurred due to unspecified malformations of the circulatory system, at all ages and in both genders.

Conclusion:

Mortality from malformations of the circulatory system was most striking in the first years of life, while cardiovascular diseases were more relevant in adolescents. Low access to prenatal diagnosis or at birth probably prevented the proper treatment of malformations of the circulatory system.

Keywords:
Cardiovascular Defects; Heart Defects, Congenital / mortality; Heart Defects, Congenital / epidemiology; Child Mortality

Causes of death		Male				Female
Causes of death		Age <1	1-4 years	5-11 years	12-17 years	Age <1	1-4 years	5-11 years	12-17 years
Diseases of the circulatory system	Deaths	233	177	174	442	257	187	174	340
	Total PM (%)	0.6	2.9	3.4	2.4	0.8	3.7	4.6	6.2
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII);	0.6	4.4	6.3	13.5	0.9	5.3	7.3	12.2
	Mortality per 100,000	11.4	2.2	1.2	3.4	13.1	2.4	1.2	2.6
Malformations of the circulatory system	Deaths	2,385	283	95	74	2,038	259	102	51
	Total PM (%)	5.9	4.6	1.9	0.4	6.4	5.2	2.7	0.9
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII);	6.4	7.0	3.5	2.3	6.9	7.3	4.3	1.8
	Mortality per 100,000	116.3	3.5	0.6	0.6	104.0	3.3	0.7	0.4
All causes	Deaths	40,223	6,207	5,144	18,183	31,725	5,020	3,755	5,471
All causes	Mortality per 100,000	1962.1	76.2	35.0	138.3	1619.1	63.8	26.4	42.1

Causes of death		Male				Female
Causes of death		Age <1 year	1-4 years	5-11 years	12-17 years	Age <1 year	1-4 years	5-11 years	12-17 years
Ill-defined	Deaths	1,607	709	296	816	1.248	506	282	488
Ill-defined	PM (%)	4.0	11.4	5.8	4.5	3.9	10.1	7.5	8.9
Transportation accidents	Deaths	70	272	861	1,746	50	211	485	685
Transportation accidents	PM (%)	0.2	4.4	16.7	9.6	0.2	4.2	12.9	12.5
Other accidental traumas	Deaths	996	901	872	1,526	740	546	421	353
Other accidental traumas	PM (%)	2.5	14.5	17.0	8.4	2.3	10.9	11.2	6.5
External non-accidental causes	Deaths	215	264	372	10,811	154	214	192	1,154
External non-accidental causes	PM (%)	0.5	4.3	7.2	59.5	0.5	4.3	5.1	21.1
All causes	Deaths	40,223	6,207	5,144	18,183	31,725	5,020	3,755	5,.471
All causes	PM (%)	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0

Causes of death		Male				Female
Causes of death		1996-1999	2000-2004	2005-2009	2010-2012	1996-1999	2000-2004	2005-2009	2010-2012
Diseases of the circulatory system	Deaths	53	51	77	41	57	69	71	43
	Total PM (%)	0.4	0.5	0.9	0.8	0.5	0.9	1.0	1.1
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII);	0.4	0.6	0.9	0.9	0.6	1.0	1.1	1.2
	Mortality per 100,000 LB	9.7	8.3	13.8	12.2	11.0	11.8	13.3	13.4
Malformations of the circulatory system	Deaths	630	572	645	394	551	517	511	318
	Total PM (%)	4.5	5.8	7.1	7.8	5.1	6.6	7.1	7.8
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII);	4.9	6.2	7.6	8.5	5.5	7.1	7.6	8.5
	Mortality per 100,000 LB	115.7	93.6	115.7	116.9	106.1	88.4	95.8	98.8
All causes	Deaths	13,965	9,915	9,065	5,071	10,839	7,823	7,247	4,072
All causes	Mortality per 100,000 LB	2,563.9	1,622.4	1,626.7	1,504.9	2,087.1	1,337.9	1,358.1	1,265.5

Causes of death		Male				Female
Causes of death		1996-1999	2000-2004	2005-2009	2010-2012	1996-1999	2000-2004	2005-2009	2010-2012
Diseases of the circulatory system	Deaths	49	41	52	26	66	35	46	30
	Total PM (%)	2.5	2.7	3.5	2.9	4.0	2.9	3.9	4.5
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII); PM: prorpotional mortality.	3.8	4.2	5.3	4.4	5.6	4.3	5.2	6.2
	Mortality per 100,000	2.7	1.6	2.1	2.2	3.7	1.4	1.9	2.6
Malformations of the circulatory system	Deaths	79	77	80	27	80	64	73	32
	Total PM (%)	4.0	5.1	5.4	3.1	4.8	5.3	6.1	4.8
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII); PM: prorpotional mortality.	6.2	7.9	8.1	4.6	6.8	7.8	8.3	6.7
	Mortality per 100,000	4.3	3.0	3.2	2.2	4.5	2.6	3.0	2.7
All causes	Deaths	1,996	1,519	1,477	884	1,669	1,218	1,192	671
All causes	Mortality per 100,000	107.9	59.5	58.2	73.4	92.8	49.4	48.9	57.3

Causes of death		Male				Female
Causes of death		1996-1999	2000-2004	2005-2009	2010-2012	1996-1999	2000-2004	2005-2009	2010-2012
Diseases of the circulatory system	Deaths	41	35	60	27	48	39	50	26
	Total PM (%)	2.8	2.9	4.3	3.4	4.7	4.7	4.7	4.2
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII). PM: prorpotional mortality.	5.9	5.7	7.2	5.9	8.0	7.5	7.0	6.6
	Mortality per 100,000	1.2	0.8	1.3	1.1	1.5	0.9	1.1	1.1
Malformations of the circulatory system	Deaths	26	23	29	12	30	25	25	15
	Total PM (%)	1.8	1.9	2.1	1.5	2.9	3.0	2.3	2.4
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII). PM: prorpotional mortality.	3.8	3.7	3.5	2.6	5.0	4.8	3.5	3.8
	Mortality per 100,000	0.8	0.5	0.6	0.5	0.9	0.6	0.6	0.6
All causes	Deaths	1,448	1,215	1,405	805	1,030	828	1,071	619
All causes	Mortality per 100,000	43.5	27.9	30.8	32.6	32.0	19.6	24.3	25.9

Causes of death		Male				Female
Causes of death		1996-1999	2000-2004	2005-2009	2010-2012	1996-1999	2000-2004	2005-2009	2010-2012
Diseases of the circulatory system	Deaths	114	97	140	69	128	65	89	43
	Total PM (%)	2.4	2.2	2.6	2.7	8.1	5.1	6.3	4.6
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII). PM: prorpotional mortality.	13.1	14.3	14.9	11.1	16.6	11.1	11.6	8.2
	Mortality per 100,000	3.7	2.5	3.7	2.9	4.1	1.7	2.4	1.8
Malformations of the circulatory system	Deaths	18	19	20	14	12	14	11	10
	Total PM (%)	0.4	0.4	0.4	0.6	0.8	1.1	0.8	1.1
	Endogenous PM (%)^* * Excluding the ill-defined and external causes (ICD-10 chapters XVIII to XXII). PM: prorpotional mortality.	2.1	2.8	2.1	2.3	1.6	2.4	1.4	1.9
	Mortality per 100,000	0.6	0.5	0.5	0.6	0.4	0.4	0.3	0.4
All causes	Deaths	4.849	4.389	5.354	2.520	1.587	1.268	1.418	926
All causes	Mortality per 100,000	155.6	115.1	139.6	105.9	51.0	33.5	37.6	39.7

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