EPIDEMIOLOGICAL ANALYSIS OF MORTALITY CAUSED BY SEPSIS IN RORAIMA STATE FROM 2013 TO 2017

Ano: 2019 | Volume: 3 | Número: Especial

Autores: Mirtes Okawa Essashika do Nascimento, IldsonVinicius Lima de Melo, Jilvando Matos Medeiros, Francisco Israel Freitas de Souza, Yuri Ferreira dos Santo, Áthila Ferreira Bessa

Palavras-chave: sepsis; mortality; epidemiology

Resumo Inglês:

Introduction: Sepsis is defined by the presence of organ dysfunction threatening to life, related to unregulated body's response to an infection. In about half of the individuals, most often affected systems are the cardiovascular and the respiratory. Renal dysfunction occurs in about one third of patients. Immediate interventions decrease mortality and target organ damage by preventing the hypoperfusion and the control of the infectious focus.
Objectives: To analyze the sepsis mortality rates in the state of Roraima from 2013 to 2017.
Methods: this is a descriptive epidemiological analysis of population-based using secondary data obtained through the Hospital Information System of the Unified Health System (SIH/SUS) between the years 2013 and 2017. The variables that supported the research were: number of hospitalizations, mortality and most affected age group.
Results and Discussion: despite the prevalence not be fully known and be underestimated, estimate shows about 17 million sepsis cases annually worldwide. National studies show high mortality rates related to sepsis, although the real number of cases is not known. A prevalence study of a single day held in 230 Brazilian ICUs showed that 30% of ICU beds in Brazil are occupied by patients with sepsis or septic shock. In the state of Roraima, the number of hospitalizations for sepsis increased from 24 cases in 2013 to 154 in 2017, with greater emphasis on geriatric age group. This factor is associated with an important economic impact, considering that sepsis causes expenses that amount to $10,000 per patient, generating significant spent on public health. Mortality rates vary from 30% to 40%, with nearly 200,000 deaths per year in Brazil. On the other hand, Roraima showed a decrease in the mortality rate of sepsis between 2013 and 2017, from 33.33% to 31.82%.
Conclusion: he data in this study showed an increase in the number of hospitalizations for sepsis in the state of Roraima, predominantly in older age groups, above 80 years old, with, however, a reduction in the mortality rate until 2017.