Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study

Detalhes bibliográficos
Autor(a) principal: Moutinho, Mariana
Data de Publicação: 2019
Outros Autores: Simões, Inês, Rodrigues, Sónia, Abreu, Daisy, Silva, Emanuel, Sousa, Paulo, Fernandes, José Fernandes e
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822
Resumo: Introduction: Peripheral arterial disease has an important impact on morbidity/mortality. The objective of this study was to quantify the impact of this disease in Portugal during the last eight years, expressed by the volume of admissions, treatment strategies and associated morbidity and mortality.Material and Methods: We collected data from the Diagnosis Related Group national database on primary diagnosis, procedures codes, demographic variables, a number of risk factors, and mortality of all cases admitted from 2009 to 2016 with a primary diagnosis of peripheral arterial disease coded according to the 9th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-9).Results: In this study, peripheral arterial disease led to 27 684 hospitalisations, which corresponded to 26.7% of all admissions for vascular disease in this period. Approximately 49.9% of patients were admitted to the emergency department. The volume of procedures in patients with claudication decreased over the eight years, unlike patients with critical ischaemia, in which the number of procedures increased.Discussion: Age and the presence of cardiovascular risk factors have been associated with the severity of disease, as observed in our series. Overall hospital mortality varied, being significantly higher in patients with more advanced severity of the disease.Conclusion: Peripheral arterial disease represents an important burden in the overall volume of admissions in Portuguese public hospitals. A large number of patients was admitted in the context of emergency.
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spelling Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year StudyImpacto Global da Doença Arterial Obstrutiva Periférica em Portugal: Estudo num Período de Oito AnosArterial Occlusive Diseases/epidemiologyPeripheral Vascular Diseases/epidemiologyArteriopatias Oclusivas/epidemiologiaDoenças Vasculares Periféricas/epidemiologiaIntroduction: Peripheral arterial disease has an important impact on morbidity/mortality. The objective of this study was to quantify the impact of this disease in Portugal during the last eight years, expressed by the volume of admissions, treatment strategies and associated morbidity and mortality.Material and Methods: We collected data from the Diagnosis Related Group national database on primary diagnosis, procedures codes, demographic variables, a number of risk factors, and mortality of all cases admitted from 2009 to 2016 with a primary diagnosis of peripheral arterial disease coded according to the 9th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-9).Results: In this study, peripheral arterial disease led to 27 684 hospitalisations, which corresponded to 26.7% of all admissions for vascular disease in this period. Approximately 49.9% of patients were admitted to the emergency department. The volume of procedures in patients with claudication decreased over the eight years, unlike patients with critical ischaemia, in which the number of procedures increased.Discussion: Age and the presence of cardiovascular risk factors have been associated with the severity of disease, as observed in our series. Overall hospital mortality varied, being significantly higher in patients with more advanced severity of the disease.Conclusion: Peripheral arterial disease represents an important burden in the overall volume of admissions in Portuguese public hospitals. A large number of patients was admitted in the context of emergency.Introdução: A doença arterial obstrutiva periférica tem um importante impacto a nível de morbi/mortalidade. O objetivo deste trabalho é quantificar o impacto desta doença em Portugal, ao longo dos últimos oito anos, expresso pelo volume de internamento, tratamento e pela morbi-mortalidade respetiva.Material e Métodos: Foram analisados os registos de internamento no Serviço Nacional de Saúde entre 2009 e 2016 da base de dados dos grupos de diagnósticos homogéneos utilizando os códigos 9th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-9) de diagnóstico e procedimentos. Verificámos o número de casos em cada ano por estadio de doença, dados demográficos, fatores de risco, tratamento e morbi-mortalidade.Resultados: No período de estudo a doença arterial periférica conduziu a 27 684 internamentos o que correspondeu a cerca de 26,7 % do total de internamentos por patologia vascular neste período. Cerca de 49,9 % dos doentes foram admitidos em contexto de urgência. Os procedimentos em doentes claudicantes diminuíram ao longo dos oito anos ao contrário dos doentes com isquémia crítica em que os procedimentos aumentaram.Discussão: A idade e a presença de fatores de risco cardiovasculares têm sido associadas à gravidade da doença, tal como na nossa série. A mortalidade hospitalar global varia, sendo mais significativa nos doentes com doença mais avançada.Conclusão: A doença arterial periférica é uma patologia com importante representação no internamento dos hospitais do Serviço Nacional de Saúde. Há ainda um importante volume de doentes admitidos no contexto de urgência o que sugere eventual falta de reconhecimento/referenciação atempada por parte dos cuidados saúde primários, devendo mais esforços ser realizados no sentido de aumentar a interação entre os cuidados de saúde primários e os hospitais terciários.Ordem dos Médicos2019-05-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822oai:ojs.www.actamedicaportuguesa.com:article/10822Acta Médica Portuguesa; Vol. 32 No. 5 (2019): May; 348-354Acta Médica Portuguesa; Vol. 32 N.º 5 (2019): Maio; 348-3541646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/5700https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/10384https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/10972https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/11256Direitos de Autor (c) 2019 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMoutinho, MarianaSimões, InêsRodrigues, SóniaAbreu, DaisySilva, EmanuelSousa, PauloFernandes, José Fernandes e2022-12-20T11:06:05Zoai:ojs.www.actamedicaportuguesa.com:article/10822Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:56.991643Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
Impacto Global da Doença Arterial Obstrutiva Periférica em Portugal: Estudo num Período de Oito Anos
title Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
spellingShingle Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
Moutinho, Mariana
Arterial Occlusive Diseases/epidemiology
Peripheral Vascular Diseases/epidemiology
Arteriopatias Oclusivas/epidemiologia
Doenças Vasculares Periféricas/epidemiologia
title_short Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
title_full Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
title_fullStr Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
title_full_unstemmed Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
title_sort Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight Year Study
author Moutinho, Mariana
author_facet Moutinho, Mariana
Simões, Inês
Rodrigues, Sónia
Abreu, Daisy
Silva, Emanuel
Sousa, Paulo
Fernandes, José Fernandes e
author_role author
author2 Simões, Inês
Rodrigues, Sónia
Abreu, Daisy
Silva, Emanuel
Sousa, Paulo
Fernandes, José Fernandes e
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moutinho, Mariana
Simões, Inês
Rodrigues, Sónia
Abreu, Daisy
Silva, Emanuel
Sousa, Paulo
Fernandes, José Fernandes e
dc.subject.por.fl_str_mv Arterial Occlusive Diseases/epidemiology
Peripheral Vascular Diseases/epidemiology
Arteriopatias Oclusivas/epidemiologia
Doenças Vasculares Periféricas/epidemiologia
topic Arterial Occlusive Diseases/epidemiology
Peripheral Vascular Diseases/epidemiology
Arteriopatias Oclusivas/epidemiologia
Doenças Vasculares Periféricas/epidemiologia
description Introduction: Peripheral arterial disease has an important impact on morbidity/mortality. The objective of this study was to quantify the impact of this disease in Portugal during the last eight years, expressed by the volume of admissions, treatment strategies and associated morbidity and mortality.Material and Methods: We collected data from the Diagnosis Related Group national database on primary diagnosis, procedures codes, demographic variables, a number of risk factors, and mortality of all cases admitted from 2009 to 2016 with a primary diagnosis of peripheral arterial disease coded according to the 9th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-9).Results: In this study, peripheral arterial disease led to 27 684 hospitalisations, which corresponded to 26.7% of all admissions for vascular disease in this period. Approximately 49.9% of patients were admitted to the emergency department. The volume of procedures in patients with claudication decreased over the eight years, unlike patients with critical ischaemia, in which the number of procedures increased.Discussion: Age and the presence of cardiovascular risk factors have been associated with the severity of disease, as observed in our series. Overall hospital mortality varied, being significantly higher in patients with more advanced severity of the disease.Conclusion: Peripheral arterial disease represents an important burden in the overall volume of admissions in Portuguese public hospitals. A large number of patients was admitted in the context of emergency.
publishDate 2019
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/10384
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10822/10972
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 32 No. 5 (2019): May; 348-354
Acta Médica Portuguesa; Vol. 32 N.º 5 (2019): Maio; 348-354
1646-0758
0870-399X
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