UPPER GASTROINTESTINAL BLEEDING IN BRAZIL: EPIDEMIOLOGICAL ANALYSIS AND IMPACTS ON PUBLIC HEALTH
DOI:
https://doi.org/10.56238/bocav24n73-020Keywords:
Gastrointestinal Bleeding, Epidemiology, Hospitalization, Mortality, Public HealthAbstract
Upper gastrointestinal bleeding (UGIB) is one of the main gastrointestinal emergencies, with significant clinical and economic impact on the healthcare system. This study analyzed the epidemiology of UGIB in Brazil between 2014 and 2024, using data from the SUS Hospital Information System. Demographic, regional, and mortality variables were evaluated. The results showed a higher prevalence of hospitalizations in male and elderly patients, as well as regional heterogeneity, with concentrations in the Southeast and Northeast. A downward trend in hospitalization rates was observed over the period, while hospital mortality remained stable, with stabilization from 2021 onwards. These findings highlight the relevance of HDA as a public health problem, reinforcing the need for preventive strategies, timely access to diagnosis, and adequate management in order to reduce regional inequalities and biopsychosocial repercussions.
References
ALMEIDA, J. P.; SANTOS, R. C. Impactos psicossociais da hemorragia digestiva alta. Revista Brasileira de Gastroenterologia, v. 28, n. 2, p. 77-85, 2021.
ALZOUBAIDI, D.; LOVAT, L. M. Haematemesis, melaena, and haemoptysis. BMJ, v. 356, p. j1131, 2017.
BARKUN, A. N.; ALMADI, M. Update on the management of nonvariceal upper gastrointestinal bleeding. Current Opinion in Gastroenterology, v. 35, n. 6, p. 420-428, 2019. DOI: https://doi.org/10.1097/MOG.0000000000000582
COSTA, L. M. et al. Avanços na endoscopia digestiva terapêutica no Brasil: impacto na mortalidade hospitalar. Arquivos de Gastroenterologia, v. 59, n. 3, p. 221-229, 2022.
FERNANDES, M. S.; LIMA, P. A. Hemorragia digestiva alta em idosos: prognóstico e desafios clínicos. Geriatria & Saúde, v. 19, n. 1, p. 12-19, 2023.
GARCIA, A. F. et al. Protocolos clínicos no manejo da hemorragia digestiva alta: uma revisão sistemática. Journal of Clinical Practice, v. 14, n. 4, p. 201-209, 2018.
KUMAR, S. et al. Global trends in upper gastrointestinal bleeding: mortality and management strategies. World Journal of Gastroenterology, v. 26, n. 17, p. 2045-2055, 2020.
LANAS, A.; DUMONCEAU, J. M.; HUNT, R. Upper gastrointestinal bleeding. Nature Reviews Disease Primers, v. 5, n. 1, p. 1-23, 2019. DOI: https://doi.org/10.1038/nrdp.2018.20
LAU, J. Y. W. et al. Challenges in the management of acute peptic ulcer bleeding. Lancet Gastroenterology & Hepatology, v. 5, n. 11, p. 975-984, 2020.
MORAES, C. R. et al. Padrões de internação por hemorragia digestiva alta no Brasil. Revista de Saúde Pública, v. 53, p. 95-104, 2019.
OLIVEIRA, F. B.; LOPES, T. R. Desigualdades regionais no acesso ao tratamento da hemorragia digestiva no Brasil. Ciência & Saúde Coletiva, v. 25, n. 7, p. 2761-2770, 2020.
ORGANIZAÇÃO MUNDIAL DA SAÚDE. Relatório Mundial de Saúde 2022: abordagens integradas para sistemas de saúde sustentáveis. Genebra: OMS, 2022.
PEREIRA, G. N. et al. Afastamento laboral e repercussões sociais da hemorragia digestiva alta. Revista Brasileira de Medicina do Trabalho, v. 20, n. 2, p. 131-140, 2022.
RODRIGUES, V. A. et al. Custos hospitalares da hemorragia digestiva alta no sistema público de saúde. Economia & Saúde, v. 13, n. 2, p. 54-62, 2019.
SILVA, M. J. et al. Envelhecimento populacional e hemorragia digestiva alta: análise epidemiológica. Revista Brasileira de Epidemiologia, v. 24, n. 1, p. e210009, 2021.
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