RESUMEN
OBJECTIVE: To estimate the health and economic burden of non-communicable diseases (NCDs) attributed to alcohol consumption in 2019 for the Brazilian Unified Health System (SUS) stratified by states. STUDY DESIGN: Observational, descriptive, and ecological study. METHODS: We used population attributable fractions (PAFs) of NCDs due to alcohol consumption from the Global Burden of Disease study. We applied the PAFs to the costs of hospitalizations and outpatient procedures of medium to high complexity paid by SUS for each outcome, obtained from official databases. We also calculated the disability-adjusted life years (DALYs) and mortality caused by alcohol-related NCDs. We converted the costs into international dollars (Int$) using the purchasing parity power in 2019. RESULTS: Alcohol-related NCDs accounted for 8.48% of deaths and 7.0% of DALYs among men, and 1.33% of deaths and 1.6% of DALYs among women. The main diseases were substance use, digestive, and neoplastic diseases. The SUS spent Int$202.0 million on alcohol-related NCDs, mostly on hospitalizations. The highest health burden was observed in the states of the Northeast region, and the highest expenses in the states from the South. The burden and cost values varied by sex, age group, and state. CONCLUSION: The study showed that alcohol consumption has a significant impact on Brazilian population morbidity and mortality and SUS expenditures, especially among men. These results can support policies for the prevention and control of alcohol consumption and health promotion at the subnational level, prioritizing strategies that are more appropriate to local realities.
Asunto(s)
Cardiomiopatía Chagásica/patología , Enfermedad de Chagas/patología , Enfermedades del Esófago/patología , Sistema de Conducción Cardíaco/patología , Autopsia , Cardiomiopatía Chagásica/fisiopatología , Enfermedad de Chagas/complicaciones , Enfermedad de Chagas/diagnóstico por imagen , Enfermedad de Chagas/fisiopatología , Enfermedad Crónica , Electrocardiografía , Enfermedades del Esófago/etiología , Humanos , Masculino , Persona de Mediana Edad , RadiografíaRESUMEN
Os autores descrevem um caso de hipocalcemia mais ICC, em paciente adulto, com comprovacao bioquimica, eletrocardiografica e radiologica. A insuficiencia cardiaca congestiva mostrou-se refrataria a medicacao digitalica, respondendo prontamente a terapeutica com calcio e vitamina D. Chamam a atencao para a importancia da dosagem do calcio serico nas miocardiopatias de causa desconhecida