Evidence map›Paper›PMID 33931385›Full record

ArticleBMJ open respiratory research2021

Trends in hospital admissions and mortality rates for asthma in Ecuador: a joinpoint regression analysis of data from 2000 to 2018.

Angelita Cabrera, Alejandro Rodriguez, Natalia Romero-Sandoval, Sergio Barba, Philip J Cooper

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Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
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13citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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13 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Angelita Cabrera *Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Pichincha, Ecuador.
Alejandro Rodriguez *Escuela de Medicina, Universidad Internacional del Ecuador, Quito, Ecuador alerodriguez.alv@gmail.com.ORCID 0000-0002-1867-0331
Natalia Romero-SandovalEscuela de Medicina, Universidad Internacional del Ecuador, Quito, Ecuador.
Sergio BarbaCentro Médico Axxis, Quito, Pichincha, Ecuador.
Philip J CooperEscuela de Medicina, Universidad Internacional del Ecuador, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough asthma has emerged as an important public health problem over recent decades in Latin America, there are limited published data on national hospital admission and mortality rates for asthma from countries in the region.

objectiveTo analyse trends in asthma hospitalisation and mortality rates in Ecuador over a 19-year period from 2000 to 2018.

methodsHospital discharge and death certificates listing asthma, as defined in the International Classification of Diseases 10th Revision codes (J45 and J46), were used to analyse time trends in rates of hospital admissions and mortality for asthma. The data were obtained from the Ecuadorian National Institute of Statistics and Census. Crude and age-standardised rates were estimated for the entire population. Additionally, specific rates by sex, age and region were estimated. We used joinpoint analysis to identify national trends.

resultDuring 2000-2018, a total of 58 250 hospitalisations and 1328 deaths due to asthma were identified. The average annual rates for hospitalisation and mortality attributed to asthma were estimated to be 21 (95% CI 19.3 to 22.8) and 5.2 (95% CI 4.4 to 6.0) per 100 000 population, respectively, over this period. Asthma hospital admissions decreased from 28 to 13.7 per 100 000 population between 2000 and 2018, and asthma mortality decreased from 0.8 to 0.3 per 100 000 population over the same period. Based on jointpoint analysis, two temporal trends were identified for hospital admissions. Between 2000 and 2011, hospital admissions decreased 0.8% per year and between 2011 and 2018 decreased 6.6% per year (p<0.05). On average, hospitalisation rates decreased 3.1% per year (p<0.05) over the entire study period. Mortality rate decreased 5.6% per year (p<0.05) over the 19-year period. Hospitalisation rates were higher among females, those aged 5 to 19 years and those living in the Coast region.

conclusionsOur analysis shows a temporal trend of reduction in rates of hospitalisations and deaths attributed to asthma between 2000 and 2018 in Ecuador, consistent with similar trends elsewhere in the Latin American region. Health registration systems in Latin America need to be improved to provide reliable data for future between and within country comparisons of trends in asthma hospitalisations and deaths.

Indexed as

AsthmaHospitalizationEcuadorFemaleHospitalsHumansRegression Analysisasthmaasthma epidemiologyasthma in primary care

Identifiers

PMID33931385
PMCPMC8098920

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