Evidence map›Paper›PMID 35476042›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia2022

Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study.

Jéssica Alves Gomes, José Elias Bezerra Barros, André Luis Oliveira do Nascimento, Carlos Alberto de Oliveira Rocha, João Paulo Oliveira de Almeida, Gibson Barros de Almeida Santana, Divanise Suruagy Correia, Márcio Bezerra Santos, Rodrigo Feliciano do Carmo, Carlos Dornels Freire de Souza

Abstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Brazilian guidelines for the pharmacological treatment of pulmonary embolism. Official document of the Brazilian Thoracic Association based on the GRADE methodology.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Treatment with the EkoSonic™ Endovascular System (EKOSRespiratory research & clinical practice · 2026
    Article
  3. Article
  4. Pulmonary embolism: an underdiagnosed and underreported entity in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  5. Challenges in the management of patients with pulmonary embolism in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jéssica Alves GomesNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0002-7807-8348
José Elias Bezerra BarrosNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0003-2808-8043
André Luis Oliveira do NascimentoNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0001-5274-3277
Carlos Alberto de Oliveira RochaNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0003-2927-5043
João Paulo Oliveira de AlmeidaNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0002-0414-4744
Gibson Barros de Almeida SantanaNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0003-2443-720X
Divanise Suruagy CorreiaFaculdade de Medicina, Universidade Federal de Alagoas, Maceió (AL), Brasil.ORCID 0000-0001-7293-4169
Márcio Bezerra SantosDepartamento de Morfologia, Universidade Federal de Sergipe, Aracaju (SE), Brasil.ORCID 0000-0001-9962-6537
Rodrigo Feliciano do CarmoFaculdade de Ciências Farmacêuticas, Universidade Federal do Vale do São Francisco, Petrolina (PE), Brasil.ORCID 0000-0001-9601-6995
Carlos Dornels Freire de SouzaNúcleo de Estudos de Medicina Social e Preventiva, Departamento de Medicina, Universidade Federal de Alagoas, Arapiraca (AL), Brasil.ORCID 0000-0001-7995-1893

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the temporal trends of hospitalizations for pulmonary embolism (PE) in Brazil, its regions, and states between 2008 and 2019.

methodsAn ecological and time series study was conducted. Data were obtained from the Hospital Information System (SIH) of the Brazilian Ministry of Health. The inflection point regression model was applied for temporal trend analyses. Trends were classified as increasing, decreasing, or stationary according to the slope of the regression line. The Annual Percent Charge (APC) and the Average Annual Percent Change (AAPC) were calculated considering a confidence interval of 95% and p-value <0.05. Furthermore, spatial distribution maps of epidemiological indicators related to PE in Brazil were elaborated.

resultsThere was an increasing trend in the hospitalization rate for PE in Brazil, ranging from 2.57 in 2008 to 4.44/100,000 in 2019 (AAPC=5.6%; p<0.001). Total and average hospitalizations costs also showed increasing trend in the country (AAPC=9.2% and 3.0%, respectively). Still, there was a decrease in the in-hospital mortality rate (from 21.21% to 17.11%; AAPC=-1.9%; p<0.001). Similar trends were observed in most regions. The average hospitalization time in Brazil showed a stationary trend. The hospitalization rate has also increased in 18 states (66.67%). Seven states showed a decrease in the mortality rate (25.93%), except for Roraima, which showed an increasing trend.

conclusionHospitalizations for PE represent a serious public health problem in Brazil and the temporal patterns observed herein demonstrate an increasing trend in all regions and states of the country.

Indexed as

HospitalizationPulmonary EmbolismBrazilHospital MortalityHumansTime Factors

Identifiers

PMID35476042
PMCPMC9038095

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.