Sudden Cardiac Death in Brazil: Study Based on Physicians' Perceptions of the Public Health Care System

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dc.contributor.authorMartinelli, Martino
dc.contributor.authorDe Siqueira, Sergio F.
dc.contributor.authorZimerman, Leandro I.
dc.contributor.authorNeto, Vicente A.
dc.contributor.authorMoraes, Antonio V.
dc.contributor.authorFenelon, Guilherme [UNIFESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniv Fed Rio Grande do Sul
dc.contributor.institutionHosp Sao Joaquim
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:27:59Z
dc.date.available2016-01-24T14:27:59Z
dc.date.issued2012-11-01
dc.description.abstractBackground: There are no available statistical data about sudden cardiac death in Brazil. Therefore, this study has been conducted to evaluate the incidence of sudden cardiac death in our population and its implications.Methods: the research methodology was based on Thurstone's Law of Comparative Judgment, whose premise is that the more an A stimulus differs from a B stimulus, the greater will be the number of people who will perceive this difference. This technique allows an estimation of actual occurrences from subjective perceptions, when compared to official statistics. Data were collected through telephone interviews conducted with Primary and Secondary Care physicians of the Public Health Service in the Metropolitan Area of São Paulo (MASP).Results: in the period from October 19, 2009, to October 28, 2009, 196 interviews were conducted. the incidence of 21,270 cases of sudden cardiac death per year was estimated by linear regression analysis of the physicians responses and data from the Mortality Information System of the Brazilian Ministry of Health, with the following correlation and determination coefficients: r = 0.98 and r2= 0.95 (95% confidence interval 0.81.0, P < 0.05). the lack of waiting list for specialized care and socioadministrative problems were considered the main barriers to tertiary care access.Conclusions: the incidence of sudden cardiac death in the MASP is high, and it was estimated as being higher than all other causes of deaths; the extrapolation technique based on the physicians perceptions was validated; and the most important bureaucratic barriers to patient referral to tertiary care have been identified. (PACE 2012; 35:13261331)en
dc.description.affiliationUniv São Paulo, Hosp Clin, Inst Coracao InCor, Fac Med, BR-05403000 São Paulo, Brazil
dc.description.affiliationUniv Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
dc.description.affiliationHosp Sao Joaquim, Benemerita Associacao Portuguesa Beneficencia Sao, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Med Ribeirao Preto, Hosp Clin, Ribeirao Preto, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipBrazilian Society of Cardiac Arrhythmias (SOBRAC-SBC)
dc.description.sponsorshipDepartment of Cardiac Pacing (DECA-SBCCV)
dc.format.extent1326-1331
dc.identifierhttp://dx.doi.org/10.1111/j.1540-8159.2012.03501.x
dc.identifier.citationPace-pacing and Clinical Electrophysiology. Hoboken: Wiley-Blackwell, v. 35, n. 11, p. 1326-1331, 2012.
dc.identifier.doi10.1111/j.1540-8159.2012.03501.x
dc.identifier.issn0147-8389
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35489
dc.identifier.wosWOS:000310801100016
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofPace-pacing and Clinical Electrophysiology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectsudden cardiac deathen
dc.subjectcardiac arrhythmiasen
dc.subjectpsychophysical evaluationen
dc.subjectpublic healthen
dc.titleSudden Cardiac Death in Brazil: Study Based on Physicians' Perceptions of the Public Health Care Systemen
dc.typeinfo:eu-repo/semantics/article
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