medigraphic.com
Instituto Nacional de Salud Pública

2023, Number 4

<< Back Next >>

salud publica mex 2023; 65 (4)

Spatial distribution of hospitalizations for ischemic heart disease in Chile: 2002-2020

Cárdenas-Pizarro, J mez-Varas j, Maturana-Miranda F, Fuenzalida-Díaz M

Language: Spanish
References: 18
Page: 325-333
PDF size: 915.87 Kb.


ABSTRACT

Objective. To analyze the spatial distribution and temporal trend of hospital discharges associated with ischemic heart disease (IHD) in Chile for the period 2002-2020. Materials and methods. Mixed ecological study. Cases of IHD ›=18 years registered in Chile between 2002 and 2020 were included. Cartographic representation at the communal level according to sex and residence. Spatial autocorrelation was used applying local Moran’s I. univariate by sex. Time trend was evaluated using the segmented Poisson (JP) model. Results. 434 061 total cases. The minimum hospitalization rates were 53 x 100 000 inhabitants for males and 32 x 100 000 inhabitants for females. The maximum rates determined correspond to 638 x 100 000 inhabitants for males and 364 x 100 000 inhabitants for females. Counties register Moran’s I. values for men that tend to disperse as the analyzed period progresses (0.247 to 0.334) and in the case of women they tend to cluster (0.244 to 0.223). Trend reflects increasing behavior in the age ranges from 18 to 24 years and from 25 to 34 years for females. Conclusion. There is a transition from low to high rates during the period studied. It is possible to group communes with high values in the central and southern zone of Chile, and low values in the northern zone of the country. The existence of a hospital, on average, affects utilization rates for both genders.


REFERENCES

  1. Marchant E, Pichard A, Casanegra P. Association of coronary artery diseaseand valvular heart disease in Chile. Clin Cardiol. 1983;6(7):352-6. https://doi.org/10.1002/clc.4960060709

  2. Alonso FT, Nazzal C, Alvarado ME. Mortalidad por cardiopatíaisquémica en Chile: quiénes, cuántos y dónde. Rev Panam Salud Publica.2010;28(5):319-25 [citado diciembre 2022]. Disponible en: https://www.scielosp.org/pdf/rpsp/2010.v28n5/319-325/es

  3. Martínez S A, Nazzal N C, Fajuri N A, Barra L LE, Mayerson G A, CavadaCh G, et al. Mortalidad post infarto del miocardio en Chile: Comparación delos registros de angioplastía primaria versus trombolisis. Rev Chil Cardiol.2010;29(1):29-36. https://doi.org/10.4067/S0718-85602010000100003

  4. De la Puente C, Vallejos C, Velásquez M, Soto D, Orellana J. Análisis costoefectividad del stent farmacológico V/S Stent no farmacológico en cardiopatíaisquémica en Chile. Value Heal Reg Issues. 2012;1(2):156-64. https://doi.org/10.1016/j.vhri.2012.09.008

  5. Nazzal C, Lefian A, Alonso F. Incidencia de infarto agudo de miocardio enChile, 2008-2016. Rev Med Chile. 2021;149(3):323-9. http://doi.org/10.4067/s0034-98872021000300323

  6. Ugalde H, Ugalde D, Muñoz M. Infarto agudo al miocardio en el adultomayor. Características clínicas, evolución hospitalaria y a 5 años plazo.Rev Med Chil. 2013;141(11):1402-10. http://doi.org/10.4067/S0034-98872013001100006

  7. Taucher E. Atlas de Mortalidad de Chile, 2001-2008. Rev Chil Salud Publica.2013;17(3):307-15 [citado diciembre 2022] https://doi.org/10.5354/0719-5281.2013.28634

  8. Icaza MG, Núñez ML. Atlas de Mortalidad por Enfermedades Cardiovascularesen Chile 1997-2003. Talca: 2006;1-87 [citado diciembre 2022].Disponible en: https://drive.google.com/file/d/1mqwEbBTZv9hOI_ezE_hPjHVUJgsSwnbf/view?pli=1

  9. Bains N. Standardization of Rates. Epidemiol Undergraduates. PublicHealth Epidemiologists in Ontario (APHEO), 2009 [citado diciembre 2022].Disponible en: http://core.apheo.ca/resources/indicators/Standardization%20report_NamBains_FINALMarch16.pdf

  10. Siabato W, Guzmán-Manrique J. La autocorrelación espacial y eldesarrollo de la geografía cuantitativa. Cuad Geogr Rev Colomb Geogr.2019;28(1):1-22. https://doi.org/10.15446/rcdg.v28n1.76919

  11. Vidal C, Hoffmeister L, Biagini L. Tendencia de la mortalidad porcáncer de cuello uterino en Chile: aplicación de modelos de regresiónjoinpoint. Rev Panam Salud Publica. 2013;33(6):407-13 [citado diciembre2022]. Disponible en: https://www.scielosp.org/pdf/rpsp/2013.v33n6/407-413/es

  12. Szot-Meza J. Mortalidad por infarto agudo al miocardio en Chile: 1990-2001. Rev Med Chile. 2004;132(10):1227-33. http://doi.org/10.4067/S0034-98872004001000011

  13. Ferrada OA, Méndez CA. Implementación de las redes asistenciales desalud en Chile: percepciones de los profesionales de la salud. Rev GerencPolit Salud. 2012; 12(24):100-13 [citado diciembre 2022]. Disponible en:https://www.redalyc.org/pdf/545/54526806007.pdf

  14. Turner S. ‘We are all vulnerable, we are all fragile’: COVID-19 as opportunityfor, or constraint on, health service resilience in Colombia?. PublicManag Rev. 2022;1-22. https://doi.org/10.1080/14719037.2022.2052944

  15. Lazcano-Ponce E, Schiavon R, Uribe-Zúñiga P, Dilys W, Suárez-LópezL, Luna-Gordillo R, Ulloa-Aguirre A. Cobertura de atención del parto enMéxico. Su interpretación en el contexto de la mortalidad materna. SaludPublica Mex. 2013;55(Supl.2):S214-24 [citado diciembre 2022]. Disponibleen: https://www.saludpublica.mx/index.php/spm/article/view/5118

  16. Cheng G, Zeng X, Duan L, Lu X, Sun H, Jiang T, Li Y. Spatial differenceanalysis for accessibility to high level hospitals based on travel time inShenzhen, China. Habitat Int. 2016;53:485-94. https://doi.org/10.1016/j.habitatint.2015.12.023

  17. Pan H, Zhen L, Jing L. Equity and efficiency in spatial distribution of basicpublic health facilities: a case study from Nanjing metropolitan area. UrbanPolicy and Research. 2019;37(2):243-66. https://doi.org/10.1080/08111146.2018.1523055

  18. Cano-Fernández F, Esteban-Galarza M. Equidad en la accesibilidadgeográfica a los hospitales. El Caso del País Vasco. Revista de Estudios Andaluces.2021;41:144-72. https://doi.org/10.12795/rea.2021.i41.08




2020     |     www.medigraphic.com