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Doctoral Thesis
DOI
https://doi.org/10.11606/T.5.2011.tde-17062011-151837
Document
Author
Full name
João Fernando César Gonçalves do Nascimento
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2011
Supervisor
Committee
Jacob Filho, Wilson (President)
Farfel, José Marcelo
Gorzoni, Milton Luiz
Pasqualucci, Carlos Augusto Goncalves
Toniolo Neto, João
Title in Portuguese
Correlações clinicopatológicas da causa de morte no envelhecimento: um estudo de autópsias na cidade de São Paulo
Keywords in Portuguese
Atestado de óbitos
Autópsia/métodos
Causas da morte
Envelhecimento
Morte natural/epidemiologia
Abstract in Portuguese
Para avaliar os aspectos necrológicos do envelhecimento, este estudo investigou as características relacionadas às mortes de moradores da cidade de São Paulo os quais foram submetidos à necropsia no Serviço de Verificação de Óbitos da Capital (SVOCSP) no período de Junho de 2004 a Novembro de 2005. A casuística foi constituída por 402 indivíduos com idade igual ou superior a 50 anos, divididos em dois grupos quanto à causa mortis: por causa encefálica (CE) e por outras causa (OC), que foram estudados quanto ao gênero, idade, cor, altura, peso, estado civil, presença de benefício social, presença de vícios (tabagismo e/ou alcoolismo), causa mortis e causas associadas ao óbito. Dentre os que apresentaram causas encefálicas (CE) de óbitos, foram mais prevalentes o enfarto cerebral isquêmico (50,7%) e as causas hemorrágicas centrais (32,3%) com predomínio dos óbitos no sexo feminino, enquanto que dentre os falecimentos por outras causas (OC) o enfarto agudo do miocárdio (27,9%), as demais cardiopatias (23,9%) e as neoplasias (11,9%) foram às causas mais freqüentes, com predomínio no sexo masculino cuja idade, ao morrer, foi inferior às mulheres. Em ambos os grupos, as evidências de aterosclerose disseminada foram muito prevalentes. O processo do envelhecimento em moradores da cidade de São Paulo é caracterizado pelo predomínio e prevalência das mortes por doenças cardiovasculares no sexo masculino e das cerebrovasculares no sexo feminino
Title in English
Clinical pathologic correlations of the death cause in ageing: a study of autopsies in the city of São Paulo
Keywords in English
Aging
Autopsy/methods
Deaths cause
Deaths certificates
Natural death/epidemiology
Abstract in English
For evaluating the obituary aspects of aging, this study investigated the characteristics related to deaths in residents of São Paulo who underwent autopsy in the Department of autopsies in the Capital (SVOC-SP) in the period from June 2004 to November 2005. The sample was consisted of 402 individuals aged over 50 years, divided into two groups as the cause of death: encephalic causes (EC) and other causes (OC), that were studied in relation to gender, age, color, height, weight, marital status, presence of social benefit, the presence of addictions (smoking and / or alcoholism), causa mortis and causes associated to death. Among those who died by encephalic causes (EC) were the most prevalent the ischemic cerebral infarction (50.7%) and central hemorrhagic causes (32.3%) with predominance of deaths in females, while among the deaths by other causes (OC) to acute myocardial infarction (27.9%), other heart diseases (23.9%) and neoplasm (11.9%) were the most frequent causes, with predominance in males, whose age was lower than women. In both groups, the evidence of widespread atherosclerosis was very prevalent. The aging process in residents of São Paulo is characterized by the dominance and prevalence of cardiovascular deaths in males and strokes in women
 
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Publishing Date
2011-06-21
 
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