Mortality Trend Due to Cerebrovascular Accident in the City of Maringá, Paraná between the Years of 2005 to 2015

Abstract Background: Stroke is the second largest cause of death in the world, responsible for 6.7 million deaths in 2012. In Brazil, among the leading causes of death, cerebrovascular diseases occupy the first place. Objective: to analyze the trend of deaths from cerebrovascular accident (CVA) in the city of Maringá, Paraná, Brazil, between the years of 2005 and 2015. Methods: Cross-sectional study of time series performed at the Municipal Health Department of Maringá. Secondary data on death certificates for stroke in the city of Maringá between 2005 and 2015, selected according to the specific MC for CID-10 presented with few variations in the time interval studied. The coefficient for ICD-10 - I69.4 was higher in 2011. The lowest coefficient for the whole period was I61.9. The trend of total mortality coefficients reached peak in the years 2007 and 2008, small variations occurred after this period until 2015. (Figure 1) (ICD-10) from I60 to I69 were used. For trend verification, the polynomial regression model was used. Mortality Coefficients (MC) by main cause of death were calculated using the total number of people who died of stroke divided by the population exposed to the risk, multiplied by one hundred thousand. The trends were analyzed using the Polynomial Regression model, considered significant when p < 0.05. Population data were obtained from the database of the Brazilian Institute of Geography and Statistics. Results: Stroke was responsible for 1,843 deaths in the study period, with ICD- 10 - I64, I69.4 and I61.9 being the most frequent. The years with the highest number of deaths from the disease were 2007 and 2008. 52% of deaths occurred in males and 74% in individuals over 65 years. Conclusions: The trend of general mortality was constant, but there was an increasing trend of deaths among white married males.