Therapeutic pathway of people diagnosed with heart failure
DOI:
https://doi.org/10.26694/reufpi.v15i1.7213Keywords:
Insuficiência cardíaca, Acesso aos serviços de saúde, Continuidade da assistência ao paciente, Serviços de saúdeAbstract
Objective: To identify the therapeutic pathway of people with heart failure in a health region of the state of Ceará, Brazil. Methods: This was a cross-sectional, descriptive, documentary study with a quantitative approach, conducted through a retrospective analysis of the medical records of people diagnosed with heart failure who received care at a referral hospital in the municipality of Iguatu, Ceará, Brazil, between 2018 and 2021. A total of 427 medical records were analyzed, excluding those that were unavailable or lacked a recorded diagnosis of heart failure. Results: The therapeutic pathway identified the emergency department as the main point of entry for the care of people with heart failure (91.1%), whereas the Basic Health Unit accounted for 1.4% of the initial consultations. Most participants were male (58.5%), with a mean age of 72 years (SD = 12.67). Among the modifiable risk factors, systemic arterial hypertension (47.5%) and diabetes mellitus (21.7%) were the most prevalent. Conclusion: The therapeutic pathway of people with heart failure was characterized by the hospital emergency department as the main point of entry for care, whereas Primary Health Care represented the first point of care in only a small proportion of cases...
References
1. Oliveira AS. Demographic transition, epidemiological transition and population aging in Brazil. Hygeia. [Internet]. 2019;15(31):69-79. doi: https://doi.org/10.14393/Hygeia153248614
2. Simões TC, et al. Prevalence of chronic diseases and access to health services in Brazil: evidence from three household surveys. Cien Saude Colet. [Internet]. 2021;26(9):3991-4006. doi: https://doi.org/10.1590/1413-81232021269.02982021.
3. Précoma DB, et al. Updated cardiovascular prevention guideline of the Brazilian Society of Cardiology – 2019. Arq Bras Cardiol. [Internet]. 2019;113(4):787-891. doi: https://doi.org/10.5935/abc.20190204
4. Gomes CS, et al. Factors associated with cardiovascular disease in the Brazilian adult population: National Health Survey, 2019. Rev Bras Epidemiol. [Internet]. 2021;24:e210013.suppl.2. doi: https://doi.org/10.1590/1980-549720210013.supl.2
5. Andrade DM, et al. Heart failure: beliefs about body weight monitoring. Rev Enferm UFPI. [Internet]. 2024;13:e5287. doi: https://doi.org/10.26694/reufpi.v13i1.5287
6. Rohde LEP, et al. Brazilian guideline on chronic and acute heart failure. Arq Bras Cardiol. [Internet]. 2018;111(3):436-539. doi: https://doi.org/10.5935/abc.20180190
7. Rossi Neto JMR, Casadei C, Finger MA. Acute heart failure. Rev Soc Cardiol Estado São Paulo. [Internet]. 2020;30(2):147-157. doi: https://doi.org/10.29381/0103-8559/20203002147-57
8. Ministério da Saúde (BR). DATASUS. Morbidade hospitalar do SUS (SIH/SUS): insuficiência cardíaca, 2024 [Internet]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def. Acesso em: 13 abr. 2026.
9. Demétrio F, Santana ER, Pereira-Santos M. The therapeutic itinerary in Brazil: systematic review and meta-synthesis from the health negative and positive conceptions of health. Saude Debate. [Internet]. 2019;43(spe7):204-221. doi: https://doi.org/10.1590/0103-11042019S716
10. Cabral ALLV, et al. Therapeutic itineraries: state of the art of scientific production in Brazil. Cien Saude Colet. [Internet]. 2011;16(11):4433-4442. doi: https://doi.org/10.1590/S1413-81232011001200016
11. Instituto Brasileiro de Geografia e Estatística (IBGE). População no último censo 2022 [Internet]. Available from: https://cidades.ibge.gov.br/brasil/ce/iguatu/panorama. Acesso em: 13 abr. 2026.
12. Iguatu. Prefeitura Municipal. Hospital Regional de Iguatu atende 10 cidades da região [Internet]. 2022 set 2. Available from: https://www.instagram.com/p/CiA4ChfO8ZR/. Acesso em: 13 abr. 2026.
13. Melo MES. Acidente vascular cerebral: incapacidades e rede de atenção [dissertação]. Crato: Universidade Regional do Cariri (URCA); 2020.
14. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias [Internet]. Brasília: Ministério da Saúde; 2013. Available from: http://189.28.128.100/dab/docs/geral/documento_norteador.pdf. Acesso em: 13 abr. 2026.
15. Brasil. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012: aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Brasília: Conselho Nacional de Saúde; 2012. Available from: https://www.gov.br/conselho-nacional-de-saude/pt-br/atos-normativos/resolucoes/2012/resolucao-no-466.pdf/view. Acesso em: 13 abr. 2026.
16. Porto JDS, et al. Sociodemographic and clinical aspects of patients with heart failure. Braz J Health Rev. [Internet]. 2023;6(5):25737-25748. doi: https://doi.org/10.34119/bjhrv6n5-560
17. Paiva MC, et al. Epidemiology of hospitalizations for heart failure in Brazil in the last 10 years (2014-2024). Braz J Implantol Health Sci. [Internet]. 2025;7(2):1916-1928. doi: https://doi.org/10.36557/2674-8169.2025v7n2p1916-1928
18. Arrais JFA, et al. Men and women facing heart failure: an ecological study on hospitalizations and mortality in Brazil. Braz J Health Rev. [Internet]. 2025;8(3):e79867. doi: https://doi.org/10.34119/bjhrv8n3-128
19. Sousa CMS, et al. Level of functionality of patients with congestive heart failure evaluated by the Barthel Index. Rev Gest Soc Ambient. [Internet]. 2024;18(10):e08833. doi: https://doi.org/10.24857/rgsa.v18n10ed.esp-016
20. Destro CRS, et al. Care in chronic heart failure and its insertion in palliative care. Res Soc Dev. [Internet]. 2022;11(7):e24411729632. doi: https://doi.org/10.33448/rsd-v11i7.29632
21. Brasil. Ministério da Saúde. Portaria nº 483, de 1º de abril de 2014: redefine a Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS) e estabelece diretrizes para a organização das suas linhas de cuidado [Internet]. Brasília: Ministério da Saúde; 2014. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2014/prt0483_01_04_2014.html. Acesso em: 13 abr. 2026.
22. Luquetti CM, et al. Heart failure: clinical manifestations and diagnosis in adults. Braz J Implantol Health Sci. [Internet]. 2024;6(9):470-479. doi: https://doi.org/10.36557/2674-8169.2024v6n9p470-479
23. Fonseca CG, Machado FSG, Altivo MLPP, Soares LM, Costa GD. Analysis of the prevalence of risk factors in patients with chronic heart failure who attended a university outpatient. Rev Interdiscip Cienc Med. [Internet]. 2023;7(1):1-7. Available from: https://revista.fcmmg.br/index.php/RICM/article/view/203. Acesso em: 13 abr. 2026.
24. Santos CA, et al. Epidemiological analysis of hospital admissions for heart failure. Braz J Implantol Health Sci. [Internet]. 2024;6(5):1764-1775. doi: https://doi.org/10.36557/2674-8169.2024v6n5p1764-1775
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Rev Enferm UFPI
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
