The risk of a chronic clinical condition following a previous hospitalisation by a psychiatric disorder: a linkage nationwide study in Brazil
Medical Research Council
Fiocruz (Oswaldo Cruz Foundation)
This project will analyse electronic data routinely collected within the Brazilian Public Health System (SUS). It involves enriching this type of data by linking them to other Brazilian governmental databases destined to national social protection programmes, which have important socio-economic variables of the individuals. A very large dataset with over 114 million people (The 100 Million Brazilian Cohort), which more than half of the Brazilian population, will be consolidated to the study of multimorbidity and its socio-economic determinants nationwide. Therefore, establishing foundations on the magnitude of the problem, in particular on the most impoverished population and for further studies on this subject in Brazil and other similar middle-income countries. We aim to study the risk of hospitalisation or death by diabetes mellitus, cardiovascular disease, stroke, or tuberculosis associated with previous hospitalisation by the following psychiatric disorders: depression, alcohol and substance use-related, and schizophrenia. We also intend to identify disease clusters and their related patterns, and how these patterns interact over time to influence the formation of such clusters. "Big data" is seen as having great potential to answer numerous questions and CIDACS collection of Brazilian data is unique in low-middle income countries. Our access to this collection of data allows for unprecedented study of morbidity and mortality in a nationwide scope.
2.1 Biological and endogenous factors / P&Cs