Elsevier, Mayo Clinic Proceedings, Volume 97, March 2022
Objective: To develop a new scoring system that more accurately predicts 30-day mortality in patients with alcohol-associated hepatitis (AH). Methods: A cohort of consecutive adults diagnosed with AH at a single academic center from January 1, 1998, to December 31, 2018, was identified for model derivation. Multivariate logistic regression was used to create a new scoring system to predict 30-day mortality. External validation of this score was performed on a multicenter retrospective cohort. Results: In the derivation cohort of 266 patients, the 30-day mortality rate was 19.2%.

The Lancet Regional Health - Americas, Volume 6, 2022, 100101

This study supports SDG 3 and 13 by quantifying the risk and attributable burden of hospitalisations for renal diseases related to ambient temperature, showing that this risk was positively associated with daily mean temperature and was more prominent in women, children aged 0–4 years, and older people aged ≥80 years. The findings highlight the need for the development of more policies to prevent heat-related hospitalisations and to mitigate climate change.

The Lancet Regional Health - Americas, Volume 10, 2022, 100222

This study supports SDG 3 and 10 by discussing possible determinants of the impact of the COVID-19 pandemic on the Brazilian health system through the lenses of health system resilience and geographical inequalities. The findings show that lack of proper planning to improve resilience resulted in the decrease of a quarter of the amount of health-care procedures, increasing already existing health disparities in the country and highlighting the need to allocate resources in socioeconomically vulnerable regions to reduce avoidable deaths.

The Lancet Regional Health - Americas, Volume 4, 2021, 100034

This study supports SDG 3 by investigating the association between increasing the quality of primary health care in Brazil, with highly-skilled health professionals and integrated community health workers, and reductions in hospitalisations and mortality. These findings suggest that high quality, multidisciplinary primary health care remains essential to strengthening health systems in both high-income countries and in low-income and middle-income countries.

The Lancet Regional Health - Americas, Volume 2, 2021, 100042

This study supports SDG 3 and 10 by analysing the association between income inequality and more than 60 outcomes of non-communicable diseases in Brazil. These findings emphasise the importance of addressing wider social determinants of health and the synergistic benefits of tackling inequalities.