Melione Luís Paulo Rodrigues, Mello-Jorge Maria Helena Prado de
Secretaria Municipal de Saúde, Prefeitura Municipal de São José dos Campos, São José dos Campos, Brasil.
Cad Saude Publica. 2008 Aug;24(8):1814-24. doi: 10.1590/s0102-311x2008000800010.
The objective of this study was to identify direct expenditures for hospitalizations due to external causes in the Unified National Health System (SUS) in the city of São José dos Campos, São Paulo State, Brazil. Admissions to the Dr. José de Carvalho Florence Municipal Hospital resulting from external causes or injuries - ICD-10, chapters XIX and XX respectively - were analyzed for the first semester of 2003. 976 patient admission forms were analyzed, after data evaluation. Admissions with the highest total cost were those resulting from motor vehicle accidents and falls. The highest mean cost for hospitalization for injury was due to motor vehicle accidents (BRL 614.63), followed by assault (BRL 594.90). The highest mean cost for hospitalization due to injury was for cervical fractures (BRL 1,191.42) and head injuries (BRL 1,000.44). Hospitalizations with the highest daily cost were skull and facial fractures (BRL 166.72) and abdominal trauma (BRL 148.26). The study confirmed that motor vehicle accidents, falls, and assault are an important source of costs due to hospitalization for injuries.
本研究的目的是确定巴西圣保罗州坎普斯市统一国家卫生系统(SUS)中因外部原因导致住院的直接费用。对2003年上半年因外部原因或伤害(分别对应国际疾病分类第十版(ICD - 10)的第十九章和第二十章)入住若泽·德·卡瓦略·弗洛伦斯市立医院的病例进行了分析。在数据评估后,分析了976份患者入院表格。总费用最高的入院病例是由机动车事故和跌倒导致的。伤害住院的最高平均费用是由机动车事故造成的(614.63巴西雷亚尔),其次是袭击(594.90巴西雷亚尔)。因伤害住院的最高平均费用是颈椎骨折(1191.42巴西雷亚尔)和头部受伤(1000.44巴西雷亚尔)。每日费用最高的住院病例是颅骨和面部骨折(166.72巴西雷亚尔)和腹部创伤(148.26巴西雷亚尔)。该研究证实,机动车事故、跌倒和袭击是伤害住院费用的重要来源。