de Góis Ana Luzia Batista, Veras Renato Peixoto
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ.
Cien Saude Colet. 2010 Sep;15(6):2859-69. doi: 10.1590/s1413-81232010000600023.
Considering the high hospital costs of the elderly, this study aimed to compare the seven highest frequencies of morbidity in the elderly using data from Hospital Information System. The methodology used was the evaluation of information obtained in the database Datasus/Ministry of Health on the morbidity of hospital admissions in the elderly, in 2005 and 1994. Additionally, it was performed the calculation of standard and adjusted rates by the direct standardization method using Epidat 3.1. The main results were the diseases of the circulatory system remained prevalent in 2005 (28%) and 1994 (32%), with a reduction of 4% between these years. The number of cases of neoplasms doubled from 1994 (4%) to 2005 (8%), and infectious and parasitic diseases were basically maintaining the same percentage of 7% in 1994 and 2005. It can be concluded that in Brazil, the hospital morbidity in elderly remains the prevalence of cardiovascular diseases. At the same time, there is a reduction of non-infectious and parasitic diseases, and also signs of recent and sharp increase of neoplasms. It is recommended the use of comparison studies between periods become as a tool used in management.
考虑到老年人的高昂住院费用，本研究旨在利用医院信息系统的数据，比较老年人中七种发病率最高的疾病。所采用的方法是评估2005年和1994年卫生部数据库Datasus中有关老年人住院发病率的信息。此外，使用Epidat 3.1通过直接标准化方法计算标准率和调整率。主要结果是，2005年（28%）和1994年（32%）循环系统疾病仍然普遍，这几年间减少了4%。肿瘤病例数从1994年（4%）到2005年（8%）翻倍，传染病和寄生虫病在1994年和2005年基本保持7%的相同比例。可以得出结论，在巴西，老年人的住院发病率仍然是心血管疾病普遍。与此同时，非传染病和寄生虫病有所减少，肿瘤也有近期急剧增加的迹象。建议将不同时期的比较研究用作管理工具。
