Santos Vanessa Cruz, Anjos Karla Ferraz Dos, Boery Rita Narriman Silva de Oliveira, Moreira Ramon Missias, Cruz Diego Pires, Boery Eduardo Nagib
Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador-BA, Brasil.
Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem, Salvador-BA, Brasil.
Epidemiol Serv Saude. 2017 Jan-Mar;26(1):39-49. doi: 10.5123/S1679-49742017000100005.
to analyze the evolution of hospitalizations and hospital mortality of elderly people with mental and behavioral disorders in Brazil, from 2008 to 2014.
this is a time series ecological study, with data from the Hospital Information System of the Brazilian National Health System (SIH/SUS), and analyzed through Prais-Winsten regression.
during the studied period, 139,941 hospitalizations and 2,962 deaths were recorded; the hospitalization coefficient for mental and behavioral disorders decreased in Brazil, from 122.3 to 84.2 per 100 thousand inhabitants (-0.14%; 95%CI -0.25;-0.03), and its macroregions, except the South, which presented stationary trend (0.08%; 95%CI -0.11;0.27); the hospital mortality coefficients in Brazil, in 2008 and 2014, were, respectively, 1.73 and 2.38 per 100 thousand inhabitants; dementia was the main diagnosis in hospitalizations that registered deaths (32.3%).
despite the reduction in hospitalization coefficient for mental and behavioral disorders during the studied period, the hospital mortality coefficient has increased.
分析2008年至2014年巴西患有精神和行为障碍的老年人的住院情况及医院死亡率的演变。
这是一项时间序列生态学研究，数据来自巴西国家卫生系统的医院信息系统（SIH/SUS），并通过普赖斯-温斯坦回归进行分析。
在研究期间，记录了139,941例住院病例和2,962例死亡病例；巴西精神和行为障碍的住院系数从每10万居民122.3降至84.2（-0.14%；95%置信区间-0.25；-0.03），其各宏观区域中，除南部呈现平稳趋势外（0.08%；95%置信区间-0.11；0.27）；2008年和2014年巴西的医院死亡率系数分别为每10万居民1.73和2.38；痴呆是有死亡记录的住院病例中的主要诊断（32.3%）。
尽管在研究期间精神和行为障碍的住院系数有所下降，但医院死亡率系数有所上升。
