2000 - 2012年巴西塞阿拉州五岁以下儿童门诊护理敏感疾病住院情况的时间趋势
Time trends in hospitalizations for Ambulatory Care Sensitive Conditions among children under five years old in Ceará, Brazil, 2000-2012.
作者信息
Costa Líllian de Queiroz, Pinto Elzo Pereira, Silva Marcelo Gurgel Carlos da
机构信息
Universidade Estadual do Ceará, Programa de Pós-Graduação em Saúde Coletiva, Fortaleza-CE, Brasil.
Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador-BA, Brasil.
出版信息
Epidemiol Serv Saude. 2017 Jan-Mar;26(1):51-60. doi: 10.5123/S1679-49742017000100006.
OBJECTIVE
to analyze time trends and describe the causes of hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in children under five years old in Ceará, Brazil, 2000-2012.
METHODS
this is an ecological time series study using data from the National Hospital Information System; trends were analyzed using Prais-Winsten regression.
RESULTS
from 2000 and 2016 ACSC hospitalization rates fell from 32.5 to 11.2/1,000 inhabitants under five years old (annual variation of -16.8%; 95%CI -20.6;-10.9); the cause groups with the largest reductions were nutritional deficiencies (-94.7%), infectious gastroenteritis (-52.6%), asthma (-59.0%) and bacterial pneumonias (-8.9%); the greatest reduction was found in the post-neonatal component (-22.4%); the hospitalization rate for prenatal and childbirth-related diseases increased 15 times among children under one year old.
CONCLUSION
despite reduced ACSC hospitalization rates, preventable conditions were found that may reflect gaps in Primary Health Care.
目的
分析2000 - 2012年巴西塞阿拉州五岁以下儿童门诊护理敏感疾病（ACSC）的住院时间趋势并描述其住院原因。
方法
这是一项利用国家医院信息系统数据的生态时间序列研究；使用普雷斯-温斯坦回归分析趋势。
结果
从2000年到2016年，ACSC住院率从每千名五岁以下居民32.5例降至11.2例（年变化率为-16.8%；95%置信区间-20.6；-10.9）；降幅最大的病因组为营养缺乏症（-94.7%）、感染性肠胃炎（-52.6%）、哮喘（-59.0%）和细菌性肺炎（-8.9%）；在新生儿后期部分降幅最大（-22.4%）；一岁以下儿童中与产前和分娩相关疾病的住院率增加了15倍。
结论
尽管ACSC住院率有所下降，但仍发现了一些可预防的疾病，这可能反映了初级卫生保健方面的差距。
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