Moura Erly Catarina de, Moreira Martha Cristina Nunes, Menezes Lívia Almeida, Ferreira Isadora Almeida, Gomes Romeu
Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 925, Sumaré. 01255-001 São Paulo SP Brasil.
Instituto Fernandes Figueira, Fiocruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2017 Aug;22(8):2727-2734. doi: 10.1590/1413-81232017228.01992016.
This article aims to estimate the extent of hospitalizations for complex chronic conditions in Brazil. Data from the Hospital Information System for 2013 were compiled according to the International Classification of Diseases 10th Revision. Hospitalization rates were estimated according to region, sex, age and disease chapter, taking into account the 2012 population as a reference, as well the percentage of highly complex procedures and mortality rates. Public hospitals treated 190,000 inpatients in 2013. The rate was highest among the population in the South of Brazil, those who were male and children under the age of one. The rate was lowest among the population in the North, females and children aged between 10 and 14years. The mean duration of hospitalization was six days, the percentage of highly complex procedures was 13.5% and the mortality rate was 1.3%. The three most common causes for hospitalizations were diseases of the respiratory system, neoplasms and diseases of the nervous system. The incidence of complex chronic conditions is 331 inwards per 100,000 children and adolescents in Brazil, with an estimate of 240,000 children and adolescents hospitalized. This panorama points to the problem as an emergent public health issue in Brazil.
本文旨在评估巴西复杂慢性病的住院治疗情况。根据《国际疾病分类》第十次修订本，整理了2013年医院信息系统的数据。住院率是根据地区、性别、年龄和疾病章节进行估算的，以2012年的人口作为参考，同时还考虑了高度复杂手术的比例和死亡率。2013年，公立医院收治了19万名住院患者。巴西南部人口、男性以及1岁以下儿童的住院率最高。北部人口、女性以及10至14岁儿童的住院率最低。平均住院时间为6天，高度复杂手术的比例为13.5%，死亡率为1.3%。住院的三大最常见原因是呼吸系统疾病、肿瘤和神经系统疾病。巴西每10万名儿童和青少年中复杂慢性病的发病率为331例，估计有24万名儿童和青少年住院。这一情况表明该问题是巴西一个新出现的公共卫生问题。
