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与高血压导致住院相关的因素。

Factors associated with hospital admissions due to hypertension.

作者信息

Dantas Rosimery Cruz de Oliveira, Silva João Paulo Teixeira da, Dantas Davidson Cruz de Oliveira, Roncalli Ângelo Giuseppe

机构信息

Universidade Federal de Campina Grande, Cajazeiras, PB, Brazil.

Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

出版信息

Einstein (Sao Paulo). 2018 Sep 21;16(3):eAO4283. doi: 10.1590/S1679-45082018AO4283.

DOI:10.1590/S1679-45082018AO4283
PMID:30281763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6178859/
Abstract

OBJECTIVE

To study the temporality of hospital admissions due to arterial hypertension and its associated factors.

METHODS

An ecological study with secondary data on hospital admissions due to essential arterial hypertension - ICD 10, from the Hospital Information System, the Mortality Information System and and the Primary Care Information System, between 2010 and 2015. Descriptive analysis using means, proportions and linear regression.

RESULTS

We recorded 493,299 hospitalizations due to arterial hypertension from 2010 to 2015, with an average annual progressive cost decrease of -7.76% and -24.21%. Of the patients admitted, 59.2% were women, 60.2% were non-white and 54.7% were older than 60 years. The mean length of stay was 4.2 days, and the hospitalization cost was R$307.60. The multiple linear regression variables that remained significant were the percentage of admissions due to primary care-sensitive conditions, the per capita income and the City Human Development Index.

CONCLUSION

Hospital admissions due to arterial hypertension have an impact on the percentage of admissions due to primary care- sensitive conditions. Intensifying primary care activities, raising-awareness among professionals to the importance of integrated care, and investing in social development are crucial to change the reality of hypertension in terms of its control and complications.

摘要

目的

研究因动脉高血压导致的住院时间及其相关因素。

方法

一项生态学研究,使用来自医院信息系统、死亡率信息系统和初级保健信息系统的2010年至2015年期间原发性动脉高血压(ICD - 10)住院的二手数据。采用均值、比例和线性回归进行描述性分析。

结果

我们记录了2010年至2015年期间因动脉高血压导致的493,299例住院病例,平均年度成本分别下降了-7.76%和-24.21%。在入院患者中,59.2%为女性,60.2%为非白人,54.7%年龄超过60岁。平均住院时间为4.2天,住院费用为307.60雷亚尔。仍具有显著意义的多元线性回归变量是初级保健敏感疾病导致的入院百分比、人均收入和城市人类发展指数。

结论

因动脉高血压导致的住院对初级保健敏感疾病导致的入院百分比有影响。加强初级保健活动、提高专业人员对综合护理重要性的认识以及投资社会发展对于改变高血压在控制和并发症方面的现状至关重要。

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