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巴西国家卫生系统在2010 - 2016年期间实施的减肥手术:住院情况的描述性研究。

Bariatric surgeries performed by the Brazilian National Health System in the period 2010-2016: a descriptive study of hospitalizations.

作者信息

Carvalho Adriane da Silva, Rosa Roger Dos Santos

机构信息

Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Saúde Coletiva, Porto Alegre, RS, Brasil.

Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Porto Alegre, RS, Brasil.

出版信息

Epidemiol Serv Saude. 2019;28(1):e2018260. doi: 10.5123/S1679-49742019000100023. Epub 2019 Apr 8.

Abstract

OBJECTIVE

to characterize Brazilian National Health System (SUS) hospitalizations for bariatric surgeries in Brazil, in the period 2010-2016.

METHODS

this was a descriptive study of time series using data from the SUS Hospital Information System (SIH/SUS); the target population consisted of patients aged 16 years and older.

RESULTS

there were 46,035 hospitalizations (6,576/year; 4.3/100,000 inhabitants/year); average age was 39.0 years old (SD:10.4); female sex predominated (85.4%), and the 35-39 age group accounted for 18.0% of cases; 16,923 patients (36.8%) needed to be admitted to the intensive care unit (ICU); there were 99 (0.2%) in-hospital deaths; the median hospital stay was 3 days, and the interquartile range was 2 days; average annual expense was R$ 39,410,919.37 and the average cost of hospitalization was R$ 5,992.75 (R$ 1,464.15/day).

CONCLUSION

bariatric surgeries were characterized as procedures involving young female adults, frequent ICU use and low lethality.

摘要

目的

描述2010 - 2016年巴西国家卫生系统(SUS)中肥胖症手术的住院情况。

方法

这是一项利用SUS医院信息系统(SIH/SUS)数据进行的时间序列描述性研究;目标人群为16岁及以上的患者。

结果

共有46,035例住院病例(每年6,576例;每年每10万居民中有4.3例);平均年龄为39.0岁(标准差:10.4);女性占主导(85.4%),35 - 39岁年龄组占病例的18.0%;16,923名患者(36.8%)需要入住重症监护病房(ICU);有99例(0.2%)住院死亡;中位住院时间为3天,四分位间距为2天;年平均费用为39,410,919.37雷亚尔,平均住院费用为5,992.75雷亚尔(每天1,464.15雷亚尔)。

结论

肥胖症手术的特点是涉及年轻成年女性、频繁使用ICU且致死率低。

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