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2000-2020 年巴西老年人因跌倒导致的住院授权费用:一项描述性研究。

Costs of hospital admission authorizations due to falls among older people in the Brazilian National Health System, Brazil, 2000-2020: a descriptive study.

机构信息

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.

Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Sul, Porto Alegre, RS, Brasil.

出版信息

Epidemiol Serv Saude. 2022 Apr 27;31(1):e2021603. doi: 10.1590/S1679-49742022000100012. eCollection 2022.

Abstract

OBJECTIVE

To describe the costs of hospital admission authorizations (AIHs) due to falls among older people within the Brazilian National Health System (SUS).

METHODS

This was a descriptive cost analysis study, based on data from the SUS's Hospital Information System, related to AIH due to falls among older people (60 years and older), between 2000 to 2020. A descriptive analysis was performed and cost measurement was based on a macro-costing method.

RESULTS

1,746,097 AIHs due to falls among older people were recorded, and the total cost was found to be BRL 2,315,395,702.75. The proportion of hospitalization costs was higher among those aged 80 years and older (36.9%), female (60.4%) and the Southeast region of the country (57.3%). The average length of stay in hospital ranged from 5.2 to 7.5 days.

CONCLUSION

The high costs identified showed the need for investments in more effective measures in order to prevent and mitigate the damage caused by falls among older people.

摘要

目的

描述巴西国家卫生系统(SUS)中老年人因跌倒导致的住院授权(AIH)的费用。

方法

这是一项基于 SUS 医院信息系统数据的描述性成本分析研究,涉及 2000 年至 2020 年期间老年人(60 岁及以上)因跌倒导致的 AIH。进行了描述性分析,成本测量基于宏观成本核算方法。

结果

共记录了 1746097 例老年人因跌倒导致的 AIH,总费用为 2315395702.75 雷亚尔。80 岁及以上(36.9%)、女性(60.4%)和东南部地区(57.3%)的住院费用比例较高。住院平均天数在 5.2 至 7.5 天之间。

结论

所确定的高成本表明需要投资于更有效的措施,以预防和减轻老年人跌倒造成的损害。

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