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2011 年至 2020 年巴西国家统一卫生系统住院患者气管切开术的时间趋势。

Temporal trend of tracheostomy in patients hospitalized in the Brazilian National Unified Health System from 2011 to 2020.

机构信息

- Universidade do Sul de Santa Catarina, Medicina - Tubarão - SC - Brasil.

出版信息

Rev Col Bras Cir. 2022 Sep 2;49:e20223373. doi: 10.1590/0100-6991e-20223373-en. eCollection 2022.

DOI:10.1590/0100-6991e-20223373-en
PMID:36074394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10578828/
Abstract

OBJECTIVE

to analyze the temporal trend in the tracheostomy use in patients hospitalized by the Sistema Único de Saúde in Brazil from 2011 to 2020.

METHODS

ecological observational study with a quantitative approach and including the Brazilian population aged 20 or over that were admitted by Sistema único de Saúde and had a record of performing the tracheostomy procedure at any time during hospitalization.

RESULTS

113.569.570 Hospitalizations studied were identified 172.456 tracheostomies realized in Brazil (0,15%). The average tax of this procedure showed a downward trend during the study procedure. The highest tracheostomy rate was found in the southern region, and the most affected age group was 80 years old or more. The average rate of tracheostomy in males was 1.8 times higher than in females. The average mortality and lethality rates of admissions with tracheostomy were 3.36 and 28.57% in the period but showed a tendency to decrease in the period studied. The main causes associated with the performance of tracheostomy were respiratory, oncological, and external causes. Respiratory causes contributed to 73% of the total procedures performed in the analyzed period.

CONCLUSION

the average mortality and lethality rates of hospitalizations with tracheostomy in Brazil were 3.36 and 28.57%, but showed a downward trend in the period.

摘要

目的

分析 2011 年至 2020 年巴西 Sistema Único de Saúde 住院患者气管切开术使用的时间趋势。

方法

采用定量方法进行生态观察研究,包括年龄在 20 岁及以上、曾在 Sistema único de Saúde 住院且在住院期间有过气管切开术记录的巴西人群。

结果

共纳入 113569570 例住院患者,其中 172456 例在巴西进行了气管切开术(0.15%)。该手术的平均发生率在研究期间呈下降趋势。气管切开术发生率最高的地区是南部地区,受影响最大的年龄组为 80 岁及以上。男性气管切开术的平均发生率是女性的 1.8 倍。气管切开术住院患者的平均死亡率和病死率分别为 3.36%和 28.57%,但在研究期间呈下降趋势。与气管切开术相关的主要原因是呼吸、肿瘤和外部原因。呼吸原因导致的手术占分析期间总手术的 73%。

结论

巴西气管切开术住院患者的平均死亡率和病死率分别为 3.36%和 28.57%,但在研究期间呈下降趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/74ac736990f7/rcbc-49-e20223373-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/c44a90e396b2/rcbc-49-e20223373-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/7c850f8c99a5/rcbc-49-e20223373-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/d62f7aaa9822/rcbc-49-e20223373-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/d9c8fc8c1106/rcbc-49-e20223373-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/74ac736990f7/rcbc-49-e20223373-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/c44a90e396b2/rcbc-49-e20223373-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/7c850f8c99a5/rcbc-49-e20223373-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/d62f7aaa9822/rcbc-49-e20223373-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/d9c8fc8c1106/rcbc-49-e20223373-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/817a/10578828/74ac736990f7/rcbc-49-e20223373-g005.jpg

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