Ferreira Glenda R O N, Chagas Tiago de N das C E, Gonçalves Lucia H T, Oliveira Marília de F V de, Botelho Eliã P, Polaro Sandra H I
Programa de Pós-Graduação em Enfermagem, Universidade Federal do Pará, Belém 66075-110, PA, Brazil.
Geriatrics (Basel). 2023 Feb 27;8(2):30. doi: 10.3390/geriatrics8020030.
This study aims to identify the temporal variation and the spatial dependence structure of the hospitalization rate for falls in the elderly residing in Brazil in the period between 2010 and 2021. This ecological study employs secondary data from the Brazilian Ministry of Health about the fall-related hospitalization of people aged 60 years old and over. A time-series analysis was carried out, employing the joinpoint model. For the spatial analysis, the Moran autocorrelation technique was employed. In Brazil, between 2010 and 2021, there were 1,270,341 hospitalizations for falls recorded among the elderly in the Brazilian Hospitalization System. There was a continuous upward trend between 2010 and 2019 for all age groups, female and male, and all Brazilian regions. The trend stabilized between 2019 to 2021. The North and Northeast regions had faster upward trends among all Brazilian regions, and there was also a faster upward trend among women compared to men. A high-high pattern in hospitalization incidence was noticed from 2011 to 2019 in the states of São Paulo, Minhas Gerais, Paraná, and Mato Grosso do Sul. The results of this study provide subsidies for Brazilian health authorities to implement more efficient public policies to improve the quality of life of elderly people.
本研究旨在确定2010年至2021年期间居住在巴西的老年人跌倒住院率的时间变化和空间依赖结构。这项生态学研究采用了巴西卫生部关于60岁及以上人群跌倒相关住院情况的二手数据。采用连接点模型进行了时间序列分析。对于空间分析，采用了莫兰自相关技术。在巴西，2010年至2021年期间，巴西住院系统记录了1270341例老年人跌倒住院病例。2010年至2019年期间，所有年龄组、女性和男性以及巴西所有地区均呈持续上升趋势。2019年至2021年期间趋势趋于稳定。在巴西所有地区中，北部和东北部地区上升趋势更快，女性的上升趋势也比男性更快。2011年至2019年期间，圣保罗州、米纳斯吉拉斯州、巴拉那州和南马托格罗索州的住院发病率呈现高高模式。本研究结果为巴西卫生当局实施更有效的公共政策以提高老年人生活质量提供了支持。
