Santos Adria da Silva, Castro Lorena Rios, Freitas Jeanne Lúcia Gadelha, Cavalcante Daniela Ferreira Borba, Pereira Priscilla Perez da Silva, Oliveira Tatiana Michelle Catão de, Alves Jéssica Cunha
Universidade Federal de Rondônia. Av. Presidente Dutra 2.965, Olaria. 76801-058 Porto Velho RO Brasil.
Cien Saude Colet. 2023 Apr;28(4):1003-1010. doi: 10.1590/1413-81232023284.07902022. Epub 2022 Sep 20.
This study aimed to define the profile of hospitalizations of children in public hospitals of 52 municipalities of the state of Rondônia, Brazil. We performed an ecological time series study using secondary data provided by the Hospital Information System. The annual trend of Hospitalizations was presented by age group and health region. Linear regression was performed using the Prais-Winsten technique of the statistical package Stata, version 11.0. Hospitalizations for gastrointestinal diseases were found to be decreasing in all age groups, just as those for vaccine-preventable diseases in children aged between 1 and 9 years. Hospitalizations for skin and subcutaneous tissue diseases were increasing in all ages, as well as those caused by epilepsies in children aged 1 to 9 and those caused by diseases related to childbirth and puerperium. Health regions showed a varied hospitalization profile. A stable trend was found in the Cone Sul, Madeira-Mamoré, Café, Vale do Guaporé, and Vale do Jamari regions, whereas a declining trend was found in the Central and Zona da Mata regions. The high rates of hospitalizations for ambulatory care-sensitive conditions in children show how inefficient strategies and investments in primary care have been in the state of Acre, Brazil.
本研究旨在明确巴西朗多尼亚州52个市公立医院中儿童住院情况的概况。我们利用医院信息系统提供的二手数据进行了一项生态时间序列研究。按年龄组和健康区域呈现了住院情况的年度趋势。使用统计软件包Stata 11.0的Prais-Winsten技术进行线性回归。结果发现，所有年龄组的胃肠道疾病住院率均在下降，1至9岁儿童的疫苗可预防疾病住院率亦是如此。所有年龄段的皮肤和皮下组织疾病住院率都在上升，1至9岁儿童的癫痫所致住院率以及分娩和产褥期相关疾病所致住院率也在上升。各健康区域的住院情况概况各不相同。南锥体、马德拉-马莫雷、卡菲、瓜波雷河谷和雅马里河谷地区呈现稳定趋势，而中部和马塔地区则呈下降趋势。巴西阿克里州儿童门诊护理敏感疾病的高住院率表明该州初级保健策略和投资效率低下。
