Universidade do Sul de Santa Catarina, Curso de graduação em Medicina, Tubarão, SC, Brazil.
Pan-American Health Organization, Coordenação de Doenças Crônicas Não Transmissíveis e Saúde Mental, Asunción, Departamento Central, Paraguay.
Epidemiol Serv Saude. 2024 Jan 5;32(4):e2023509. doi: 10.1590/S2237-96222023000400006.en. eCollection 2024.
To analyze the diabetes mellitus (DM) temporal trend and hospitalization costs in Brazil, by region, Federative Units (FUs) and population characteristics, from 2011 to 2019.
This was an ecological study with data from the Hospital Information System, analyzing the annual trend in hospitalization rates for DM according to sex, age, race/skin color and region/FU by Prais-Winsten generalized linear regression.
A total of 1,239,574 DM hospitalizations were recorded in the country and the hospitalization rates was 6.77/10,000 inhabitants in the period. The DM hospitalization rates trend was falling for both sexes and in most regions, while it was rising in the younger population and for length of stay (average 6.17 days). Total expenditure was US$ 420,692.23 and it showed a rising trend.
The temporal trend of hospitalization rates due to DM was falling, with differences according to region/FU and age group. Average length of stay and expenditure showed a rising trend.
From 2011 to 2019, the diabetes mellitus hospitalization rate was 6.77 per 10,000 inhabitants, with a falling trend. Total expenditure was US$420,692.23 and it showed a rising trend.
The study warns of the increase in child and adolescent hospitalizations, which indicates the need to invest in preventive actions and early diagnosis.
The increase in length of hospital stay and related costs indicates a worrying scenario for the Brazilian National Health System and emphasizes the need to improve access to and quality of care, with a focus on diabetes education, so as to avoid complications and hospitalizations.
分析 2011 年至 2019 年期间,巴西按地区、联邦单位(FU)和人口特征划分的糖尿病(DM)时间趋势和住院费用。
这是一项基于医院信息系统的生态学研究,通过普赖斯-温斯坦广义线性回归分析,按性别、年龄、种族/肤色和地区/FU 对 DM 住院率的年度趋势进行分析。
全国共记录了 1239574 例 DM 住院病例,住院率为每 10000 名居民 6.77 例。DM 住院率呈下降趋势,男性和女性均呈下降趋势,大多数地区也呈下降趋势,而年轻人群和住院时间(平均 6.17 天)呈上升趋势。总支出为 420692.23 美元,呈上升趋势。
DM 住院率的时间趋势呈下降趋势,不同地区/FU 和年龄组之间存在差异。平均住院时间和支出呈上升趋势。
2011 年至 2019 年,糖尿病住院率为每 10000 人 6.77 例,呈下降趋势。总支出为 420692.23 美元,呈上升趋势。
研究警告说,儿童和青少年住院人数增加,这表明需要投资于预防措施和早期诊断。
住院时间和相关费用的增加表明巴西国家卫生系统的情况令人担忧,这强调了需要改善获得和护理质量,重点是糖尿病教育,以避免并发症和住院治疗。