ABC Medical School, Santo André CEP 09060-650, SP, Brazil.
Scientific Writing Laboratory, Specialized Learning Center, Graduate Program in Health Sciences, ABC Medical School, Santo André CEP 09060-650, SP, Brazil.
Int J Environ Res Public Health. 2024 Sep 26;21(10):1286. doi: 10.3390/ijerph21101286.
In 2021, 28.16% of Brazilians were aged 0-19 years, highlighting the critical need for medical care in diagnosing and treating cerebral palsy (CP). In developing countries, CP prevalence reaches 7/1000 live births, emphasizing the importance of healthcare access, which influences diagnosis and prognosis. This study aimed to analyze the correlation between health infrastructure across different Brazilian regions and its impact on hospitalization and mortality rates among children with CP and other paralytic syndromes. An ecological time-series design was used, analyzing secondary population-based data from DATASUS, covering January 2018 to December 2021. The data included healthcare facilities, physicians, hospitalizations, and deaths for individuals aged 0-19 years, with analysis conducted using Microsoft Excel. The results revealed significant disparities in healthcare infrastructure, particularly in the northern and northeastern regions. A notable correlation was found between healthcare inequalities and hospitalizations and mortality rates, with the northern region showing significant results ( = 0.03 for hospitalizations and = 0.02 for mortalities). This study underscores significant regional disparities in healthcare access in Brazil, contributing to variations in hospitalization rates for children and adolescents, especially in the northern region.
2021 年，巴西 0-19 岁人口占比为 28.16%，这突显了医疗保健在脑瘫（CP）诊断和治疗中的重要性。在发展中国家，CP 的发病率达到了每 1000 例活产儿中有 7 例，这强调了获得医疗保健的重要性，因为这会影响诊断和预后。本研究旨在分析巴西不同地区的卫生基础设施之间的相关性及其对脑瘫和其他麻痹性综合征患儿住院率和死亡率的影响。本研究采用生态时间序列设计，分析了 DATASUS 中 2018 年 1 月至 2021 年 12 月的二次基于人群的数据。该数据涵盖了 0-19 岁人群的医疗保健设施、医生、住院和死亡情况，分析使用 Microsoft Excel 进行。结果显示，医疗保健基础设施存在显著差异，特别是在北部和东北部地区。研究发现医疗保健不平等与住院率和死亡率之间存在显著相关性，北部地区的结果具有统计学意义（住院率的 = 0.03，死亡率的 = 0.02）。本研究强调了巴西医疗保健获取方面存在显著的地区差异，这导致了儿童和青少年住院率的变化，特别是在北部地区。
