Bertelli Ellen Vanuza Martins, Carvalho Gislayne Cristina Torreias de, Guimarães Raphael Mendonça, Dutra Viviane Gomes Parreira
Universidade Estácio de Sá - Rio de Janeiro (RJ), Brazil.
Universidade Estadual de Roraima - Boa Vista (RR), Brazil.
Rev Bras Epidemiol. 2025 Apr 7;28:e250016. doi: 10.1590/1980-549720250016. eCollection 2025.
To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil.
Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive conditions in children between 2010 and 2023.
The highest hospitalization rates were in 2021 (265.9/10,000 inhabitants/year) and the under 1 age group had the highest rates. There was a reduction in ambulatory care-sensitive conditions in group 1, in the first and second segments (MPC=-1.50; 95%CI -3.79-0.32 p=0.016 and MPC=-1.91; 95%CI -3.44--0.81 and p=0.007), group 2, with a constant drop throughout the series of 0.57% per month (95%CI -0.70--0.43 and p<0.001) and in group 16 (MPC=-0.38; 95%CI -0.55--0.21 and p<0.001). Bacterial pneumonia was the main cause of hospitalization in all age groups. Group 4 showed a uniform increase in rates of 1.56% per month (95%CI 0.27-2.80 and p=0.018). There was a drop in rates in the first segment at all ages: <1 year: -2.90% and p=0.019; 1 to 4 years: -1.75% (p=0.011) and 5 to 9 years: -0.79% (p=0.053), followed by an increase and then a drop again. In the last segment, all the age groups showed an increase in rates.
The scenario in Roraima is worrisome and requires urgent interventions, as there is evidence of weaknesses in primary health care, probably aggravated by the migratory crisis. The strategies sought are still insufficient.
分析巴西罗赖马州儿童初级保健敏感疾病的住院趋势。
采用生态时间序列研究，从医院信息系统收集2010年至2023年期间儿童初级保健敏感疾病住院的二手数据。
2021年住院率最高（265.9/10000居民/年），1岁以下年龄组住院率最高。第1组、第1和第2部分的门诊护理敏感疾病有所减少（平均百分比变化=-1.50；95%置信区间-3.79至0.32，p=0.016；平均百分比变化=-1.91；95%置信区间-3.44至-0.81，p=0.007），第2组在整个序列中每月持续下降0.57%（95%置信区间-0.70至-0.43，p<0.001），第16组也是如此（平均百分比变化=-0.38；95%置信区间-0.55至-0.21，p<0.001）。细菌性肺炎是所有年龄组住院的主要原因。第4组每月发病率均匀上升1.56%（95%置信区间0.27至2.80，p=0.018）。各年龄段在第一部分发病率均下降：<1岁：-2.90%，p=0.019；1至4岁：-1.75%（p=0.011），5至9岁：-0.79%（p=0.053），随后上升，然后再次下降。在最后一部分，所有年龄组发病率均上升。
罗赖马州的情况令人担忧，需要紧急干预，因为有证据表明初级卫生保健存在薄弱环节，可能因移民危机而加剧。所寻求的策略仍然不足。
