Hospitalization for Diabetes Mellitus as the first-listed diagnosis in the Brazilian National Health System (SUS), 1999-2001

Revista Brasileira de Epidemiologia

Souza, Maria de Fátima Marinho de²  Rosa, Roger dos Santos¹  Moura, Lenildo de²  Duncan, Bruce Bartholow¹  Schmidt, Maria Inês¹  Lima, André Klafke de¹ 

[1] Universidade Federal do Rio Grande do Sul;Ministério da Saúde

关键词: Diabetes/epidemiology;    Morbidity;    Hospitalization;    Health resources;    Health services accessibility;   

DOI  :  10.1590/S1415-790X2007000400004

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

AIM: Todescribe at the national level and by age group, gender, and geographic region,all 327,800 first-listed hospitalizations for diabetes mellitus (DM)financed by the national health system (SUS) in Brazil, 1999-2001.
METHOD: Data from the SUS' Hospital Information System (SIH/SUS) for DMas the first-listed diagnosis (ICD-10 E10-E14 and procedure performed) wereobtained and indicators calculated by region of residence of the patients andgender (adjusted by direct method for age with 95% confidence intervals), ageintervals, average length of stay and expenditure by admission and populationin US$. Multiple logistic regression analysis was performed for death as outcome.
RESULTS: Hospitalization coefficients were higher for women (7.5/10⁴inhab.[7.4-7.6] vs 5.2 [5.2-5.3]), although hospital lethality washigher for men (5.9 vs 5.0%) in all five regions. No differences were foundin the average length of stay between hospitalizations with/without death (6.5days [6.3-6.3] vs. 6.4 [6.3-6.6]) despite higher averageexpenditures (US$ 275.27 [268.37-282.16] vs. 143.45 [136.56-150.35]).Population expenditure was US$ 969.09/10⁴ inhabitants. Odds ratiofor death were higher for men, patients > 75 yrs, and inhabitantsof the northeast and southeast. Developed regions accounted for nearly twicehigher expenses than other regions.
CONCLUSIONS: Inequalities in hospitalizations and resources emphasize theneed for a better health coverage that could reduce the number of hospitalizationsand lessen the severity of DM and its complications.

【 授权许可】

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