A morte de idosos na Clínica Santa Genoveva, Rio de Janeiro: um excesso de mortalidade que o sistema público de saúde poderia ter evitado

Cadernos de Saúde Pública

Henrique Leonardo Guerra¹  Sandhi Maria Barreto¹  Elizabeth Uchôa¹  Josélia Oliveira Araújo Firmo¹  Maria Fernanda Furtado De Lima E Costa¹ 

[1] ,Fundação Oswaldo Cruz Centro de Pesquisas René Rachou Laboratório de Epidemiologia e Antropologia MédicaBelo Horizonte MG ,Brasil

关键词: Hospital Mortality;    Hospital Records;    Health Services for the Aged;    Aged;    Mortalidade Hospitalar;    Registros Hospitalares;    Serviços de Saúde para Idosos;    Idoso;   

DOI  :  10.1590/S0102-311X2000000200024

来源: SciELO

【 摘 要 】

From January to May 1996, 156 inpatients died in a clinic for elderly people in Rio de Janeiro, Brazil. The highest mortality rate was observed in May: 143/1,000 inpatients. As a result, the clinic was closed by the Ministry of Health. This study investigated whether the excessive number of deaths observed in the clinic in early 1996 was unexpected or reflected prevailing conditions. The investigation used the Public Health System database (SIH-SUS). The study period was 01/1993 to 05/1996. The investigation was based on: 1) a time-series analysis of the number of deaths and crude mortality rates and 2) comparison of the mortality rates observed in that clinic with those calculated for 15 area hospitals, defined as the reference rates. Risk of death in the clinic was higher than expected in 28 of the 41 months considered in the study. Highest risks were observed in January 1993 (RRcrude = 2.23; 95% CI 1.56-3.14) and May 1996 (RRadjusted = 2.73; 95% CI 1.88-3.95). The high mortality rates observed in the clinic in 1996 were already present in 1993. Thus, adequate use of the SIH-SUS could have anticipated and avoided the excess mortality identified in early 1996.

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