scholarly journals Costs Related to Immunopreventable Diseases: Brazil and Its Geographic Areas (Immunopreventable Diseases’ Costs in Brazil)

2021 ◽  
Author(s):  
Elide Sbardellotto Mariano da Costa ◽  
Adriano Hyeda ◽  
Eliane M Cesario Periera Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Key Words ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Hospital Costs ◽  
Direct Costs ◽  
Communicable Diseases ◽  
Unified Health System

Abstract Introduction: the occurrence of the immunopreventable diseases in a population global reality. Objective: to discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018. Methods: A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019. Results: It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions: The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analyZed. KEY WORDS: Hospital Costs; Communicable diseases; Vaccines; Unified Health System

scholarly journals Costs Related To Immunopreventable Diseases: Brazil And Its Geographic Areas (Immunopreventable Diseases’ Costs In Brazil)

2021 ◽  
Author(s):  
Elide Sbardellotto Mariano da Costa ◽  
Adriano Hyeda ◽  
Eliane M Cesario Periera Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Direct Costs ◽  
Unified Health System

Abstract Introduction: the occurrence of the immunopreventable diseases in a population global reality.Objective: to discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018.Methods: A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019.Results: It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions: The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analyZed.

scholarly journals Costs related to immunopreventable diseases: Brazil and its geographic areas (immunopreventable diseases’ costs in Brazil)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Élide Sbardellotto M. da Costa ◽  
Adriano Hyeda ◽  
Eliane M. C. P. Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Direct Costs ◽  
Unified Health System

Abstract Introduction The occurrence of the immunopreventable diseases in a population global reality. Objective To discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018. Methods A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019. Results It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analysed.

scholarly journals Cost of diseases related to alcohol consumption in the Brazilian Unified Health System

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Evandro Silva Freire Coutinho ◽  
Luciana Bahia ◽  
Laura Augusta Barufaldi ◽  
Gabriela de Azevedo Abreu ◽  
Thainá Alves Malhão ◽  
...  
Keyword(s):  
Information System ◽  
Relative Risk ◽  
Alcohol Consumption ◽  
Health System ◽  
Health Problem ◽  
Hospital Care ◽  
Meta Analysis ◽  
Direct Costs ◽  
Unified Health System ◽  
Consumption Rates

ABSTRACT OBJECTIVE To estimate the direct costs associated to outpatient and hospital care of diseases related to alcohol consumption in the Brazilian Unified Health System. METHODS Attributable populational risks were estimated for the selected diseases related to the use of 25 g/day or more of ethanol (risk consumption), considering a relative risk (RR) ≥ 1.20. The RR estimates were obtained from three meta-analysis. The risk consumption rates of the Brazilian population ≥ 18 years old were obtained by a national survey. Data from the Hospital Information System of SUS (HIS-SUS) were used to estimate the annual costs of the health system with the diseases included in the analysis. RESULTS The total estimated costs for a year regarding diseases related to risk consumption were U$8,262,762 (US$4,413,670 and US$3,849,092, for outpatient and hospital care, respectively). CONCLUSIONS Risk consumption of alcohol is an important economic and health problem, impacting significantly the health system and society.

scholarly journals Intervenção percutânea por via radial e tempo de permanência hospitalar

2018 ◽  
Vol 12 (6) ◽  
pp. 1665
Author(s):  
Denise Viana Rodrigues de Oliveira ◽  
João Pimenta ◽  
George Ximenes ◽  
Agueda Maria Ruiz Zimmer Cavalcante
Keyword(s):  
Health System ◽  
Hospital Stay ◽  
Pearson Correlation ◽  
Length Of Hospital Stay ◽  
Coronary Intervention ◽  
Study Data ◽  
Significance Level ◽  
Coronary Syndrome ◽  
Unified Health System ◽  
Factores De Riesgo

RESUMOObjetivo: analisar os fatores de risco relacionados ao procedimento percutâneo por via radial e o tempo de permanência hospitalar. Método: estudo quantitativo, longitudinal, prospectivo, descritivo e unicêntrico. A coleta de dados foi realizada por meio de questionário, com 100 pacientes, em três fases (pré-procedimento, transprocedimento e pós-procedimento), em 24h e após sete dias. Para as variáveis quantitativas, foram utilizados os testes Mann-Whitnney ou t de Student; para as qualitativas, o teste exato de Fisher. Para a associação entre duas variáveis quantitativas, foi utilizado o coeficiente de correlação de Pearson com nível de significância ≤5%. Resultados: 100 pacientes realizaram o procedimento com média de internação de 6,6 dias. Após a associação entre o tempo de permanência e as variáveis clínicas, o p não mostrou valor significante. Conclusão: os resultados aproximam-se mais da realidade dos hospitais do Sistema Único de Saúde; não houve linearidade no tempo de permanência hospitalar quando associado a diferentes fatores relacionados à intervenção percutânea. Descritores: Intervenção Coronária Percutânea; Tempo de Internação; Artéria Radial; Sistema Único de Saúde; Síndrome Coronária Aguda; Fatores de Risco.ABSTRACTObjective: to analyze the risk factors related to the percutaneous radial procedure and length of hospital stay. Method: quantitative, longitudinal, prospective, descriptive and unicentric study. Data was collected through a questionnaire, with 100 patients, in three phases (pre-procedure, transprocedure and post-procedure), in 24 hours and after seven days. For the quantitative variables, the Mann-Whitnney or Student's t tests were used; for the qualitative, Fisher's exact test. For the association between two quantitative variables, the Pearson correlation coefficient was used with significance level ≤5%. Results: 100 patients had the procedure with mean hospitalization of 6.6 days. After the association between the length of stay and clinical variables, p did not show significant value. Conclusion: the results are closer to the reality of the hospitals of the Unified Health System; there was no linearity in the length of hospital stay when associated with different factors related to the percutaneous intervention. Descriptors: Percutaneous Coronary Intervention; Length of hospitalization; Radial Artery; Unified Health System; Acute Coronary Syndrome; Risk Factors.RESUMEN Objetivo: analizar los factores de riesgo relacionados con el procedimiento percutáneo por vía radial y el tiempo de permanencia hospitalaria. Método: Estudio cuantitativo, longitudinal, prospectivo, descriptivo y unicéntrico. La recolección de datos fue realizada por medio de un cuestionario, con 100 pacientes, en tres fases: (pre-procedimiento, transprocedimiento y post-procedimiento), en 24h y después de siete días. Para las variables cuantitativas, se utilizaron las pruebas Mann-Whitnney o t de Student; para las cualitativas, la prueba exacta de Fisher. Para la asociación entre dos variables cuantitativas, se utilizó el coeficiente de correlación de Pearson con nivel de significancia ≤5 %%. Resultados: 100 pacientes realizaron el procedimiento, con promedio de internación de 6,6 días. Después de la asociación entre el tiempo de permanencia y las variables clínicas, el p no mostró valor significativo. Conclusión: los resultados se acercaron más a la realidad de los hospitales del Sistema Único de Salud; no hubo linealidad en el tiempo de permanencia hospitalaria, cuando asociado a diferentes factores relacionados a la intervención percutánea. Descriptores: Intervención Coronaria Percutánea; Tiempo de Internación; Arteria Radial; Sistema Único de Salud; Síndrome Coronária Aguda; Factores de Riesgo.

Risk factors for mortality among admitted children with complications of measles in Pakistan – an observational

2020 ◽  
pp. 1-14
Author(s):  
Brekhna Aurangzeb ◽  
Areesh Fatmee ◽  
Rehmana Waris ◽  
Nighat Haider ◽  
Asma Berjees ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Hospital Stay ◽  
Key Words ◽  
Vaccination Status ◽  
Measles Vaccine ◽  
Medical Sciences ◽  
Hospital Records ◽  
Under Nutrition ◽  
Vaccination History

Abstract Objective: To identify the vaccination status and risk factors for mortality in children admitted with complications of measles. Methods: The retrospective study was conducted at Children Hospital, Pakistan Institute of Medical Sciences, Islamabad, Pakistan, and comprised data of children admitted with complications of measles between 2013 and 2017. Information on vaccination history, complications of measles, anthropometry, hospital stay and outcome within 15 days of admission was retrieved from hospital records. Data was analysed using Stata 14. Results: Of the 307 children admitted, 79(26%) were aged <9 months and were excluded. Of the remaining 228 subjects, 109(47.8) were unvaccinated. Risk factors significantly associated with mortality were an unvaccinated state of measles vaccine, being stunted, and encephalitis in comparison with pneumonia (p<0.05). A total of 39(17%) children died within 15 days of admission. Conclusion: Encephalitis, non-vaccination and under-nutrition were significantly associated with mortality in children with complications of measles. Key Words: Child, Measles, Risk factors, Mortality, Vaccination. Continuous...

scholarly journals Investimento, internações e óbitos por câncer de boca na cidade de Feira de Santana, Bahia

2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Igor Ferreira Borba de Almeida ◽  
Deybson Borba de Almeida
Keyword(s):  
Oral Cancer ◽  
Hospital Stay ◽  
Hospital Costs ◽  
Length Of Hospital Stay ◽  
Public And Private ◽  
Financial Investment ◽  
Unified Health System ◽  
Private Spending ◽  
Total Investment ◽  
Treatment Objective

INTRODUCTION: oral cancer is a chronic disease with a high social cost that requires specialized methods and expensive hospitalizations for its diagnosis and treatment. OBJECTIVE: to describe the financial investment, frequency and length of hospital stay and profile of deaths from oral cancer in the municipality of Feira de Santana, state of Bahia, in 2020. METHODS AND MATERIALS: a descriptive study that analyzed the data of the Hospital Information System of the Unified Health System (SIH / SUS) on public and private spending, hospitalizations and deaths due to cancer of the lip, mouth and pharynx in the municipality of Feira de Santana, Bahia, from January to October 2020. RESULTS: in the period analyzed, the municipality reported 206 admissions for oral cancer, with a total of 726 days of hospital stay, adding up to a total investment of R $ 421,019.42. The male gender (85.7%), the brown color (64.2%) and the age group of 30 to 59 years (57.1%) presented the highest frequency of deaths due to the disease. The death rate for the city was 5.6. CONCLUSION: the analysis of this study showed that, in the municipality of Feira de Santana, there was a higher frequency of deaths related to oral cancer in men, young adults and browns. Hospitalizations due to the disease added up to more than 700 days of stay in hospitals located in the municipality, which can contribute to increased hospital costs.

scholarly journals Procalcitonin-guided protocol use and impact on intensive care unit and antibiotic management: a pilot study

2021 ◽  
Vol 12 (2) ◽  
pp. 563
Author(s):  
Danillo E. OLIVEIRA ◽  
Eudes G. CUNHA ◽  
Diana M. GUERRA ◽  
Valéria S. BEZERRA
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Retrospective Study ◽  
Antibiotic Therapy ◽  
Hospital Costs ◽  
Protocol Adherence ◽  
Unified Health System ◽  
Antibiotic Management ◽  
Therapy Cost

Objective: To assess the procalcitonin protocol use and its impact on antibiotic therapy management of critically ill patients in the intensive care unit (ICU). Method: An observational descriptive and retrospective study conducted in an adult ICU with 28 beds from the Brazilian Unified Health System (SUS). Results: This present study observed a 78% (90/116) of PCT protocol adherence in the studied ICU. We observed a reduction in days of antibiotic treatment (DOT) going from 14 to 8,5 treatment-day duration (5.49 ± 2.2 days), impacting the overall antibiotic therapy cost for a decrease of 40.91%. Conclusion: The study revealed that PCT use was associated with substantial benefits, reducing hospital costs and days of exposure to antibiotic therapy applied to patients affected by infectious diseases in critical care settings.  

scholarly journals HOSPITAL COSTS OF IMMUNOPREVENTABLE DISEASES IN THE ECONOMICALLY ACTIVE POPULATION IN BRAZIL

2021 ◽  
Author(s):  
Elide Sbardellotto M da Costa ◽  
Adriano Hyeda ◽  
Eliane Cesario Pereira Maluf
Keyword(s):  
Public Health ◽  
Time Series ◽  
Retrospective Study ◽  
Health System ◽  
Adult Population ◽  
Hospital Costs ◽  
Immunization Coverage ◽  
Active Population ◽  
Secondary Information ◽  
Care Costs

Immunopreventable diseases are a public health reality in Brazil and worldwide. Objectives and Methods: A population, observational, descriptive, retrospective study was conducted with secondary information from DATASUS to discriminate the hospitalizations associated with immunopreventable diseases in Brazil and their care costs, within the Scope of the SUS, between 2008 and 2018, in the economically active population (20 to 59 years). Results: It was analyzed for 457,479 hospitalizations, total of 127,746 hospitalizations (27.92% of all hospitalizations) were observed for immunopreventable diseases in the adult population, totaled R$115,682,097.54 (29.72% of the total values. The trend analysis of the time series of hospitalizations in this population showed a stationary trend. Conclusions: It were identified an opportunity of increasing the immunization coverage in the workforce population, for avoided hospitalizations and their costs for the health system.

scholarly journals Effect of the Melhor em Casa program on hospital costs

2019 ◽  
Vol 53 ◽  
pp. 104
Author(s):  
Fábio Nishimura ◽  
Aniela Fagundes Carrara ◽  
Carlos Eduardo De Freitas
Keyword(s):  
Health System ◽  
Hospital Admissions ◽  
Regression Discontinuity ◽  
Hospital Costs ◽  
Risk Groups ◽  
Vulnerable Groups ◽  
Regression Discontinuity Design ◽  
Unified Health System ◽  
Hospitalization Costs ◽  
Public Resources

OBJECTIVE: To verify if the Melhor em Casa program can actually reduce hospitalization costs. METHODS: We use as an empirical strategy a Regression Discontinuity Design, which reduces endogeneity problems of our model. We also performed tests of heterogeneous responses and robustness. Data on the dependent variable, namely hospitalization costs, were collected in the Department of Informatics of the Unified Health System (DATASUS), using the microdata set from the Hospital Admissions System of the Unified Health System (SUS) from 2010 to 2013, totaling 3,609,384 observations. The covariates or control variables used were age and costs with patients in the intensive care unit, also from DATASUS. RESULTS: The results point out that the Melhor em Casa program effectively reduced hospitalization costs by approximately 4.7% in 2011, 5.8% in 2012 and 10.2% in 2013. CONCLUSIONS: Based on the analyses, we observed that maintaining the program can effectively improve the management of public resources, since it reduced the hospitalization costs in the three years studied. The program reduced hospitalization costs of risk groups and also in situations that usually increase hospital costs such as lack of equipment and elective hospitalizations. Thus, it can be affirmed that the program can reduce hospitalization costs, especially in risk and more vulnerable groups, showing efficiency as a public policy.

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