scholarly journals Hospital morbidity due to mental and behavioral disorders in the Unified Health System in Sergipe-Brazil in 2018

2020 ◽  
Vol 13 (9) ◽  
pp. 99
Author(s):  
K. M. H. Cavalcante
Keyword(s):  
Mental Disorders ◽  
Health System ◽  
Behavioral Disorders ◽  
Hospital Admissions ◽  
Epidemiological Studies ◽  
Unified Health System ◽  
Psychiatric Hospitalizations ◽  
Male Patients ◽  
Hospital Morbidity ◽  
Mental And Behavioral Disorders

In Brazil, despite the increasing use of information systems in research on morbidity in hospitalization authorizations, there are few epidemiological studies on hospitalizations for mental and behavioral disorders, although it is known that they imply a high financial cost for assistance in hospitalization. health and disability of the affected. The objective of this study was to describe the frequency of hospital morbidity due to mental and behavioral disorders in the Unified Health System (UHS) in Sergipe in 2018. This is a documentary research based on UHS hospital admissions records provided by the Department of Informatics of the UHS. In Sergipe, the largest number of hospitalizations in 2018 occurred in male patients, aged 30 to 39 years, and its higher frequency was due to schizophrenia, schizotypic and delusional disorders. There was a difference in the second cause of psychiatric hospitalizations in relation to sex. For men, the second most frequent diagnosis in hospitalizations for mental disorders was related to the use of other psychoactive substances, while for women were those of mood. These hospitalizations motivated by mental and behavioral disorders in 2018 occurred mainly in the capital Aracaju (95.5%). Knowing the profile of hospitalizations for mental disorders by the Hospital Information System can be useful not only for the epidemiological knowledge of these disorders and the planning of public health actions, but also for evaluating the effectiveness of public policies implemented in the mental health area. 

scholarly journals A closer look at the epidemiology of schizophrenia and common mental disorders in Brazil

2020 ◽  
Vol 14 (3) ◽  
pp. 283-289
Author(s):  
Randhall Bruce Carteri ◽  
Jean Pierre Oses ◽  
Taiane de Azevedo Cardoso ◽  
Fernanda Pedrotti Moreira ◽  
Karen Jansen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Health System ◽  
Hospital Admissions ◽  
Common Mental Disorders ◽  
Age Groups ◽  
Epidemiologic Studies ◽  
Emerging Countries ◽  
Unified Health System ◽  
Hospital Expenses ◽  
The Impact

ABSTRACT. Schizophrenia and common mental disorders are noteworthy social and economic concern worldwide. Epidemiologic studies on the impact of specific mental disorders in emerging countries are scarce. Objectives: We aimed to characterize the demographic, social, and economic burden of schizophrenia and common mental disorders patients in the health system in Brazil. Methods: Data on these conditions in Brazil between 2008 and 2019 were collected through the website of the Departamento de Informática do Sistema Único de Saúde (Information Technology Department of the Unified Health System - DATASUS) maintained by the Brazilian Ministry of Health. Mean annual hospital admissions were 154,009.67, and cumulative incidence of 77.44 admissions per 100,000 inhabitants. Results: Average annual hospital expenses were US$ 67,216,056.04, with an average admission cost of US$ 432.58. The most affected age groups were older adults albeit younger individuals showed a trend towards increase of occurrences in recent years. There were a higher number of admissions in men compared to women. Conclusions: We consider the results obtained important to assist in evaluating and guiding public policies regarding the prevention and treatment in health systems.

Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth Edition Approaches

2008 ◽  
Vol 13 (6) ◽  
pp. 1-7
Author(s):  
Norma Leclair ◽  
Steve Leclair ◽  
Robert Barth
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Psychotic Disorders ◽  
Behavioral Disorder ◽  
Behavioral Impairment ◽  
Central Nervous System Damage ◽  
Brain Functioning ◽  
Sixth Edition ◽  
Diagnostic And Statistical Manual ◽  
Mental And Behavioral Disorders

Abstract Chapter 14, Mental and Behavioral Disorders, in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, defines a process for assessing permanent impairment, including providing numeric ratings, for persons with specific mental and behavioral disorders. These mental disorders are limited to mood disorders, anxiety disorders, and psychotic disorders, and this chapter focuses on the evaluation of brain functioning and its effects on behavior in the absence of evident traumatic or disease-related objective central nervous system damage. This article poses and answers questions about the sixth edition. For example, this is the first since the second edition (1984) that provides a numeric impairment rating, and this edition establishes a standard, uniform template to translate human trauma or disease into a percentage of whole person impairment. Persons who conduct independent mental and behavioral evaluation using this chapter should be trained in psychiatry or psychology; other users should be experienced in psychiatric or psychological evaluations and should have expertise in the diagnosis and treatment of mental and behavioral disorders. The critical first step in determining a mental or behavioral impairment rating is to document the existence of a definitive diagnosis based on the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. The article also enumerates the psychiatric disorders that are considered ratable in the sixth edition, addresses use of the sixth edition during independent medical evaluations, and answers additional questions.

scholarly journals HOSPITAL ADMISSIONS FOR STROKE IN THE BRAZILIAN NATIONAL HEALTH SYSTEM: EPIDEMIOLOGICAL FINDINGS FROM 2019-2020

2021 ◽  
Author(s):  
Mariana Guelli ◽  
Tulio Loyola Correa
Keyword(s):  
Health System ◽  
National Health ◽  
Skin Color ◽  
Hospital Admissions ◽  
Age Groups ◽  
National Health System ◽  
National Database ◽  
Cross Sectional ◽  
Unified Health System ◽  
Time Period

Background and Aims Stroke is one of the leading causes of death and disability in adults, accounting for a high number of hospitalizations worldwide.This study aims to evaluate the epidemiology of hospitalizations for stroke in Brazil during 2019 and 2020. Methods Cross-sectional, descriptive and retrospective study, which evaluated the epidemiology of hospital admissions for stroke in the Brazilian National Health System in the years 2019 and 2020.Hospital admissions were evaluated by sex, race and age group using the national database (DATASUS – Department of Informatics of the Unified Health System). The official classification of race/skin color in Brazil is composed of five categories: White, Brown [Pardo], Black,Yellow and Indigenous. Results During this time period, there was a total of 316,859 hospitalizations for stroke in the Brazilian National Health System, with 163,120 (51.5%) hospital admissions in 2019 and 153,739 (48.5%) in 2020. Also, 166,178 (52.4%) patients were male and 150,681 (47.6%) were female. Regarding race (n=250,446); 106,998 (42.7%) patients considered themselves white, 116,601 (46.6%) brown, 17,085 (6.8%) black and 9,762 (3.9%) others. Regarding age groups; 64,939 (20.5%) were >80 years old, 163,114 (51.5%) were 60-79, 74,605 (23.5%) were 40-59 and 14,201 (4.5%) were <40. Conclusions The majority of patients hospitalized for stroke were 60-79 years old and white or brown. The similar number of hospital admissions in 2019 and 2020 may suggest that hospitalizations for stroke were not significantly impacted by hospital’s oversaturation by the COVID-19 pandemic.

Mental disorders in patients with tuberculosis

2020 ◽  
pp. 24-31
Author(s):  
Andrey Rashchupkin ◽  
Vitaliy Maksyutov
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Clinical Picture ◽  
Mental And Behavioral Disorders

Mental and behavioral disorders, as well as tuberculosis, are included in the list of socially significant diseases. In this regard, the topic of studying the clinical picture of mental disorders that occur in patients with tuberculosis is always an urgent topic.

scholarly journals Public-private settlement and hospital mortality per sources of payment

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Juliana Pires Machado ◽  
Mônica Martins ◽  
Iuri da Costa Leite
Keyword(s):  
Hospital Mortality ◽  
Hospital Admission ◽  
Health System ◽  
Hospital Admissions ◽  
Structural Characteristics ◽  
Information Source ◽  
Healthcare Research ◽  
Administrative Databases ◽  
Unified Health System ◽  
The Mean

ABSTRACT OBJECTIVE To analyze if the adjusted hospital mortality varies according to source of payment of hospital admissions, legal nature, and financing settlement of hospitals. METHODS Cros-ssectional study with information source in administrative databases. Specific hospital admission reasons were selected considering the volume of hospital admissions and the list of quality indicators proposed by the North-American Agency for Healthcare Research and Quality (AHRQ). Were analyzed 852,864 hospital admissions of adults, occurred in 789 hospitals between 2008 and 2010, in Sao Paulo and Rio Grande do Sul, applying multilevel logistic regression. RESULTS At hospital admission level, showed higher chances of death male patients in more advanced age groups, with comorbidity, who used intensive care unit, and had the Brazilian Unified Health System as source of payment. At the level of hospitals, in those located in the mean of the distribution, the adjusted probability of death in hospital admissions financed by plan or private was 5.0%, against 9.0% when reimbursed by the Brazilian Unified Health System. This probability increased in hospital admissions financed by the Brazilian Unified Health System in hospitals to two standard deviations above the mean, reaching 29.0%. CONCLUSIONS In addition to structural characteristics of the hospitals and the profile of the patients, interventions aimed at improving care should also consider the coverage of the population by health plans, the network shared between beneficiaries of plans and users of the Brazilian Unified Health System, the standard of care to the various sources of payment by hospitals and, most importantly, how these factors influence the clinical performance.

scholarly journals Hospital morbidity in a medium-sized city: differentials between men and women

2014 ◽  
Vol 22 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Carlos Alexandre Molena-Fernandes ◽  
Thais Aidar de Freitas Mathias ◽  
Sonia Silva Marcon
Keyword(s):  
Mental Disorders ◽  
Average Length ◽  
Men And Women ◽  
Unified Health System ◽  
Significant Difference ◽  
Hospital Morbidity ◽  
The City ◽  
Length Of Hospitalization ◽  
Specific Health ◽  
Circulatory Diseases

OBJECTIVE: characterize the hospital morbidity of adults living in the city of Maringá, PR, Brazil, between 2000 and 2011, focusing on the differential between men and women. METHOD: this descriptive study was developed based on data from the Hospital Information System of the Unified Health System in order to investigate the association between groups of hospitalization causes and the average length of hospitalization per gender, in three-year periods. RESULTS: the main groups of hospitalization causes for men were: mental disorders, lesions and circulatory diseases; and, among women: tumors, circulatory and genitourinary diseases. Mental disorders and lesions, tumors, circulatory and genitourinary diseases were significantly associated with the female and male genders across the study period. Although not significant, the mean length of hospitalization dropped across the four three-year periods, and only showed a significant difference between men and women in the second triennium. CONCLUSION: differences in the hospital morbidity profile between men and women underline the need for specific health and nursing actions, especially in primary health care, with a view to reducing hospitalizations due to the main groups of causes in the city.

scholarly journals Previous hospital admissions in risk adjustment for mortality of elderly patients admitted with hip fracture

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Helen Machareth ◽  
Cláudia Coeli ◽  
Rejane Pinheiro
Keyword(s):  
Information System ◽  
Hip Fracture ◽  
Health System ◽  
Risk Adjustment ◽  
Hospital Information System ◽  
Hospital Admissions ◽  
Hospital Death ◽  
The Public ◽  
Unified Health System ◽  
Ischemic Diseases

ABSTRACTIntroductionThe Hospital Information System of the Brazilian Unified Health System (SIH-SUS) can be an important tool in evaluating care through comparisons of mortality rates among hospitals. However, the SIH-SUS has limited availability of data on comorbidities, which are needed in order to measure the severity of patients' condition for risk adjustment when comparing mortality among hospitals. ObjectivesTo analyze previous hospital admissions as an indicator of severity of patients' condition using as an example hip fracture admissions. ApproachWe analyzed 1984 patients with 62 years of age or older with hip fracture who were admitted to the public health system in Rio de Janeiro City between 2010 and 2011. The causes of previous hospital admissions were obtained through probabilistic record linkage with the SIH-SUS for all causes of admissions between 2008 and 2010. We analyzed the association between the patient having had a any previous admission, adjusted by sex and age, with hospital death, through a logistic regression model. We also analyzed the association between groups of causes of admission with hospital death. ResultsHaving had at least one previous hospital admission due to any cause before the admission for hip fracture was associated with a 77% increase in the odds of hospital death (CI 95% = 1.06 – 2.94). Among comorbidities, the most relevant were severe or moderate kidney disease with OR = 20.196 (CI 95% = 3.042 – 134.092), ischemic diseases with OR = 9.099 (CI 95% = 0.973 – 85.106), pneumonia with OR = 3.619 (CI 95% = 0.977 – 13.401) and diverse fractures and lesions with OR = 2.041 (CI 95% = 0.900 – 4.627). We were not able to analyze the association for some comorbidities due to an absence in outcome variability in some groups. ConclusionResults point to a promising use of previous hospital admissions in the Hospital Information System as a proxy for patient's risk adjustment.

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.

scholarly journals CURRENT ASPECTS OF AUTISM PREVALENCE AMONG CHILDREN OF DIFFERENT AGE GROUPS

2020 ◽  
Vol 23 (1) ◽  
pp. 21-27
Author(s):  
Rimma N. Terletskaya ◽  
Ludmila M. Kuzenkova ◽  
Irina V. Vinyarskaya ◽  
Anna N. Lashkova
Keyword(s):  
Mental Disorders ◽  
Behavioral Disorders ◽  
Social Care ◽  
Age Groups ◽  
Epidemiological Studies ◽  
Autism Diagnosis ◽  
Persons With Disabilities ◽  
True Prevalence ◽  
The Russian Federation ◽  
Official Data

Introduction. Knowledge of the prevalence of autism in children is a prerequisite for the organization of medical and social care for this population of patients. Aim: to determine the prevalence of autism among the children of the Russian Federation of different age groups according to official statistics. Materials and methods. An analysis of official data on the incidence and prevalence of disability in autism in children of different age groups (0-4 years, 5-9, 10-14 and 15-17 years) for the period 2016-2018 was carried out. The share of autism in the structure of morbidity and disability caused by mental disorders and behavioral disorders was determined. Results. There has been an increase in cases of autism diagnosis among the child population, extremely significant among adolescents aged 15-17. The age structure of autism cases has changed - the proportion of children aged 0-4, 5-9 and the proportion of adolescents aged 15-17 has significantly decreased. The prevalence of autism-related disability compared to morbidity has not increased as significantly. Its highest rates were among children aged 5-9. Due to the sharp increase in autism cases, the proportion of persons with disabilities among them has decreased several times. The incidence of autism in the structure of morbidity and disability caused by mental disorders and behavioral disorders in children aged 0-17 has increased. Conclusion. The obtained data can be used in the organization of medical and social care for children suffering from autism. The need for special epidemiological studies to determine the true prevalence of autism in children seems relevant.

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