Morbidade hospitalar de crianças de zero a nove anos no Hospital Universitário de Lagarto, Sergipe, Brasil: uma análise entre 2013 e 2022
DOI:
https://doi.org/10.34019/1982-8047.2023.v49.42602Keywords:
Saúde da Criança, Inquéritos de Morbidade, Hospitalização, Hospitais Universitários, Sistema Único de SaúdeAbstract
Introduction: Most children have a disease or health problem that requires hospital care during childhood, including hospitalization. However, child-related hospital morbidity needs further investigation. Objective: To evaluate the child-related hospital morbidity of children from zero to nine years old at the University Hospital of Lagarto, Sergipe, Brazil (HUL) in the last ten years. Method: An ecological time-series study was carried out, considering the number of annual hospital admissions as the primary variable. The temporal trend of incidence between 2013 and 2022 was estimated, in addition to describing morbidity indicators and comparing the incidence in relation to sex, age group and ICD-10. Results: In the last ten years, almost six thousand hospital admissions of children from zero to nine years old were approved at the HUL. The average value of each hospitalization was R$433.61, with an average length of stay of 4.8 days. The temporal tendency was stationary for all age groups (under one year old, between one and four, and between five and nine years old)(p >0.05). However, the incidence of hospitalizations of children under one year old was significantly higher when compared to other age groups (p <0.05), as well as female children when compared to male (p <0.05). Finally, it was observed that respiratory system diseases were the most common, whose incidence was significantly higher than all other ICD-10 disease groups (p <0.05). Conclusion: In the last ten years, HUL has presented a pattern of hospital morbidity with a higher prevalence of hospitalizations in children aged 1 to 4 years and for respiratory causes.
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References
Lulgjuraj D, Maneval RE. A phenomenological study exploring pediatric hospitalization: the voices of accompanied and unaccompanied hospitalized children. J Pediatr Nurs. 2023; 70:68-78. doi: 10.1016/j.pedn.2023.02.007
Coller RJ, Rodean J, Linares DE, Chung PJ, Pulcini C, Hall M et al. Variation in hospitalization rates following emergency department visits in children with medical complexity. J Pediatr. 2019; 214:113-20. doi: 10.1016/j.jpeds.2019.07.034
Rees CA, Neuman MI, Monuteaux MC, Michelson KA, Duggan CP. Mortality during readmission among children in United States children's hospitals. J Pediatr. 2022; 246:161-9. doi: 10.1016/j.jpeds.2022.03.040
Justino DCP, Lopes MS, Machado FCA, Andrade FB. Assessment of the causes of infant morbidity and mortality in Brazil. Mundo Saude. 2021; 45:152-61. doi: 10.15343/0104-7809.202145152161
Oliveira IC, Moreira EAF, Andrade FB. Evaluation of morbidity and mortality by respiratory causes in children under five years old in Northeast Brazil. Rev Cienc Plural. 2020; 6(2):140-55. doi: 10.21680/2446-7286.2020v6n2ID19910
Araújo VLL, Moura MCL, Silva RP, Alencar MFB, Morais EJS, Silva MJC et al. Causes of hospitalization of children aged 0 to 9 years in the state of Piauí: descriptive analysis. Braz J Surg Clin Res. 2019; 27(2):20-4.
Faria RM. The territorialization of Primary Health Care of the Brazilian Unified Health System. Cienc Saude Coletiva. 2020; 25(11):4521-30. doi: 10.1590/1413-812320202511.30662018
Oliveira TL, Santos CM, Miranda LP, Nery MLF, Caldeira AP. Factors associated with the cost of hospitalization for diseases sensitive to Primary Care in the Unified Health System. Cienc Saude Coletiva. 2021; 26(10):4541-52. doi: 10.1590/1413-812320212610.10862021
Araújo YB, Santos SR, Neves NTAT, Cardoso ELS, Nascimento JA. Predictive model of hospitalization for children and adolescents with chronic disease. Rev Bras Enferm. 2020; 73(2):e20180467. doi: 10.1590/0034-7167-2018-0467
Silva GS, Fernandes DRF, Alves CRL. Evaluation of primary child health care in Brazil: a systematic review of methods and results. Cienc Saude Coletiva. 2020; 25(8):3185-200. doi: 10.1590/1413-81232020258.27512018
Souza RR, Vieira MG, Lima CJF. The integral child health care network in the Federal District – Brazil. Cienc Saude Coletiva. 2019; 24(6):2075-84. doi: 10.1590/1413-81232018246.09512019
Merchán-Hamann E, Tauil PL. Proposal for classifying the different types of descriptive epidemiological studies. Epidemiol Serv Saude. 2021; 30(1):e2018126. doi: 10.1590/s1679-49742021000100026
Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CM. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010; 44(3):559-65. doi: 10.1590/S0034-89102010000300021
Empresa Brasileira de Serviços Hospitalares (BR). Hospital Universitário de Lagarto [Internet]. Lagarto: Ebserh; 2023 [citado em 2024 out 25]. Disponível em: https://www.gov.br/ebserh/pt-br/hospitais-universitarios/regiao-nordeste/hul-ufs.
Instituto Brasileiro de Geografia e Estatística (BR). Cidades e estados [Internet]. Brasília: IBGE; 2023 [citado em 2024 out 25]. Disponível em: https://www.ibge.gov.br/cidades-e-estados.
Ministério da Saúde (BR). Departamento de Informática do Sistema Único de Saúde (DATASUS) [Internet]. Brasília: Ministério da Saúde; 2023 [citado em 2024 out 25]. Disponível em: https://datasus.saude.gov.br/.
Bittencourt SA, Camacho LA, Leal MC. Hospital information systems and their application in public health. Cad Saude Publica. 2006; 22(1):19-30. doi: 10.1590/s0102-311x2006000100003
World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems 10th revision [Internet]. Genebra: WHO; 2023 [citado em 2024 out 25]. Disponível em: https://icd.who.int/.
Ministério da Saúde (BR). Conselho Nacional de Saúde. Resolução n° 510, de 7 de abril de 2016 [Internet]. 2016 [citado em 2024 out 25]. Disponível em: https://conselho.saude.gov.br/images/comissoes/conep/documentos/NORMAS-RESOLUCOES/Resoluo_n_510_-_2016_-_Cincias_Humanas_e_Sociais.pdf
Souza AC, Ferreira H, Contiero AP, Silva RMM, Zilly A, Furtado MCC et al. Hospital morbidity of children under five years old in a Brazilian border municipality. Rev Min Enferm. 2022; 26(1):e-142. doi: 10.35699/2316-9389.2022.38662
Carvalho CN, Fortes S, Castro APB, Cortez-Escalante J, Rocha TAH. The COVID-19 pandemic and hospital morbidity due to mental and behavioral disorders in Brazil: an interrupted time series analysis, from January 2008 to July 2021. Epidemiol Serv Saude. 2023; 32(1):e2022547. doi: 10.1590/S2237-96222023000100016
Pagano M, Gauvreau K, Heather M. Principles of bioestatistics. 3. ed. Boca Raton: CRC Press; 2022.
Latorre MRDO, Cardoso MRA. Time series analysis in epidemiology: an introduction to methodological aspects. Rev Bras Epidemiol. 2001; 4(3):145-52. doi: 10.1590/S1415-790X2001000300002
Antunes JLF, Cardoso MRA. Using time series analysis in epidemiological studies. Epidemiol Serv Saude. 2015; 24(3):565-76. doi: 10.5123/S1679-49742015000300024
Alexandrino A, Xavier BLQ, Oliveira FB, Santos ABMV, Quirino ALS, Andrade FB. Morbimortality from respiratory system diseases in Brazil: an ecological study. Rev Cienc Plural. 2022; 8(2):1-21. doi: 10.21680/2446-7286.2022v8n2ID25243
Beber LCC, Gewehr DM, Cecconello L, Sulzbacher MM, Heck TG, Berlezi EM. Risk factors for respiratory disease in Brazilian children: integrative review. RIES. 2020; 9(1):26-38. doi: 10.33362/ries.v9i1.1660
Barreto AKCP, Holanda ER, Souza HPJ, Souza BFN. Predictor factors of the acute respiratory infection in preschools attended by a public daycare center. Rev Min Enferm. 2021; 25(1):e-1394. doi: 10.5935/1415.2762.20210042
Garcia LOS, Ferreira L. Morbidities related to hospital instruments for children younger than four years living in Espírito Santo state. RBPS. 2019; 21(3):23-9.
Moura EC, Cortez-Escalante J, Lima RTS, Cavalcante FV, Alves LC, Santos LMP. Mortality in children under five years old in Brazil: evolution from 2017 to 2020 and the influence of COVID-19 in 2020. J Pediatr. 2022; 98(6):626-34. doi: 10.1016/j.jped.2022.03.004
Macedo SE, Menezes AM, Albernaz E, Post P, Knorst M. Risk factors for acute respiratory disease hospitalization in children under one year of age. Rev Saude Publica. 2007; 41(3):351-8. doi: 10.1590/s0034-89102007000300005
Ribeiro MGC, Araujo Filho ACA, Rocha SS. Children's hospitalizations by sensitive conditions in primary care in the Northeast of Brazil. Rev Bras Saude Mater Infant. 2019; 19(2):491-8. doi: 10.1590/1806-93042019000200013
Santana DM, Barbosa-Lima R, Andrade AM. Impacto da pandemia de COVID-19 na atuação do pediatra e do odontopediatra no Sistema Único de Saúde do Brasil. Rev Cienc Saude. 2023; 13(2):52-8. doi: 10.21876/rcshci.v13i2.1419
Martínez-Navarro G, Lozano-Zafra C, Caballero-Chabrera F, Modesto-Alapont V, Oltra-Benavent M. COVID-19 impact on the emergency and hospitalization of a tertiary hospital: management lessons learned. Enferm Infecc Microbiol Clin. 2022; 40(9):503-6. doi: 10.1016/j.eimce.2022.06.001
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