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INTRODUÇÃO: No Brasil, vem ocorrendo importante crescimento das causas externas, afetando a morbimortalidade da sua população. Essas causas impõem ônus econômicos e sociais elevados, incluindo gastos hospitalares. OBJETIVO: conhecer as internações por lesões e envenenamentos em hospitais próprios ou conveniados com o SUS no Estado de São Paulo, buscando determinar o custo dessas hospitalizações para o poder público, segundo algumas variáveis consideradas importantes. MATERIAL: internações hospitalares em hospitais próprios ou conveniados com o SUS, no ano 2000, obtidas no Banco de Dados do Datasus para o Brasil e o Estado de São Paulo. RESULTADOS E CONCLUSÕES: comparando causas naturais (excluídas gravidez, parto e puerpério) e causas externas, as últimas representaram menos de 10% do total de internações, tiveram permanência menor e gastaram cerca de 10% do valor total pago para todas as internações. Embora a permanência seja menor, os gastos do SUS medidos pelo custo-dia e gasto médio, foram superiores aos das internações por causas naturais. As causas mais freqüentes de internação foram quedas e acidentes de transporte e apresentaram custo-dia e gasto médio superior às médias obtidas. Segundo o desfecho, os que vieram a falecer durante a internação tiveram gastos triplicados se comparados aos que receberam alta hospitalar. INTRODUCTION: Important growth in external causes has been occurring in Brazil and affects the morbimortality of its population. These causes impose heavy economic and social burdens, including hospital costs. OBJECTIVE: to analyze the hospitalizations for injuries and poisonings in SUS or SUS-licensed hospitals in the state of São Paulo and to determine the cost of these hospitalizations to the government, taking some important variables into consideration. METHOD: hospitalizations in SUS hospitals or SUS-licensed hospitals in 2000: information obtained in the Datasus database for Brazil and the state of São Paulo. RESULTS AND CONCLUSIONS: comparing natural causes - excluding pregnancy, delivery, and puerperium - and external causes, the latter make up around 10% of total hospitalizations, required shorter stay periods, and were responsible for around 10% of the total amount paid for all the hospitalizations. Although stay may be shorter, SUS expenditures measured by cost per day and average cost were higher than hospitalizations for natural causes. Most frequent causes of hospitalization were falls and transportation accidents; these had cost-per day and average cost higher than the averages obtained. With regard to discharge conditions, costs tripled for those who died during hospitalization, compared to those in condition to be discharged

Gastos governamentais do SUS com internações hospitalares por causas externas: análise no Estado de São Paulo, 2000