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Trends in pediatric hospitalizations for ambulatory care sensitive respiratory diseases in Brazil
Author(s) -
Carneiro Viviane Santos Mendes,
Vila Vanessa Carvalho da Silva,
Vieira Maria Aparecida da Silva
Publication year - 2020
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12818
Subject(s) - medicine , asthma , nose , throat , ambulatory , pediatrics , socioeconomic status , epidemiology , ambulatory care , demography , health care , emergency medicine , environmental health , population , surgery , sociology , economics , economic growth
Objective To analyze the trend in hospitalization rates for ambulatory care sensitive respiratory diseases (ACSRD) of children under five years of age in Brazil. Design Time series study of hospitalization rates using secondary information from the Hospital Information System of the Brazil's Unified Health System. Sample Hospitalizations of children under five years of age living in Brazilian regions. Hospitalizations were separated according to cause: nose and throat infections, asthma, bacterial pneumonias, and lung diseases. Measurements Rates were calculated for total hospitalizations for ACSRD, and by cause, age group, and region. Trends were analyzed by using means of simple linear regression and were classified into stationary ( p ≥ .05), ascending (β positive and p < .05) or declining (β negative and p < .05) trends. Results All regions showed stationary trends in total hospitalization rates for ACSRDs, except in the Southeast, where trends were ascending. Asthma was the only cause that showed a declining trend. Bacterial pneumonias showed stationary trends, while lung diseases and nose and throat infections had predominantly ascending trends. Conclusion Brazil's hospitalization rates for ACSRDs are high. Investigations into primary health care organization and work processes, as well as socioeconomic, cultural, and geographical factors are necessary.