Systemic arterial hypertension and hospital admissions: improving care in primary care / Hipertensão arterial sistémica e internamentos hospitalares: melhorar os cuidados nos cuidados primários

BACKGROUND: Systemic Arterial Hypertension is a chronic disease that affects the global population and can cause serious harm when not controlled. The prevalence is high and it is one of the conditions that most leads people to death. Therefore, multiprofessional care ensures a better integrality of care and avoids high direct and indirect costs. OBJECTIVE: Describe the context of hospital admissions for Systemic Arterial Hypertension and its consequences for the brazilian national health system. MATERIAL AND METHODS: Descriptive epidemiological study, which used public domain data of the authorization of hospital admissions for hypertension, available in the Hospital Information System of the Brazilian regions, in the period from 2014 to 2020. RESULTS: Were reported, 403,181 hospitalizations for Systemic Arterial Hypertension with an annual mean of 57,597 (?=12,319.9). The North east region (?=39.3, ?=9.0 per 100,000 inhabitants, significant temporal decrease) and North region (?=37.3, ?=8.9 per 100,000 inhabitants, significant temporal decrease) expressed the highest coefficients. Stood out the female population (?=58.5%, ?=1.01%, significant temporal decrease), the elderly (?=56.7%, ?=0.79%, stable) and brown people (?=39.1%, ?=1.2%, stable). The national annual average costs are close to $3.6 million (?=736.7 thousand). CONCLUSION: Improving the actions of Primary Health and knowing the consequences can support the planning and implementation of actions, impact the costs to the health system, as well as ensure that other levels of care perform the respective care, avoiding worsening of the clinical Picture.