Open AccessCost of hospitalizations for stroke in the elderly in Brazil, 2008-2019: a time series study.
Author(s) -
Leonardo Feitosa da Silva,
Thiago Cavalcanti Leal,
João Paulo Silva de Paiva,
Gibson Barros de Almeida Santana,
Lucas Gomes Santos,
Carlos Alberto de Oliveira Rocha,
Jussara Almeida de Oliveira Baggio,
Amanda Karine Barros Ferreira Rodrigues,
Thaís Silva Matos,
Rodrigo Feliciano do Carmo,
Carlos Dornels Freire de Souza
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.096
Subject(s) - medicine , confidence interval , stroke (engine) , authorization , demography , emergency medicine , mechanical engineering , computer security , sociology , computer science , engineering
Background: Stroke is the second leading cause of death in the world, causing thousands of hospital admissions and whose morbidity and health care costs are high. Objectives: To analyze the temporal behavior of hospitalization of elderly people due to stroke in Brazil, regions and Federation Units (UF), 2008- 2019. Design and setting: Ecological study. The space units were Brazil, its regions and Federation Units. Methods: Data were collected on the DATASUS online platform: number of admissions, number of Hospitalization Authorizations approved (AIH), total AIH value (R$), average AIH value (R$), and average value hospitalizations (R$). Was used the joinpoint regression model to calculate the Annual Percentage Change (APC) and the Average Annual Percent Change (AAPC) with 95% confidence interval and a 5% significance level. Results: Approximately 1.4 million hospitalizations were identified in Brazil, with a total cost of R$ 1.6 billion reais and an average of 1.1 thousand reais. The Southeast region stood out in the number of hospitalizations (n = 574399; 42.1%), approved AIH (n = 574625; 42.1%) and total amount (R $ 677,444,257.54; 43.4%). Throughout the time series, the number of hospitalizations increased by 52.3% and the number of approved AIH increased by 52.4%. The mean values of hospitalizations and AIH increased, respectively, 55.4% (AAPC: 3.9; CI: 3.2; 4.5) and 55.3% (AAPC: 3.9; CI: 3, 2; 4.5), while the total value of hospitalizations increased by 134.9% (AAPC 8.0; CI: 6.9; 9.1). Conclusions: There was an increase in variables related to hospitalization and stroke costs in the elderly in Brazil.