Perfil de morbidade e de mortalidade de pacientes idosos hospitalizados

• Autor(a) principal: Amaral, Ana Claudia Santos
• Data de Publicação: 2004
• Outros Autores: Coeli, Cláudia Medina, Costa, Maria do Carmo Esteves da, Cardoso, Vânia da Silva, Toledo, Ana Lúcia Araújo de, Fernandes, Carla Rodrigues
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2282
• topic: Saúde do Idoso; Hospitalização; Mortalidade Hospitalar; Morbidade

The objectives of this study were to analyze the morbidity and mortality profile in elderly patients hospitalized in two teaching and two non-teaching hospitals in Rio de Janeiro, Brazil (Municipal Planning Area 2.2) in 1999, and to compare in-hospital mortality rates adjusted for differences in profile. Data were obtained from the National Hospital Database of the Unified National Health System (SIH/SUS). The logistic model included the variables age and primary diagnosis to calculate risk-adjusted in-hospital mortality rates. Hospital admissions of elderly patients (n = 7,584) represented 29.3% of a total of 25,928 hospitalizations that took place in these units. Senile cataract (7.8%) was the most frequent cause of hospitalization, followed by prostate hyperplasia (4.7%), congestive heart failure (2.9%), and complete atrioventricular block (2.8%). Non-teaching hospitals presented in-hospital mortality rates higher than teaching hospitals even after adjusting for case profile differences with regard to age and primary diagnosis. The use of SIH/SUS databases and the risk adjustment methodology represent an alternative for exploratory analysis of healthcare outcomes.