Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/30598 |
Resumo: | Objective: To use a multilevel analysis methodology to evaluate hospital mortality from the data available in the Hospital Information System of the National Unified Health System. Methods: Cross-sectional study with data obtained from Authorization Forms for Hospital Admissions in Rio Grande do Sul, Brazil in 2005. The modeling was performed using multilevel logistic regression, with variables from the individual level (hospital admissions) and the context level (hospital profile). The variability originated from individual variables was analyzed as well as the participation of the profile of hospitals in the rate of hospital mortality. Results: The crude death rate calculated for all hospitals was 6.3%. The variables “Use of Intensive Care Unit” followed by “Patient Age” were the main predictors for hospital death at the individual level. The context variables that were related most closely to hospital death (outcome) were: size of hospital, legal nature, and average length of stay. The OR for deaths at large hospitals was 1.85 times the odds for small hospitals and the OR for medium hospitals was 1.69 times the odds for small ones. The chance of deaths in public hospitals was 67% higher than in private ones. Conclusions: The hospital profile has an important role in hospital mortality in the Hospital Information System of the National Unified Health System. Multilevel analysis should be used to estimate the contribution of the profile of mortality in hospitals. |
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Gomes, Andrea SilveiraKluck, Mariza MachadoFachel, Jandyra Maria GuimarãesRiboldi, João2011-08-04T06:01:30Z20101415-790Xhttp://hdl.handle.net/10183/30598000762144Objective: To use a multilevel analysis methodology to evaluate hospital mortality from the data available in the Hospital Information System of the National Unified Health System. Methods: Cross-sectional study with data obtained from Authorization Forms for Hospital Admissions in Rio Grande do Sul, Brazil in 2005. The modeling was performed using multilevel logistic regression, with variables from the individual level (hospital admissions) and the context level (hospital profile). The variability originated from individual variables was analyzed as well as the participation of the profile of hospitals in the rate of hospital mortality. Results: The crude death rate calculated for all hospitals was 6.3%. The variables “Use of Intensive Care Unit” followed by “Patient Age” were the main predictors for hospital death at the individual level. The context variables that were related most closely to hospital death (outcome) were: size of hospital, legal nature, and average length of stay. The OR for deaths at large hospitals was 1.85 times the odds for small hospitals and the OR for medium hospitals was 1.69 times the odds for small ones. The chance of deaths in public hospitals was 67% higher than in private ones. Conclusions: The hospital profile has an important role in hospital mortality in the Hospital Information System of the National Unified Health System. Multilevel analysis should be used to estimate the contribution of the profile of mortality in hospitals.application/pdfengRevista brasileira de epidemiologia = Brazilian journal of epidemiology. Porto Alegre. Vol. 13, no. 3 (Sept. 2010), p. 1-10Estatística aplicada : MedicinaModelo multinívelHospital mortality.Multilevel analysisMultilevel logistic regression modelsQuality careEvaluation of health servicesUnified Health SystemFactors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel modelinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000762144.pdf000762144.pdfTexto completo (inglês)application/pdf246777http://www.lume.ufrgs.br/bitstream/10183/30598/1/000762144.pdf7c98feb57f45204337f9a8fd5354451eMD51TEXT000762144.pdf.txt000762144.pdf.txtExtracted Texttext/plain33997http://www.lume.ufrgs.br/bitstream/10183/30598/2/000762144.pdf.txtb64a3da6543bb8f2352e83d29036e739MD52THUMBNAIL000762144.pdf.jpg000762144.pdf.jpgGenerated Thumbnailimage/jpeg1693http://www.lume.ufrgs.br/bitstream/10183/30598/3/000762144.pdf.jpgc9eef7890763305cf00788625145f0c2MD5310183/305982018-10-11 09:18:47.165oai:www.lume.ufrgs.br:10183/30598Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-11T12:18:47Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
title |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
spellingShingle |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model Gomes, Andrea Silveira Estatística aplicada : Medicina Modelo multinível Hospital mortality. Multilevel analysis Multilevel logistic regression models Quality care Evaluation of health services Unified Health System |
title_short |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
title_full |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
title_fullStr |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
title_full_unstemmed |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
title_sort |
Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005 : application of a multilevel model |
author |
Gomes, Andrea Silveira |
author_facet |
Gomes, Andrea Silveira Kluck, Mariza Machado Fachel, Jandyra Maria Guimarães Riboldi, João |
author_role |
author |
author2 |
Kluck, Mariza Machado Fachel, Jandyra Maria Guimarães Riboldi, João |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gomes, Andrea Silveira Kluck, Mariza Machado Fachel, Jandyra Maria Guimarães Riboldi, João |
dc.subject.por.fl_str_mv |
Estatística aplicada : Medicina Modelo multinível |
topic |
Estatística aplicada : Medicina Modelo multinível Hospital mortality. Multilevel analysis Multilevel logistic regression models Quality care Evaluation of health services Unified Health System |
dc.subject.eng.fl_str_mv |
Hospital mortality. Multilevel analysis Multilevel logistic regression models Quality care Evaluation of health services Unified Health System |
description |
Objective: To use a multilevel analysis methodology to evaluate hospital mortality from the data available in the Hospital Information System of the National Unified Health System. Methods: Cross-sectional study with data obtained from Authorization Forms for Hospital Admissions in Rio Grande do Sul, Brazil in 2005. The modeling was performed using multilevel logistic regression, with variables from the individual level (hospital admissions) and the context level (hospital profile). The variability originated from individual variables was analyzed as well as the participation of the profile of hospitals in the rate of hospital mortality. Results: The crude death rate calculated for all hospitals was 6.3%. The variables “Use of Intensive Care Unit” followed by “Patient Age” were the main predictors for hospital death at the individual level. The context variables that were related most closely to hospital death (outcome) were: size of hospital, legal nature, and average length of stay. The OR for deaths at large hospitals was 1.85 times the odds for small hospitals and the OR for medium hospitals was 1.69 times the odds for small ones. The chance of deaths in public hospitals was 67% higher than in private ones. Conclusions: The hospital profile has an important role in hospital mortality in the Hospital Information System of the National Unified Health System. Multilevel analysis should be used to estimate the contribution of the profile of mortality in hospitals. |
publishDate |
2010 |
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2010 |
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2011-08-04T06:01:30Z |
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eng |
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Revista brasileira de epidemiologia = Brazilian journal of epidemiology. Porto Alegre. Vol. 13, no. 3 (Sept. 2010), p. 1-10 |
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