Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/33046 |
Resumo: | OBJECTIVE: To estimate costs of hospitalization and years of potential life lost associated with leptospirosis. METHODS: Databases of the Brazilian Ministry of Health's information system were used to carry out probabilistic linkage of cases and hospitalizations leading to death by leptospirosis in 2007. Within the Information System for Notifiable Diseases, confirmed cases were subdivided into hospitalization and death. These were then linked to the Hospital Information System (records with primary diagnosis) and the Mortality Information System (underlying cause of death A27.0, A27.8, and A27.9) databases. The partial cost of hospitalization, deaths by disease, and years of potential life and work lost, were estimated. RESULTS: Most hospitalizations leading to death occurred among males aged 18-49 years, of white ethnicity, living in urban areas, and with incomplete elementary education. Years of potential life lost amounted to 6,490, 75% of which were in the 20-49 years age group. When adjusted for the population, this loss represented 15 days of life/thousand persons. The ratio of years of potential life lost to number of deaths was on average 30 years per death. The estimated financial impact amounted to R$ 22.9 million in non-earned wages. Hospitalization costs totaled R$ 831.5 thousand. Estimated days of wages lost per admission period (median: 6 days) amounted to R$ 103.0 thousand. CONCLUSIONS: There was a high social cost in terms of years of potential life lost and partial hospital costs associated with leptospirosis when compared to the possibility of early treatment or prevention of infection, both of which could minimize the impact of the disease on the Brazilian population. |
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Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil Años potenciales de vida perdidos y costos hospitalarios de la leptospirosis en Brasil Anos potenciais de vida perdidos e custos hospitalares da leptospirose no Brasil LeptospiroseeconomiaHospitalizaçãoCustos de Cuidados de SaúdeAnos Potenciais de Vida PerdidosLeptospirosiseconomíaHospitalizaciónCostos de la Atención en SaludAños Potenciales de Vida PerdidosLeptospirosiseconomicsHospitalizationHealth Care CostsPotential Years of Life Lost OBJECTIVE: To estimate costs of hospitalization and years of potential life lost associated with leptospirosis. METHODS: Databases of the Brazilian Ministry of Health's information system were used to carry out probabilistic linkage of cases and hospitalizations leading to death by leptospirosis in 2007. Within the Information System for Notifiable Diseases, confirmed cases were subdivided into hospitalization and death. These were then linked to the Hospital Information System (records with primary diagnosis) and the Mortality Information System (underlying cause of death A27.0, A27.8, and A27.9) databases. The partial cost of hospitalization, deaths by disease, and years of potential life and work lost, were estimated. RESULTS: Most hospitalizations leading to death occurred among males aged 18-49 years, of white ethnicity, living in urban areas, and with incomplete elementary education. Years of potential life lost amounted to 6,490, 75% of which were in the 20-49 years age group. When adjusted for the population, this loss represented 15 days of life/thousand persons. The ratio of years of potential life lost to number of deaths was on average 30 years per death. The estimated financial impact amounted to R$ 22.9 million in non-earned wages. Hospitalization costs totaled R$ 831.5 thousand. Estimated days of wages lost per admission period (median: 6 days) amounted to R$ 103.0 thousand. CONCLUSIONS: There was a high social cost in terms of years of potential life lost and partial hospital costs associated with leptospirosis when compared to the possibility of early treatment or prevention of infection, both of which could minimize the impact of the disease on the Brazilian population. OBJETIVO: Estimar los costos asociados a la hospitalización y los años potenciales de vida perdidos debido a la leptospirosis. MÉTODOS: Se utilizaron los bancos de datos de sistemas de información en salud del Ministerio de la Salud para la conexión probabilística de los casos e internaciones que evolucionaron a óbito por leptospirosis en 2007. En el Sistema de Información de Agravios de Notificación los casos confirmados fueron subdivididos en internación y óbito, siendo relacionados con las siguientes bases: Sistemas de Informaciones Hospitalarias (registros con diagnóstico principal) y Sistemas de Informaciones sobre Mortalidad (causa básica del óbito, A27.0, A27.8 y A27.9). Se estimaron los costos parciales de internación, los óbitos por la enfermedad, los años potenciales de vida y de trabajo perdidos. RESULTADOS: Las características de la mayoría de las internaciones que evolucionaron para óbito eran: sexo masculino, entre 18 y 49 años, raza blanca, zona urbana y educación primaria incompleta. Fueron 6.490 años potenciales de vida perdidos, siendo 75% del grupo de edad de 20 a 49 años. Al realizar ajuste en la población, la pérdida fue de 15 días de vida/1.000 habitantes. La proporción de años potenciales vida perdidos por el número de óbitos fue en promedio de 30 años perdidos para cada óbito. El impacto financiero estimado fue equivalente a R$ 22,9 millones en salarios no ganados. Los costos hospitalarios duelen de R$ 831,5 mil. Considerando los días de salario perdidos por período de internación (mediana: 6 días) hubo pérdida de R$ 103,0 mil. CONCLUSIONES: Hubo elevado costo social en término de años potenciales de vida perdidos y gasto hospitalario parcial con leptospirosis cuando se compara con el posible tratamiento precoz o al no padecimiento de la enfermedad, lo que podría haber minimizado el impacto de esta enfermedad en la población brasileña. OBJETIVO: Estimar os custos associados à hospitalização e os anos potenciais de vida perdidos devido à leptospirose. MÉTODOS: Foram utilizados os bancos de dados de sistemas de informação em saúde do Ministério da Saúde para o relacionamento probabilístico dos casos e internações que evoluíram a óbito por leptospirose em 2007. No Sistema de Informação de Agravos de Notificação os casos confirmados foram subdivididos em internação e óbito, que foram relacionados às seguintes bases: Sistema de Informações Hospitalares (registros com diagnóstico principal) e Sistema de Informações sobre Mortalidade (causa básica do óbito, A27.0, A27.8 e A27.9). Foram estimados os custos parciais de internação, os óbitos pela doença, os anos potenciais de vida e de trabalho perdidos. RESULTADOS: As características da maioria das internações que evoluíram para óbito eram: sexo masculino, entre 18 e 49 anos, raça branca, zona urbana e ensino fundamental incompleto. Foram 6.490 anos potenciais de vida perdidos, sendo 75% da faixa etária de 20 a 49 anos. Quando ajustada pela população, a perda foi de 15 dias de vida/1.000 habitantes. A proporção de anos potenciais de vida perdidos pelo número de óbitos foi em média de 30 anos perdidos para cada óbito. O impacto financeiro estimado foi equivalente a R$ 22,9 milhões em salários não ganhos. Os custos hospitalares foram de R$ 831,5 mil. Considerando os dias de salário perdidos por período de internação (mediana: 6 dias), houve perda de R$ 103,0 mil. CONCLUSÕES: Houve elevado custo social em termo de anos potenciais de vida perdidos e gasto hospitalar parcial com leptospirose quando comparado ao possível tratamento precoce ou não adoecimento, o que poderia ter minimizado o impacto dessa doença na população brasileira. Universidade de São Paulo. Faculdade de Saúde Pública2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3304610.1590/S0034-89102011005000070Revista de Saúde Pública; Vol. 45 No. 6 (2011); 1001-1008 Revista de Saúde Pública; Vol. 45 Núm. 6 (2011); 1001-1008 Revista de Saúde Pública; v. 45 n. 6 (2011); 1001-1008 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33046/35715https://www.revistas.usp.br/rsp/article/view/33046/35716Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSouza, Verena Maria Mendes deArsky, Maria de Lourdes Nobre SimõesCastro, André Peres Barbosa deAraujo, Wildo Navegantes de2012-07-11T22:52:59Zoai:revistas.usp.br:article/33046Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T22:52:59Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil Años potenciales de vida perdidos y costos hospitalarios de la leptospirosis en Brasil Anos potenciais de vida perdidos e custos hospitalares da leptospirose no Brasil |
title |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
spellingShingle |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil Souza, Verena Maria Mendes de Leptospirose economia Hospitalização Custos de Cuidados de Saúde Anos Potenciais de Vida Perdidos Leptospirosis economía Hospitalización Costos de la Atención en Salud Años Potenciales de Vida Perdidos Leptospirosis economics Hospitalization Health Care Costs Potential Years of Life Lost |
title_short |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
title_full |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
title_fullStr |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
title_full_unstemmed |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
title_sort |
Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil |
author |
Souza, Verena Maria Mendes de |
author_facet |
Souza, Verena Maria Mendes de Arsky, Maria de Lourdes Nobre Simões Castro, André Peres Barbosa de Araujo, Wildo Navegantes de |
author_role |
author |
author2 |
Arsky, Maria de Lourdes Nobre Simões Castro, André Peres Barbosa de Araujo, Wildo Navegantes de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Souza, Verena Maria Mendes de Arsky, Maria de Lourdes Nobre Simões Castro, André Peres Barbosa de Araujo, Wildo Navegantes de |
dc.subject.por.fl_str_mv |
Leptospirose economia Hospitalização Custos de Cuidados de Saúde Anos Potenciais de Vida Perdidos Leptospirosis economía Hospitalización Costos de la Atención en Salud Años Potenciales de Vida Perdidos Leptospirosis economics Hospitalization Health Care Costs Potential Years of Life Lost |
topic |
Leptospirose economia Hospitalização Custos de Cuidados de Saúde Anos Potenciais de Vida Perdidos Leptospirosis economía Hospitalización Costos de la Atención en Salud Años Potenciales de Vida Perdidos Leptospirosis economics Hospitalization Health Care Costs Potential Years of Life Lost |
description |
OBJECTIVE: To estimate costs of hospitalization and years of potential life lost associated with leptospirosis. METHODS: Databases of the Brazilian Ministry of Health's information system were used to carry out probabilistic linkage of cases and hospitalizations leading to death by leptospirosis in 2007. Within the Information System for Notifiable Diseases, confirmed cases were subdivided into hospitalization and death. These were then linked to the Hospital Information System (records with primary diagnosis) and the Mortality Information System (underlying cause of death A27.0, A27.8, and A27.9) databases. The partial cost of hospitalization, deaths by disease, and years of potential life and work lost, were estimated. RESULTS: Most hospitalizations leading to death occurred among males aged 18-49 years, of white ethnicity, living in urban areas, and with incomplete elementary education. Years of potential life lost amounted to 6,490, 75% of which were in the 20-49 years age group. When adjusted for the population, this loss represented 15 days of life/thousand persons. The ratio of years of potential life lost to number of deaths was on average 30 years per death. The estimated financial impact amounted to R$ 22.9 million in non-earned wages. Hospitalization costs totaled R$ 831.5 thousand. Estimated days of wages lost per admission period (median: 6 days) amounted to R$ 103.0 thousand. CONCLUSIONS: There was a high social cost in terms of years of potential life lost and partial hospital costs associated with leptospirosis when compared to the possibility of early treatment or prevention of infection, both of which could minimize the impact of the disease on the Brazilian population. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33046 10.1590/S0034-89102011005000070 |
url |
https://www.revistas.usp.br/rsp/article/view/33046 |
identifier_str_mv |
10.1590/S0034-89102011005000070 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33046/35715 https://www.revistas.usp.br/rsp/article/view/33046/35716 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 45 No. 6 (2011); 1001-1008 Revista de Saúde Pública; Vol. 45 Núm. 6 (2011); 1001-1008 Revista de Saúde Pública; v. 45 n. 6 (2011); 1001-1008 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221792608976896 |