Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/162707 |
Resumo: | OBJECTIVE: Assess the magnitude and trend of hospitalization rates due to traumatic injuries in intensive care units (ICU) in Brazil from 1998 to 2015. METHODS: This is an ecological time-series study that analyzed data from the Hospital Information System. A trend analysis of hospitalization rates was performed according to diagnosis, sex and age using generalized linear regression models and Prais-Winsten estimation. RESULTS: Rates were higher among male patients, but increased hospitalization due to trauma among female patients influenced the ratio between both sexes. Falls and transport accidents were the most frequent causes of trauma. The average annual growth was 3.6% in ICU trauma hospitalization rates in Brazil, the highest growth was reported in the North region (8%; 95%CI 6.4-9.6), among women (5.4%; 95%CI 4.5-6.3), and among people aged 60 years and older (5.5%; 95%CI, 4.7-6.3). The most frequent causes of trauma are falls (4.5%; 95%CI 3.5-5.5) and care complications (5.4%; 95%CI 4.5-6.3). On the other hand, the annual hospital mortality rate due to trauma in ICU is 1.7% lower, on average (95%CI 2.1-1.3). CONCLUSION: An increase in ICU hospitalization rate due to trauma in Brazil may be the result of some factors, such as an increasing number of accidents and cases of violence, the implementation of pre-hospital care, and improved access to care, with more beds in ICU. In addition, population aging is another factor, as a greater increase in hospitalization was observed among people aged 60 years and older. |
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Epidemiological overview – 18 years of ICU hospitalization due to trauma in BrazilPanorama epidemiológico de dezoito anos de internações por trauma em UTI no BrasilWounds and InjuriesepidemiologyIntensive Care UnitstrendsCritical CareTime Series StudiesFerimentos e LesõesepidemiologiaUnidades de Terapia IntensivatendênciasCuidados CríticosEstudos de Séries TemporaisOBJECTIVE: Assess the magnitude and trend of hospitalization rates due to traumatic injuries in intensive care units (ICU) in Brazil from 1998 to 2015. METHODS: This is an ecological time-series study that analyzed data from the Hospital Information System. A trend analysis of hospitalization rates was performed according to diagnosis, sex and age using generalized linear regression models and Prais-Winsten estimation. RESULTS: Rates were higher among male patients, but increased hospitalization due to trauma among female patients influenced the ratio between both sexes. Falls and transport accidents were the most frequent causes of trauma. The average annual growth was 3.6% in ICU trauma hospitalization rates in Brazil, the highest growth was reported in the North region (8%; 95%CI 6.4-9.6), among women (5.4%; 95%CI 4.5-6.3), and among people aged 60 years and older (5.5%; 95%CI, 4.7-6.3). The most frequent causes of trauma are falls (4.5%; 95%CI 3.5-5.5) and care complications (5.4%; 95%CI 4.5-6.3). On the other hand, the annual hospital mortality rate due to trauma in ICU is 1.7% lower, on average (95%CI 2.1-1.3). CONCLUSION: An increase in ICU hospitalization rate due to trauma in Brazil may be the result of some factors, such as an increasing number of accidents and cases of violence, the implementation of pre-hospital care, and improved access to care, with more beds in ICU. In addition, population aging is another factor, as a greater increase in hospitalization was observed among people aged 60 years and older.OBJETIVO: Analisar a magnitude e a tendência das taxas de internação por lesões traumáticas em unidades de terapia intensiva (UTI) no Brasil de 1998 a 2015. MÉTODOS: Estudo ecológico de séries temporais com dados do Sistema de Informações Hospitalares. A análise de tendência das taxas de internação segundo diagnóstico, sexo e idade foi realizada por modelos de regressão linear generalizada e procedimento de Prais-Winsten. RESULTADOS: As taxas foram mais elevadas para os homens, mas o crescimento das internações por trauma para as mulheres influenciou a razão das taxas entre os sexos. As quedas e os acidentes de transporte foram as causas mais frequentes dos traumas. Houve aumento de 3,6% ao ano, em média, nas taxas de internação por trauma em UTI no Brasil, maior na região Norte (8%; IC95% 6,4–9,6), entre as mulheres (5,4%; IC95% 4,5–6,3) e pessoas com 60 anos ou mais (5,5%; IC95% 4,7–6,3). Entre as causas do trauma, as quedas (4,5%; IC95% 3,5–5,5) e complicações assistenciais (5,4%; IC95% 4,5–6,3) foram as mais importantes. Por outro lado, as taxas de mortalidade hospitalar por trauma em UTI declinaram 1,7% ao ano, em média (IC95% 2,1–1,3). CONCLUSÃO: O aumento das internações por trauma em UTI no Brasil pode ser resultado de alguns fatores, como a ocorrência crescente de acidentes e violências, a implementação do atendimento pré-hospitalar e também a melhoria no acesso à assistência, com maior número de leitos em UTI. Soma-se a isso o envelhecimento da população, pois observou-se aumento mais acentuado das internações em pessoas com 60 anos de idade ou mais.Universidade de São Paulo. Faculdade de Saúde Pública2019-09-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/16270710.11606/s1518-8787.2019053001178Revista de Saúde Pública; Vol. 53 (2019); 83Revista de Saúde Pública; Vol. 53 (2019); 83Revista de Saúde Pública; v. 53 (2019); 831518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/162707/156546https://www.revistas.usp.br/rsp/article/view/162707/156547https://www.revistas.usp.br/rsp/article/view/162707/156548Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLentsck, Maicon HenriqueSato, Ana Paula SayuriMathias, Thais Aidar de Freitas2019-10-19T23:09:41Zoai:revistas.usp.br:article/162707Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-10-19T23:09:41Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil Panorama epidemiológico de dezoito anos de internações por trauma em UTI no Brasil |
title |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
spellingShingle |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil Lentsck, Maicon Henrique Wounds and Injuries epidemiology Intensive Care Units trends Critical Care Time Series Studies Ferimentos e Lesões epidemiologia Unidades de Terapia Intensiva tendências Cuidados Críticos Estudos de Séries Temporais |
title_short |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
title_full |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
title_fullStr |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
title_full_unstemmed |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
title_sort |
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil |
author |
Lentsck, Maicon Henrique |
author_facet |
Lentsck, Maicon Henrique Sato, Ana Paula Sayuri Mathias, Thais Aidar de Freitas |
author_role |
author |
author2 |
Sato, Ana Paula Sayuri Mathias, Thais Aidar de Freitas |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Lentsck, Maicon Henrique Sato, Ana Paula Sayuri Mathias, Thais Aidar de Freitas |
dc.subject.por.fl_str_mv |
Wounds and Injuries epidemiology Intensive Care Units trends Critical Care Time Series Studies Ferimentos e Lesões epidemiologia Unidades de Terapia Intensiva tendências Cuidados Críticos Estudos de Séries Temporais |
topic |
Wounds and Injuries epidemiology Intensive Care Units trends Critical Care Time Series Studies Ferimentos e Lesões epidemiologia Unidades de Terapia Intensiva tendências Cuidados Críticos Estudos de Séries Temporais |
description |
OBJECTIVE: Assess the magnitude and trend of hospitalization rates due to traumatic injuries in intensive care units (ICU) in Brazil from 1998 to 2015. METHODS: This is an ecological time-series study that analyzed data from the Hospital Information System. A trend analysis of hospitalization rates was performed according to diagnosis, sex and age using generalized linear regression models and Prais-Winsten estimation. RESULTS: Rates were higher among male patients, but increased hospitalization due to trauma among female patients influenced the ratio between both sexes. Falls and transport accidents were the most frequent causes of trauma. The average annual growth was 3.6% in ICU trauma hospitalization rates in Brazil, the highest growth was reported in the North region (8%; 95%CI 6.4-9.6), among women (5.4%; 95%CI 4.5-6.3), and among people aged 60 years and older (5.5%; 95%CI, 4.7-6.3). The most frequent causes of trauma are falls (4.5%; 95%CI 3.5-5.5) and care complications (5.4%; 95%CI 4.5-6.3). On the other hand, the annual hospital mortality rate due to trauma in ICU is 1.7% lower, on average (95%CI 2.1-1.3). CONCLUSION: An increase in ICU hospitalization rate due to trauma in Brazil may be the result of some factors, such as an increasing number of accidents and cases of violence, the implementation of pre-hospital care, and improved access to care, with more beds in ICU. In addition, population aging is another factor, as a greater increase in hospitalization was observed among people aged 60 years and older. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-27 |
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/162707 10.11606/s1518-8787.2019053001178 |
url |
https://www.revistas.usp.br/rsp/article/view/162707 |
identifier_str_mv |
10.11606/s1518-8787.2019053001178 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/162707/156546 https://www.revistas.usp.br/rsp/article/view/162707/156547 https://www.revistas.usp.br/rsp/article/view/162707/156548 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
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. 53 (2019); 83 Revista de Saúde Pública; Vol. 53 (2019); 83 Revista de Saúde Pública; v. 53 (2019); 83 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 |
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1800221800641069056 |