Permanência, custo e mortalidade relacionados às internações cirúrgicas pelo Sistema Único de Saúde

• Autor(a) principal: Covre, Eduardo Rocha
• Data de Publicação: 2019
• Outros Autores: Melo, Willian Augusto de, Tostes, Maria Fernanda do Prado, Fernandes, Carlos Alexandre Molena
• Tipo de documento: Artigo
• Idioma: eng; spa; por
• Título da fonte: Revista Latino-Americana de Enfermagem (Online)
• Texto Completo: https://www.revistas.usp.br/rlae/article/view/161829
• topic: Surgical Procedures; Operative; Time Series Studies; Hospitalization; Length of Stay; Costs and Cost Analysis; Mortality; Procedimientos Quirúrgicos Operativos; Estudios de Series Temporales; Hospitalización; Tiempo de Internación; Costos y Análisis de Costo; Mortalidad; Procedimentos Cirúrgicos Operatórios; Estudos de Séries Temporais; Hospitalização; Tempo de Internação; Custos e Análise de Custo; Mortalidade

Objective: to analyze the time trend of surgical admissions by the Unified Health System according to hospital stay, costs and mortality by subgroups of surgical procedures in Brazil. Method: ecological study of time series. The variables surgical hospitalization, permanence, cost and mortality were obtained from the Department of Informatics of the Unified Health System. The trend analysis used the polynomial regression model. Results: in nine years, 37,565,785 surgical admissions were recorded. The mean duration of surgical admissions was constant (p = 0.449); the mean stay (3.8 days) was decreasing and significant (p <0.01); the mean cost (389.16 dollars) and mortality (1.63%) were increasing and significant (p <0.01). In subgroups of eye, thoracic, oncological and other surgeries, the temporal evolution of surgeries was increasing and significant (p <0.05). In contrast, endocrine glands, digestive tract, genitourinary, breast, reconstruction and buco-maxillofacial surgeries showed a significant trend of decline (p <0.05). In the other subgroups, the trend was constant. Conclusion: evidence shows the trend of surgical admissions in the last decade in the country and provide subsidies for the efficient elaboration of public policies, planning and management towards universal coverage in surgical care.