0078/2018 - Internações por Condições Sensíveis à Atenção Primária de Menores de um ano, de 2008 a 2014, no estado de São Paulo, Brasil. Primary Health Care Sensitive Hospitalizations in children under one year of age,2008 to 2014, in the state of São Paulo, Brazil.
• José Augusto de Aguiar Carrazedo Taddei - TADDEI, J.A.A.C - < taddei.dped@epm.br>
Resumo:
Este estudo teve o objetivo de descrever as causas e tendências de Internações por Condições Sensíveis à Atenção Primária (ICSAP) em menores de um ano entre 2008 e 2014, no estado de São Paulo, Brasil. Trata-se de um delineamento ecológico, baseado em dados secundários do Sistema de Informações Hospitalares. Classificaram-se as internações segundo o diagnóstico principal e a Lista Brasileira de ICSAP, considerando as faixas etárias: Neonatais precoce, Neonatal tardia e Pós neonatal. Para análise de tendência das internações foram ajustados modelos de regressão linear. Ocorreram 851.713 internações de Menores de um ano, sendo 22,6% por ICSAP. As principais reduções das frequências de internação foram: Pneumonias bacterianas (-7,10%) e Desvios nutricionais (-7,70) em Neonatal precoce. As elevações foram: Doenças relacionadas ao pré-natal e parto (+10,14%) e Doenças imunizáveis e condições evitáveis em Pós neonatal (+14,13%), com destaque para coqueluche e sífilis congênita. Os resultados mostram uma deficiência no cuidado à saúde infantil na atenção primária no estado de São Paulo, e as tendências de internações estimadas podem auxiliar no planejamento de estratégias para diminuir os agravos e os gastos no setor terciário de atenção em saúde.
Palavras-chave:
Atenção primária à saúde, Hospitalização, Saúde da criança.
Abstract:
The purpose of this article is describe the causes and trends of primary health care sensitive hospitalizations (ICSAP) in children under one year of age between 2008 and 2014, state of São Paulo, Brazil. It is an ecological study with descriptive and analytical characteristics, based on secundary datathe national information system of health. Hospitalizations were classified according to Brazilian list of hospitalizations due to ICSAP, considering the age groups: Early Neonatal, Late Neonatal and Post-Neonatal. A linear regression models were adjusted for trends analysis of hospitalizations. Were analyzed 851.713 hospitalizations in children under one year of age occurred, of which, 22,6% were ICSAP. The main groups with decreases were: Bacterial pneumonia (-7,10%) and Nutritional disorders (-7,70%) in Early neonatal. The main increases were: Disease related to prenatal/childbirth (+10,14%) and Immunosuppressive diseases and avoidable conditions in Post-neonatal (+14,13%). Pertussis and congenital syphilis were the main causes of hospitalization. The results showed a deficiency in child health in primary care system in the state of Sao Paulo. The estimated trends should be used for planning of cost-effective strategies to prevent and control causes of the hospitalizations in children under one year of age.
Keywords:
Primary health care; Hospitalization; Child Health.
Primary Health Care Sensitive Hospitalizations in children under one year of age,2008 to 2014, in the state of São Paulo, Brazil.
Resumo (abstract):
The purpose of this article is describe the causes and trends of primary health care sensitive hospitalizations (ICSAP) in children under one year of age between 2008 and 2014, state of São Paulo, Brazil. It is an ecological study with descriptive and analytical characteristics, based on secundary datathe national information system of health. Hospitalizations were classified according to Brazilian list of hospitalizations due to ICSAP, considering the age groups: Early Neonatal, Late Neonatal and Post-Neonatal. A linear regression models were adjusted for trends analysis of hospitalizations. Were analyzed 851.713 hospitalizations in children under one year of age occurred, of which, 22,6% were ICSAP. The main groups with decreases were: Bacterial pneumonia (-7,10%) and Nutritional disorders (-7,70%) in Early neonatal. The main increases were: Disease related to prenatal/childbirth (+10,14%) and Immunosuppressive diseases and avoidable conditions in Post-neonatal (+14,13%). Pertussis and congenital syphilis were the main causes of hospitalization. The results showed a deficiency in child health in primary care system in the state of Sao Paulo. The estimated trends should be used for planning of cost-effective strategies to prevent and control causes of the hospitalizations in children under one year of age.
Palavras-chave (keywords):
Primary health care; Hospitalization; Child Health.
Lôbo, IKV, Konstantyner, T., Areco, KCN, Vianna, Rodrigo Pinheiro de Toledo, TADDEI, J.A.A.C. Internações por Condições Sensíveis à Atenção Primária de Menores de um ano, de 2008 a 2014, no estado de São Paulo, Brasil.. Cien Saude Colet [periódico na internet] (2018/fev). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/internacoes-por-condicoes-sensiveis-a-atencao-primaria-de-menores-de-um-ano-de-2008-a-2014-no-estado-de-sao-paulo-brasil/16611?id=16611
