Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

Abstract

Objective: to estimate the number of hospitalizations attributable to diabetes mellitus (DM) and its complications within the public healthcare system in Brazil (SUS) and the mean cost paid per hospitalization. Methods: the official database from the Hospital Information System of the Unified Health System (SIH/SUS) was consulted from 2008 to 2010. The proportion of hospitalizations attributable to DM was estimated using attributable risk methodology. The mean cost per hospitalization corresponds to direct medical costs in nursing and intensive care, from the perspective of the SUS. Results: the proportion of hospitalizations attributable to DM accounted for 8.1% to 12.2% of total admissions in the period, varying according to use of maximum (self-reported with correction factor) or minimal (self-reported) DM prevalence. The hospitalization rate was 47 to 70.8 per 10.000 inhabitants per year. The mean cost per hospitalization varied from 1.302 Brazilian Reais (BRL) to 1,315 BRL. Assuming the maximum prevalence, hospitalizations were distributed as 10.3% as DM itself, 36.6% as chronic DM-associated complications and 53.1% as general medical conditions. Advancing age was accompanied by an increase in hospitalization rates and corresponding costs, and more pronounced in male patients. Conclusion: the results express the importance of DM in terms of the use of health care resources and demonstrate that studies of hospitalizations with DM as a primary diagnosis are not sufficient to assess the magnitude of the impact of this disease.

Cuidados em saúde entre portadores de diabetes mellitus autorreferido no Brasil, Pesquisa Nacional de Saúde, 2013

“…In general, hospitalizations happened in the presence of DM complications [27][28][29] . In Brazil, from 2008 and 2010, DM reached around 1.3 million hospitalizations in the public network; thus, it is responsible for 8 to 12% of the hospital expenses from SUS.…”

“…In Brazil, from 2008 and 2010, DM reached around 1.3 million hospitalizations in the public network; thus, it is responsible for 8 to 12% of the hospital expenses from SUS. Of the total, 10.6% of hospitalizations were owing to diabetes itself, and 36.6% were associated with chronical complications of the disease 29 . The NHS showed that 13.4% of those who mentioned diabetes had already been hospitalized, and this frequency tended to be higher in younger, less educated, and nonwhite men.…”

Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional

“…This situation has generated high social and financial costs for the patient and for the healthcare system. Rosa et al 7 estimated that DM accounted for 12.0% of the total hospitalizations not related to pregnancies and for up to 15.4% of hospital costs of the Brazilian Public Health System (SUS) in the period from 2008 to 2010.…”

Nursing assistance to a diabetic patient / Assistência de enfermagem a um paciente diabético / Asistencia de enfermaría a un paciente diabético

“…Quanto a terapêutica denota-se a necessidade da elaboração de ações de saúde na prevenção de doenças crônico-degenerativas, baseado na interação multidisciplinar como proposto pela Diretriz Brasileira de Diabetes, e pautado no tratamento medicamentoso aliado ao tratamento não-medicamentoso, ou seja, a prática de exercícios físicos, um instrumento promotor de grandes benefícios para aqueles indivíduos diabéticos. A prevenção do diabetes e de suas complicações é hoje prioridade de saúde pública (12)(13)(14) . É um desafio para a equipe de saúde a adesão dos familiares e cuidadores à terapêutica, por modificações em seu modo de viver em prol do tratamento.…”