Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

Abstract

ABSTRACT:Objective: To examine the variation in the rates of psychiatric hospitalization and the mean hospital stay time in the public health system in the state of Rio Grande do Sul, in the south of Brazil, from 2000 to 2011. Methods: This was an ecological study. Data were collected from DATASUS. The rates were obtained from diagnosis of admissions due to psychoactive substance use and to other causes, stratified by the gender of the patients. The data were analyzed using Poisson regression and Spearman correlation coefficient. Results: Increasing hospitalization rates were observed for women with disorders due to substance use (p < 0.001) and other causes (p < 0.001), and among men with disorders due to the use of alcohol or other drugs (p < 0.001). This elevation of the rates remained statistically significant and inversely correlated to the length of hospital stay (p < 0.001). Discussion: In a period of expansion of the local care networks for mental health, an increase in the occupancy of psychiatric beds in the state was noticed, with shorter length of stay and greater diversity of gender and causes of hospitalization.

A closer look at the epidemiology of schizophrenia and common mental disorders in Brazil

“…However, higher incidence is observed in the South followed by Midwest and Southeast. This is consistent with previous reports indicating high prevalence of mental disorders in patients and cities from Rio Grande do Sul, 12,16 the biggest state of the south region.…”

Internações e reinternações psiquiátricas em um hospital geral de Porto Alegre: características sociodemográficas, clínicas e do uso da Rede de Atenção Psicossocial

“…Apesar de a literatura internacional investigar e registrar o fenômeno da porta giratória, percebe-se que esse é um campo que necessita de maiores investigações no território brasileiro. In an ecological study 4 analyzing psychiatric hospitalization rates in Rio Grande do Sul between 2000 and 2011, an increased hospitalization rate was observed due to mental and behavioral disorders resulting from substance use, as well as other mental disorders. Regarding mental disorders not resulting from substance use, a rate of 159.2 hospitalizations was observed every 100 thousand inhabitants, in 2000, increasing to 193.4, in 2011, although no distinction was made between recurrent hospitalizations.…”

Child psychiatric hospitalizations in the Brazilian public health system: an exploratory study

“…Psychiatric diagnostic group, 9 hospitalizations in these services tend to be shorter in comparison to those occurring in psychiatric hospitals. 3,4 The second hypothesis would be related to the diagnostic profile of child hospitalizations, characterized by a lower frequency of the F20-F29 and F30-F39 diagnostic groups, which require longer hospitalization time due to, among other factors, the time required for medications to have therapeutic effects. 10,11 The data from this study pointed to higher hospitalization rates in the South macro-region of Brazil, which were, respectively, 2.…”

“…1 Despite the principle of care in Brazilian territory, 1,2 a small group of children with mental problems will require temporary hospitalizations. In Brazil, studies designed to analyze the characteristics of psychiatric hospitalizations either failed to present data by age, 3 excluded the pediatric population, 4 or investigated a small number of cases in this age group. 5 As a result, little is known about child psychiatric hospitalizations in…”

“…Rates were highest in the macro-region with the highest human development index, and lowest in the macro-regionwith the lowest index 16. Statistics on hospital morbidity are strongly influenced by the availability of services 3,4. Therefore, the differences observed are possibly associated with the availability of a greater range of services in which child psychiatric hospitalizations are carried out in the South macro-region in comparison with the others, especially the Northeast.…”