Diabetes mellitus: magnitude das hospitalizações na rede pública do Brasil, 1999-2001

Rosa, Roger dos Santos; Schmidt, María Inês

doi:10.5123/s1679-49742008000200009

Cited by 19 publications

(20 citation statements)

References 1 publication

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“…In terms of population, the variation was 44% in the same period, moving from 49.3 per 10.000 inhabitants 20 The slightly significant percentage of hospitalizations with a main diagnosis of E10 to E14 using the ICD-10 (10.3%) in relation to chronic and general medical complications is compatible with others studies published. 7,16,18,20 In the USA, the use of DM as the main diagnosis for hospitalization corresponds to a small proportion of hospitalization days. 7 In Brazil, these hospitalizations in the SUS reached 7.2 per 10.000 inhabitants verified between 1999 and 2001.…”

Section: Resultssupporting

confidence: 77%

“…The findings are compatible with other studies, such as in Italy, in which women presented higher rates of hospitalization for type DM than men 37 or in the Unified Health System in Brazil. 20 In relation to the sensitivity analysis performed with risk variations, this affects only the groups with chronic complications attributable to DM and general medical conditions, given that the data for hospitalizations for DM itself do not depend on the attributable risk method to be calculated. The absolute impact, both for the increase and reduction of risks, was stronger in relation to physical and financial amounts and indicators per 10.000 inhabitants based on the criteria of higher prevalence in relation to lower prevalence owing to the potentiating effect exercised by the former on the proposed variations.…”

Section: Resultsmentioning

confidence: 99%

“…8 The data relating to the 2008 to 2010 period demonstrate that the amount of hospitalizations attributable to DM in the SUS increased compared to the study conducted with the same methodology for the period from 1999 to 2001. 20,24 The complications of DM are among the Primary Care Sensitive Conditions (CSAP) and hospitalizations attributed to these complications constituted an indirect indicator of the effectiveness of the first level of healthcare, 25 given that DM has been recognized in national and international lists as a cause of hospitalization sensitive to the actions of primary care. 26 In Brazil, a recent study stated that optimization of the use of effective treatments within the scope of primary care would reduce hospitalizations attributable to cardiovascular complications associated with DM by up to 48%.…”

Section: Resultsmentioning

confidence: 99%

“…16 The same relative risks or odds ratio of hospitalization of the study realized with the hospitalizations of the SUS for the 1999-2001 period were used. 20 The prevalence of diabetes was initially obtained using the selfreported morbidity on the Vigitel from 2006. 21 This system is a monitoring initiative by the Ministry of Health that uses probabilistic samples of adults resident at homes serviced by a fixed telephone line in 27 capitals.…”

Section: Methodsmentioning

confidence: 99%

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

Rosa

Nita²,

Rached³

et al. 2014

Rev. Assoc. Med. Bras.

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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.

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Section: Resultssupporting

confidence: 77%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

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

Rosa

Nita²,

Rached³

et al. 2014

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

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“…Cerca de 9% dos gastos com internações hospitalares na rede pública brasileira são atribuídos ao diabetes 10 . Parcela importante das complicações da doença pode ser evitada por meio da atenção primária oportuna e de qualidade.…”

Section: Introductionunclassified

Uso de serviços de saúde por diabéticos cobertos por plano privado em comparação aos usuários do Sistema Único de Saúde no Município de Belo Horizonte, Minas Gerais, Brasil

et al. 2016

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Resumo: O objetivo do trabalho foi comparar o uso de serviços de saúde, o uso de medicamentos, a cobertura de exames de rastreamento, os atributos da atenção primária em saúde e os comportamentos em saúde de indivíduos (n = 370) com 45 anos ou mais, com diagnóstico médico de diabetes, segundo as fontes de atenção em saúde, assim definidas: afiliados a plano privado de saúde, independentemente do local de residência; residentes em áreas cobertas pela Estratégia Saúde da Família (ESF); cobertos pela unidade básica de saúde (UBS) "tradicional". O estudo utilizou os dados do 2º Inquérito de Saúde de Adultos da Região Metropolitana de Belo Horizonte (2010). Os indicadores de uso de serviços de saúde, o uso de medicamentos, a cobertura de exames de acompanhamento, o consumo abusivo de álcool e o tabagismo atual não diferiram significativamente entre as fontes de atenção. As prevalências da prática insuficiente de exercícios físicos no tempo livre e do sedentarismo no cotidiano foram maiores entre os cobertos pela ESF ou UBS "tradicional". Os atributos da atenção primária em saúde (acesso, integralidade, longitudinalidade e foco familiar) apresentaram melhor desempenho entre os afiliados a plano privado de saúde, mesmo após ajuste por idade, sexo e escolaridade. Os resultados da investigação apontam dois principais desafios para o Sistema Único de Saúde no manejo dos pacientes com diabetes no Município de Belo Horizonte, Brasil: a realização de ações mais efetivas para a promoção da atividade física e a necessidade de reorganização visando à melhoria no desempenho da atenção primária, sobretudo no acesso às consultas médicas.

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Factors associated with the age of the onset of diabetes in women aged 50 years or more: a population-based study

et al. 2014

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ObjectiveInvestigate factors associated with the onset of diabetes in women aged more than 49 years.Design and methodsCross-sectional, population-based study using self-reports with 622 women. The dependent variable was the age of occurrence of diabetes using the life table method. Cox multiple regression models were adjusted to analyse the onset of diabetes according to predictor variables. Sociodemographic, clinical and behavioural factors were evaluated.ResultsOf the 622 women interviewed, 22.7% had diabetes. The mean age at onset was 56 years. The factors associated with the age of occurrence of diabetes were self-rated health (very good, good) (coefficient=−0.792; SE of the coefficient=0.215; p=0.0001), more than two individuals living in the household (coefficient=0.656, SE of the coefficient=0.223; p=0.003), and body mass index (BMI) (kg/m2) at 20–30 years of age (coefficient= 0.056, SE of the coefficient=0.023; p=0.014).ConclusionsSelf-rated health considered good or very good was associated with a higher rate of survival without diabetes. Sharing a home with two or more other people and a weight increase at 20–30 years of age was associated with the onset of type 2 diabetes.

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Diabetes mellitus: magnitude das hospitalizações na rede pública do Brasil, 1999-2001

Cited by 19 publications

References 1 publication

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

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

Uso de serviços de saúde por diabéticos cobertos por plano privado em comparação aos usuários do Sistema Único de Saúde no Município de Belo Horizonte, Minas Gerais, Brasil

Factors associated with the age of the onset of diabetes in women aged 50 years or more: a population-based study

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