Hospitalizations for Cholecystitis and Cholelithiasis in the State of Rio Grande Do Sul, Brazil

Abstract

Background: The cholelithiasis is disease of surgical resolution with about 60,000 hospitalizations per year in the Sistema Único de Saúde (SUS - Brazilian National Health System) of the Rio Grande do Sul state. Aim: To describe the profile of hospitalizations for cholecystitis and cholelithiasis performed by the SUS of Rio Grande do Sul state, 2011-2013. Methods: Hospital Information System data from the National Health System through morbidity list for cholelithiasis and cholecystitis (ICD-10 K80-K81). Variables studied were sex, age, number of hospitalizations and approved Hospitalization Authorizations (AIH), total amount and value of hospital services generated, days and average length of stay, mortality, mortality and case fatality ratio, from health regions of the Rio Grande do Sul. Results: During 2011-2013 there were 60,517 hospitalizations for cholecystitis and cholelithiasis, representing 18.86 hospitalizations per 10,000 inhabitants/year, most often in the age group from 60 to 69 years (41.34 admissions per 10,000 inhabitants/year) and female (27.72 hospitalizations per 10,000 inhabitants/year). The fatality rate presented an inverse characteristic: 13.52 deaths per 1,000 admissions/year for males, compared with 7.12 deaths per 1,000 admissions/year in females. The state had an average total amount spent and value of hospital services of R$ 16,244,050.60 and R$ 10,890,461.31, respectively. The health region "Capital/Gravataí Valley" exhibit the highest total expenditure and hospital services, and the largest number of deaths, and average length of stay. Conclusion: The hospitalization and lethality coefficients, the deaths, the length of stay and spending related to admissions increased from 50 years old. Females had a higher frequency and higher values ​​spent on hospitalization, while the male higher coefficient of mortality and mean hospital stay.

Administrative Data Linkage in Brazil: Potentials for Health Technology Assessment

“…For example, the Ministry of Social Development maintains an electronic database (“Cadastro Único,” CadUnico) for provision of social services, such as the Conditional Cash Transfer Program (BFP) and the Housing Program (MCMV). These databases, in combination with others, have been used to study social determinants of health and evaluations of social policies on health (Rasella et al, 2013; Nunes et al, 2016; Machado et al, 2018). Table 1 summarizes some details about the main databases publicly available from SUS and other governmental sources in Brazil.…”

“…For those who had their benefits turned down but want to reapply and those who are already receiving a benefit, the information update is mandatory. The extensive coverage of this social registry, the availability of individually identified data, and the possibility of linking them to other health care databases, such as SIM/SINASC/SINAN, allow for designing individual level longitudinal studies to evaluate the impact of social protection programs on health outcomes (such as diseases, hospitalizations, and deaths) (Paim et al, 2011; Rasella et al, 2013; Nunes et al, 2016; Machado et al, 2016a) and has inspired the development of the 100 Million Brazilian Cohort (Pinto et al, 2017; Pita et al, 2018).…”

Mortality of Urgency Versus Elective Videolaparoscopic Cholecystectomy for Acute Cholecystitis

“…In the literature it is observed that the gallstones is rare in children, begins to be identified in adolescence; shows marked increase in incidence between 35-55 years and increases gradually after 55 years of age 4 . Emeline Caldana et al found in their study a very low incidence of cholecystitis and cholelithiasis in patients between 0-4 years, with zero mortality 16 . The number of operations should increase with age, as gallstones increases with it, but this did not happen; perhaps, the risk of cholelithiasis and the risk of being submitted to VLC differ because there is less symptoms in older ages.…”

Comment: Hospitalizations for Cholecystitis and Cholelithiasis in the State of Rio Grande Do Sul, Brazil

“…We have read with interest the recently research published by Nunes EC et al 1 and we believe that this is a very interesting study considering how prevalent is gallbladder calculus disease in Latin America. However, we would like to make some comments, as there are some aspects that can be discussed.…”