[Morbidity and mortality profile of hospitalized elderly patients].
The objectives of this study were to analyze the morbidity and mortality profile in elderly patients hospitalized in two teaching and two non-teaching hospitals in Rio de Janeiro, Brazil (Municipal Planning Area 2.2) in 1999, and to compare in-hospital mortality rates adjusted for differences in profile. Data were obtained from the National Hospital Database of the Unified National Health System (SIH/SUS). The logistic model included the variables age and primary diagnosis to calculate risk-adjusted in-hospital mortality rates. Hospital admissions of elderly patients (n = 7,584) represented 29.3% of a total of 25,928 hospitalizations that took place in these units. Senile cataract (7.8%) was the most frequent cause of hospitalization, followed by prostate hyperplasia (4.7%), congestive heart failure (2.9%), and complete atrioventricular block (2.8%). Non-teaching hospitals presented in-hospital mortality rates higher than teaching hospitals even after adjusting for case profile differences with regard to age and primary diagnosis. The use of SIH/SUS databases and the risk adjustment methodology represent an alternative for exploratory analysis of healthcare outcomes.
Amaral
Ana Claudia Santos
AC
Núcleo de Estudos de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. acsamaral@ig.com.br
Coeli
Cláudia Medina
CM
Costa
Maria do Carmo Esteves da
Mdo C
Cardoso
Vânia da Silva
Vda S
Toledo
Ana Lúcia Araújo de
AL
Fernandes
Carla Rodrigues
CR
D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002423:Cause of Death; D005260:Female; D006751:Hospital Information Systems; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity