title: [Morbidity and mortality profile of hospitalized elderly patients].
abstract: 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.
authors.affiliation: Núcleo de Estudos de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. acsamaral@ig.com.br
authors.forename: Ana Claudia Santos
authors.initials: AC
authors.lastname: Amaral
authors.forename: Cláudia Medina
authors.initials: CM
authors.lastname: Coeli
authors.forename: Maria do Carmo Esteves da
authors.initials: Mdo C
authors.lastname: Costa
authors.forename: Vânia da Silva
authors.initials: Vda S
authors.lastname: Cardoso
authors.forename: Ana Lúcia Araújo de
authors.initials: AL
authors.lastname: Toledo
authors.forename: Carla Rodrigues
authors.initials: CR
authors.lastname: Fernandes
mesh_terms: 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