[Unified National Health System costs in São José dos Campos, São Paulo State, Brazil, for hospital admissions due to external causes].
The objective of this study was to identify direct expenditures for hospitalizations due to external causes in the Unified National Health System (SUS) in the city of São José dos Campos, São Paulo State, Brazil. Admissions to the Dr. José de Carvalho Florence Municipal Hospital resulting from external causes or injuries - ICD-10, chapters XIX and XX respectively - were analyzed for the first semester of 2003. 976 patient admission forms were analyzed, after data evaluation. Admissions with the highest total cost were those resulting from motor vehicle accidents and falls. The highest mean cost for hospitalization for injury was due to motor vehicle accidents (BRL 614.63), followed by assault (BRL 594.90). The highest mean cost for hospitalization due to injury was for cervical fractures (BRL 1,191.42) and head injuries (BRL 1,000.44). Hospitalizations with the highest daily cost were skull and facial fractures (BRL 166.72) and abdominal trauma (BRL 148.26). The study confirmed that motor vehicle accidents, falls, and assault are an important source of costs due to hospitalization for injuries.
Melione
Luís Paulo Rodrigues
LP
Secretaria Municipal de Saúde, Prefeitura Municipal de São José dos Campos, São José dos Campos, Brasil. lmelione@uol.com.br
Mello-Jorge
Maria Helena Prado de
MH
D000007:Abdominal Injuries / Q000453:epidemiology; D000058:Accidental Falls / Q000191:economics / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000191:economics* / Q000706:statistics & numerical data; D001938:Brazil / Q000453:epidemiology; D003365:Costs and Cost Analysis; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006751:Hospital Information Systems; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay; D009313:National Health Programs / Q000191:economics* / Q000706:statistics & numerical data; D012887:Skull Fractures / Q000453:epidemiology; D014754:Violence / Q000191:economics* / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000191:economics / Q000453:epidemiology*