PRIMARY TOTAL HIP ARTHROPLASTIES UNDER BRAZILIAN PUBLIC HEALTH SYSTEM (2012-2021).

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-09-22 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233103e268117

Tarcísio Marconi Novaes Torres, Brenna Kathleen Martins, Alan Almeida da Silva, Carlos Alberto Almeida de Assunção, Enilton de Santana Ribeiro de Mattos, Alex Guedes

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Abstract

Objectives: To describe the regional distribution of hospital admission authorizations (HAA), hospitalization costs (HC), the average length of stay (LOS), and mortality rates (MR) related to primary total hip arthroplasties (THA) funded by the Brazilian Health Unic System (SUS) from 2012 to 2021.

Methods: Descriptive cross-sectional study using secondary data of public domain obtained from the Department of Informatics of SUS (DATASUS) database website.

Results: A total of 125,463 HAA were released with HC of 552,218,181.04 BRL in the evaluated period. The average LOS was of 6.8 days. MR was 1.62%.

Conclusion: The regional distribution of HAA was 65,756 (52%) in the Southeast; 33,837 (27%) in the South; 14,882 (12%) in the Northeast; 9,364 (8%) in Midwest; and 1,624 (1%) in North - in 2020 there was a sharp decrease of the released HAA, probably due to the COVID-19 pandemic. HC was 293,474,673.20 BRL in the Southeast; 144,794,843.11 BRL in the South; 61,751,644.36 BRL in the Northeast; 45,724,353.80 BRL in the Midwest; and 6,472,666.57 BRL in the North. The average LOS was 6.7 in the Southeast; 5.3 in the South; 9.2 in the Northeast; 7.6 in the Midwest; and, 13.6 in the North. MR was as follows: Southeast=1.88%; South=1.07%; Northeast=1.83%; Midwest=1.44%; and North=1.47%. Evidence Level III; Retrospective Comparative Study .

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巴西公共卫生系统下的初级全髋关节置换术（2012-2021）。

目的：描述住院授权（HAA）、住院费用（HC）、平均住院时间（LOS）的区域分布，以及2012年至2021年由巴西卫生联合国系统（SUS）资助的与原发性全髋关节置换术（THA）相关的死亡率（MR）。方法：使用从SUS信息学部（DATASUS）数据库网站获得的公共领域二级数据进行描述性横断面研究。结果：在评估期内，共释放125463个HAA，HC为552218181.04 BRL。平均服务水平为6.8天。结论：HAA在东南部的区域分布为65756例（52%）；南方33837人（27%）；东北14882人（12%）；中西部9364人（8%）；北部1624（1%）——2020年，释放的HAA急剧减少，可能是由于新冠肺炎大流行。东南部HC为293474673.20 BRL；144794843.11南部BRL；61751644.36 BRL在东北部；中西部45724353.80 BRL；北部6472666.57 BRL。东南部的平均服务水平为6.7；5.3在南方；9.2在东北部；中西部7.6；北方为13.6。MR为：东南部=1.88%；南方=1.07%；东北=1.83%；中西部=1.44%；北=1.47%。证据等级为III级；回顾性比较研究。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.