Psychiatric hospitalizations in Brazil: exploratory and trend analysis from 2009 to 2019

Q4 Medicine

Jornal Brasileiro de Psiquiatria Pub Date : 2021-03-01 DOI:10.1590/0047-2085000000303

M. G. Silva, G. C. Daros, R. M. Bitencourt, B. Iser

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引用次数: 2

Abstract

ABSTRACT Objective: To examine the rates of psychiatric hospitalization and the average length of stay, in Brazil, from 2009 to 2019, according to sociodemographic variables and character of the hospitalization (elective or urgency). Methods: This is an ecological study, with data collected from the Hospital Information System of the Unified Health System (SIH/SUS). Hospital admission rates were described according to diagnosis, sex, and age group. Percentage variation and rate ratios were calculated. To evaluate the time series, the data were submitted to linear regression analysis. Results: The rate of hospitalization for mental disorders decreased from 14.2/10,000 in 2009 to 11.2 in 2019, with the most significant variation occurring between mental and behavioral disorders due to alcohol use. The men had about twice as many episodes as the women in all the years evaluated. Higher rates were found in the age group of 30 and 59 years. The length of stay also decreased in the period. Besides, the urgency character presented almost 82% of the total hospitalizations. Conclusions: There was a reduction in hospital admissions for mental disorders in the analyzed period, demonstrating the relevance of mental health care changes resulting from the Psychiatric Reform.

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巴西精神病住院人数：2009年至2019年的探索和趋势分析

摘要目的：根据社会人口学变量和住院特征（选择性或紧急性），研究2009年至2019年巴西精神病住院率和平均住院时间。方法：这是一项生态学研究，数据来自统一卫生系统的医院信息系统（SIH/SUS）。入院率根据诊断、性别和年龄组进行描述。计算百分比变化和比率。为了评估时间序列，将数据提交给线性回归分析。结果：精神障碍住院率从2009年的14.2/1000下降到2019年的11.2，其中最显著的变化发生在因饮酒而导致的精神和行为障碍之间。在所有评估的年份中，男性的发作次数大约是女性的两倍。30岁和59岁年龄组的发病率较高。在此期间，停留时间也有所减少。此外，紧迫性几乎占住院总人数的82%。结论：在分析期内，因精神障碍入院的人数有所减少，这表明精神卫生改革带来的精神卫生保健变化具有相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Brasileiro de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： O Jornal Brasileiro de Psiquiatria se insere em programas de educação continuada e atualização e tem como missão divulgar trabalhos de pesquisa (realizados em instituições brasileiras e estrangeiras) cujos resultados tenham potencial para a investigação e prática clínica no campo da Psiquiatria. Criado em 1938, foi publicado até 1950, sob o título “Anais do Instituto de Psiquiatria”, sem periodicidade regular.