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Ischemic heart disease. Hospitalization, length of stay and expenses in Brazil from 1993 to 1997
R Laurenti1, C M Buchalla, V de S Caratin
1Centro Brasileiro de Classificação de Doenças do Departamento de Epidemiologia da Faculdade de Saúde Pública-USP, Brazil.
Insights
Ischemic heart disease (IHD) accounted for 1.0% of hospitalizations in Brazil
Area of Science:
- Cardiovascular Medicine
- Public Health
- Health Economics
Background:
- Ischemic heart disease (IHD) is a significant public health concern.
- Understanding hospitalization patterns is crucial for resource allocation and prevention strategies.
Purpose of the Study:
- To characterize hospitalizations for ischemic heart disease (IHD) within Brazil's Single Health System (SUS) between 1993 and 1997.
- To analyze patient demographics, hospitalization duration, and associated costs.
Main Methods:
- Utilized hospitalization permission records for IHD (ICD-9 codes 410-414) from the DATA-SUS database.
- Classified data by patient age, sex, length of stay, and system expenses.
Main Results:
- IHD constituted 1.0% of total hospitalizations, with angina pectoris (53.3%) being most common, followed by acute myocardial infarction (26.6%).
- Hospital stays typically ranged from 5 to 8 days.
- In 1997, IHD treatment costs represented 0.01% of Brazil's GDP, and 3.3% of SUS expenses during 1993-1997.
Conclusions:
- IHD is a major cause of SUS hospitalizations with substantial financial implications.
- Preventive measures targeting risk factors are essential to reduce IHD incidence and healthcare burden.
Objective:
To identify characteristics of the hospitalizations due to ischemic heart disease (IHD) made by the Single Health System--"Sistema Unico de Saúde (SUS) in Brazil from 1993 to 1997.
Methods:
The information used came from records of permissions for hospitalization due to IHD (diseases codified from 410 to 414 by the International Disease Classification--9th Revision) furnished by the data bank DATA-SUS. The material studied was classified according to age, sex and length of hospitalization of the patients, and expenses to the system for IHD.
Results:
IHD represents 1.0% of total hospitalizations. Angina pectoris was the most frequent type, occurring in 53.3% of the cases, followed by acute myocardial infarct (26.6%). This later was more frequent in men and angina in women. The majority of patients with IHD stayed hospitalized from 5 to 8 days. In the years of 1997 the expenses due to hospital treatment for IHD reach to 0.01% of Brazil's Gross Internal Product. In the studied period (1993-1997), IHD was responsible by 1.0% of hospitalizations, however it was 3.3% of the expenses of SUS.
Conclusion:
IHD is an important cause of hospitalization by the SUS; it has a rather high cost, indicating the need for preventive measures aimed at reducing exposure to risk factors and to decrease the incidence of this group of diseases in the nation.
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