评价十年的瘤-骨科手术在巴西 (2015-2024) 和COVID-19的影响
Alex Guedes1,2,3,4, Olavo Pires de Camargo5, Ediriomar Peixoto Matos1
1Universidade Federal da Bahia, Faculdade de Medicina da Bahia, Departamento de Cirurgia Experimental e Especialidades Cirurgicas, Salvador, BA, Brazil.
Acta ortopedica brasileira
|December 15, 2025
概括
尽管巴西的平均住院费用 (AHC) 增加了,但COVID-19大流行并没有显著改变巴西的瘤和骨科手术程序. 这表明这些关键手术的医疗保健系统性能具有弹性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
背景情况:
- 在统一卫生系统 (SUS) 中,瘤和骨科手术是至关重要的.
- 了解区域差异和流行病影响对于医疗保健规划至关重要.
研究的目的:
- 评估医院入院许可 (AIH),住院费用 (AHC),住院时间和癌症和骨科手术死亡率的区域差异.
- 分析COVID-19流行病在2015年至2024年期间对这些指标的影响.
主要方法:
- 使用SUS医院信息系统数据进行生态时间序列研究.
- 按巴西地区进行分析 (大流行前,大流行后,大流行后).
- 统计方法包括ANOVA,克鲁斯卡尔-瓦利斯,T-测试和ARIMA与干预.
主要成果:
- 记录了9120个入院授权 (AIH),主要集中在东南部和南部地区.
- 在所有评估指标中观察到显著的区域差异.
- 平均住院费用 (AHC) 增加,但其他变量如AIH,平均住院时间 (ALS) 和死亡率 (MR) 保持其趋势.
结论:
- COVID-19大流行并没有显著影响瘤骨科手术的AIH,ALS或MR的数量.
- 观察到AHC的增加,但整体的程序性能保持稳定.
- 这些发现表明,医疗保健系统在疫情期间能够维持瘤和骨科服务的能力.
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