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Análisis de series temporales respecto tasas de mortalidad general e intrahospitalaria en egresos hospitalarios, población pediátrica oncohematológico, Chile 1997-2016 / Analysis of time series related general and in-hospital mortality rates in hospital discharges, pediatric onco hematological population, Chile 1997-2016
Montenegro, Valentina; Méndez, Natalia; Gómez, Gustavo; Coloma, Benjamín; Soto, Mauricio.
  • Montenegro, Valentina; Universidad Finis Terrae. Santiago. CL
  • Méndez, Natalia; Universidad Finis Terrae. Santiago. CL
  • Gómez, Gustavo; Universidad Finis Terrae. Santiago. CL
  • Coloma, Benjamín; Universidad Finis Terrae. Santiago. CL
  • Soto, Mauricio; Universidad Finis Terrae. Facultad de Medicina. Santiago. CL
Rev. ANACEM (Impresa) ; 15(1): 18-25, 2021. graf, tab
Article in Spanish | LILACS | ID: biblio-1248003
ABSTRACT

INTRODUCTION:

Before the start of the GES program in 2002, mortality was 128.2 deaths per million children under 15 years of age (RENCI). This public program managed to ensure the opportunity for diagnosis and treatment in children under 15 years of age and those less than 25 years of age who recur.

Objective:

To assess how GES has impacted on in-hospital mortality and lethality between1997and 2016.

Methods:

Retrospective case control study of 28,997 hospital discharges and 12,434 deaths analyzed using Prais-Weinstein time series between the years 1997 to 2016. They prepared contingency tables with data on hospital discharges, age, sex and forecasts for 2001 and 2016. Fisher's p <0.05 test was used.

Results:

For the PreGes period an increase of 1.8% in the male crude mortality rate was observed, while for the Post Ges period an increase was observed with a breaking point at the end of 2008, with an increase of 11.04% compared to the PreGes period. An unexpected increase in the female mortality rate was observed. The odd's ratios associated with sex (higher mortality inmen than in women)0.816CI-0.679- 0.982; p <0.05; OR'S age 1,047 (0.981 per year) IC-1.044-1.051; p <0.0001 FORECAST (FONASA-1.942 IC 1.304-2.89 / ISAPRE = 2.186; IC = 1.267-3.773 p <0.005); Hospitalization days = 1.031 confirmed our research hypothesis 1.026-1.035 p <0.0001.

Conclusion:

This study found that there are statistically significant differences regarding hospital discharges between the public-private system, in relation to mortality andincreasein sustained crudemalemortality between the years1997 to 2016
RESUMEN

INTRODUCCIÓN:

Antes del inicio del programa GESen2002, la mortalidad era 128,2 muertes por millón de niños menores de 15 años (RENCI). Este programa público logró asegurar la oportunidad de diagnóstico y tratamiento en menores de15 años y aquellos menores de25añosque recidivan.

Objetivo:

Evaluar cómo el GES ha impactado en la mortalidad y letalidad intrahospitalaria entre1997a2016.

Métodos:

Estudio retrospectivo de control de casos en 28.997 egresos hospitalarios y 12.434 defunciones analizadas mediante series temporales de Prais-Weinstein entre los años 1997 a 2016. Se prepararon tablas de contingencia con datos sobre egresos hospitalarios, edad, sexo y previsiones para2001y 2016.Se utilizóla prueba p <0.05de Fisher.

Resultados:

Se observó para el período PreGES un incremento de 1.8% en la tasa mortalidad cruda masculina, mientras que para el período Post GES se observó un incremento con punto de quiebre a fines del año 2008, con incremento del 11,04% respecto al período PreGES. Se observó incremento no sostenido en la tasa mortalidad femenina. Los odd's ratios asociados al sexo (mayor mortalidad en hombres que en mujeres) 0.816 IC-0.679-0.982; p <0,05; OR'S edad 1,047 (0.981 por año) IC-1.044-1.051; p<0.0001 PREVISIÓN (FONASA-1.942 IC 1.304-2.89 / ISAPRE =2.186; IC= 1,267-3,773 p<0.005); Días de Hospitalización=1,031 confirmó nuestra hipótesis de investigación 1,026-1,035 p<0.0001.

Conclusión:

Este estudio encontró que hay diferencias estadísticamente significativas respecto egresos hospitalarios entre el sistema público privado, en relación con la mortalidad e incremento en la mortalidad cruda masculina sostenida entre los años 1997 a 2016. acción en la función auditiva mediante audiometría tonal.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Leukemia / Hospital Mortality / Hematologic Neoplasms / Hospitals Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. ANACEM (Impresa) Journal subject: Public Health Year: 2021 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad Finis Terrae/CL

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Full text: Available Index: LILACS (Americas) Main subject: Leukemia / Hospital Mortality / Hematologic Neoplasms / Hospitals Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. ANACEM (Impresa) Journal subject: Public Health Year: 2021 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad Finis Terrae/CL