Perfil das internações por condições sensíveis à atenção primária em Pernambuco, 2008 a 2012 / Profile of hospital admissions for primary care sensitive conditions in Pernambuco State, Brazil, 2008-2012 / Perfil de las internaciones por condiciones sensibles a la atención primaria en Pernambuco, 2008 a 2012

RESUMO

Objetivo: descrever o perfil das internações por condições sensíveis à atenção primária (ICSAP) no estado de Pernambuco, no período de 2008 a 2012. Métodos: estudo descritivo com dados do Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS), referentes a residentes no estado; foram calculados a proporção, o coeficiente e a variação percentual das ICSAP por região de saúde. Resultados: 20,0 por cento das internações ocorridas em Pernambuco (n=559.975) foram por ICSAP, com redução no período estudado (de 13,01 para 12,11 internações/1000 habitantes); as regiões de saúde de Recife (48,6 por cento) e Salgueiro (1,9 por cento) apresentaram a maior e a menor frequência desses eventos; os principais grupos de causas foram gastroenterites infecciosas e complicações (19,7 por cento), pneumonias bacterianas (18,7 por cento), asma (7,9 por cento), insuficiência cardíaca (7,7 por cento) e infecção no rim e trato urinário (7,2 por cento). Conclusões: observou-se redução das ICSAP entre as regiões de Pernambuco de forma heterogênea, embora com potencial para continuidade desse declínio.

ABSTRACT

Objective: to describe the profile of Primary Care Sensitive Conditions Hospitalizations (PCSCH) in Pernambuco State, 2008-2012. Methods: a descriptive study using data from the Health Service Hospital Information System, related to state residents. PCSCH proportion, rate and percentage variation were calculated by health region. Results: 20.0 percent of hospital admissions in Pernambuco (n= 559,975) were PCSCH. A reduction occurred during the study period (from 13.01 to 12.11 admissions /1,000 inhabitants). Recife and Salgueiro health regions had the highest and lowest frequency of these events, 48.6 percent and 1.9 percent, respectively. The main groups of causes were infectious gastroenteritis and complications (19.7 percent), bacterial pneumonia (18.7 percent), asthma (7.9 percent), heart failure (7.7 percent) and kidney and urinary tract infection (7.2 percent). Conclusions: we found a heterogeneous reduction in PCSCH among Pernambuco's health regions, although there was potential for the decrease to continue.

RESUMEN

Objective: to describe the profile of Primary Care Sensitive Conditions Hospitalizations (PCSCH) in Pernambuco State, 2008-2012.Methods: a descriptive study using data from the Health Service Hospital Information System, related to state residents. PCSCH proportion, rate and percentage variation were calculated by health region.Results: 20.0% of hospital admissions in Pernambuco (n = 559,975) were PCSCH. A reduction occurred during the study period (from 13.01 to 12.11 admissions /1,000 inhabitants). Recife and Salgueiro health regions had the highest and lowest frequency of these events, 48.6% and 1.9%, respectively. The main groups of causes were infectious gastroenteritis and complications (19.7%), bacterial pneumonia (18.7%), asthma (7.9%), heart failure (7.7%) and kidney and urinary tract infection (7.2%).Conclusions: we found a heterogeneous reduction in PCSCH among Pernambuco's health regions, although there was potential for the decrease to continue.