Uso do Datasus para avaliação dos padrões das internações psiquiátricas, Rio Grande do Sul

Candiago, Rafael Henriques; Belmonte-de-Abreu, Paulo

doi:10.1590/s0034-89102007000500017

Cited by 22 publications

(29 citation statements)

References 22 publications

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“…In a study that also evaluated data about psychiatric hospitalizations in Rio Grande do Sul, from 2000 to 2004, the occurrence of admissions remained unchanged even with the effective implementation of substitutive services, with declining admissions in specialized hospitals and an increase of 97.7% in psychiatric hospitalizations in general hospitals 13 . The largest increase in the hospitalization rates identified here occurred from 2007 and 2008 on, with the stability already pointed out by Candiago and Abreu 13 prevailing between 2000 and 2004.…”

Section: Discussionmentioning

confidence: 99%

“…The largest increase in the hospitalization rates identified here occurred from 2007 and 2008 on, with the stability already pointed out by Candiago and Abreu 13 prevailing between 2000 and 2004. The strengthening of local care networks for mental health, with the offer of mental health care in different cities of the state, may explain, at least partly, the fluctuations in the investigated rates 13,19 . However, the implementation of local networks has not been homogeneous, because insufficient coverage of specialized services was observed in the same period in some regions of the state 12 .…”

Section: Discussionmentioning

confidence: 99%

“…The establishment or empowerment of the local health networks involve provision of specific actions also in relation to the injuries resulting from the use of alcohol and other drugs, with the possibility of installation of specialized centers, called CAPS AD 13 . The supply of different community services for disorders resulting from the use of substances or not, and the demarcation of specific beds in hospitals for each of these groups of diagnoses that motivate hospitalizations require separate analyses in this scenario.…”

Section: Palavrasmentioning

confidence: 99%

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Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

Horta

Costa

Balbinot

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To examine the variation in the rates of psychiatric hospitalization and the mean hospital stay time in the public health system in the state of Rio Grande do Sul, in the south of Brazil, from 2000 to 2011. Methods: This was an ecological study. Data were collected from DATASUS. The rates were obtained from diagnosis of admissions due to psychoactive substance use and to other causes, stratified by the gender of the patients. The data were analyzed using Poisson regression and Spearman correlation coefficient. Results: Increasing hospitalization rates were observed for women with disorders due to substance use (p < 0.001) and other causes (p < 0.001), and among men with disorders due to the use of alcohol or other drugs (p < 0.001). This elevation of the rates remained statistically significant and inversely correlated to the length of hospital stay (p < 0.001). Discussion: In a period of expansion of the local care networks for mental health, an increase in the occupancy of psychiatric beds in the state was noticed, with shorter length of stay and greater diversity of gender and causes of hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Palavrasmentioning

confidence: 99%

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Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

Horta

Costa

Balbinot

et al. 2015

Rev. bras. epidemiol.

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“…Este achado pode decorrer, de acordo com o estudo, dos efeitos colaterais provocados pela medicação (segundo os próprios adoecidos), da dificuldade de seus familiares em obter a medicação nos locais indicados e especializados, por não possuírem condições financeiras de adquiri-los, ou mesmo da falta de cuidador que administre a medicação corretamente (9) . Sabe-se, contudo, que há disponibilização gratuita de medicamentos nos CAPS e mesmos os de alto custo encontram-se disponíveis no Brasil por meio do protocolo de esquizofrenia refratária (10)(11) . Outra razão para a falta de adesão ao tratamento é que a maioria dos portadores de esquizofrenia tem insight pobre em relação ao fato de que sofrem de uma doença psicótica.…”

Section: Resultsunclassified

Fatores Relacionados Com as Reinternações De Portadores De Esquizofrenia

Pinheiro¹,

Cazola²,

Sales³

et al. 2010

Cogitare Enferm.

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RESUMO: Este estudo de caráter descritivo objetivou identificar os fatores envolvidos nas reinternações dos portadores de esquizofrenia de um hospital psiquiátrico em uma capital brasileira. Os sujeitos da pesquisa foram portadores de esquizofrenia com histórico de três ou mais internações na instituição, no período de um ano. Dados secundários foram coletados com pesquisa documental e os dados primários com entrevistas com os responsáveis pelos pacientes. Como fatores relacionados às reinternações estão a não-continuidade do cuidado ao portador de esquizofrenia na rede de atenção substitutiva, após a alta hospitalar, a baixa condição socioeconômica dos pacientes e familiares, as dificuldade dos familiares em lidar e conviver com os adoecidos, a não-adesão ao tratamento medicamentoso, e a gravidade da doença. Conclui-se que são necessárias estratégias para a corresponsabilização da família no acompanhamento ao paciente, assim como melhor assistência das instituições complementares ao tratamento hospitalar, possibilitando redução nas reinternações. PALAVRAS-CHAVE: Esquizofrenia; Serviços de saúde mental; Readmissão do paciente. FACTORS RELATED WITH READMISSIONS OF SCHIZOPHRENIC PATIENTSABSTRACT: This descriptive study aimed to identify factors involved in readmissions of schizophrenic patients in a psychiatric hospital in a Brazilian capital. The research subjects were schizophrenic patients with a history of three or more admissions in the institution within one year. Secondary data were collected through documentary research and primary data through interviews with parents or caregivers. As readmissions-related factors are: the discontinuance of care for patients with schizophrenia in the care network replacement after hospital discharge, low socioeconomic status of patients and families, the difficulty of families to cope and live with the ill, non-compliance to drug therapy and disease severity. It was concluded that strategies are needed for the joint responsibility of the family in monitoring the patient, as well as a better care performed by the complementary institutions after hospital treatment, enabling a reduction in readmissions. KEYWORDS: Schizophrenia; Mental health services; Patient readmission. FACTORES RELACIONADOS CON LAS REINTERNACIONES DE PORTADORES DE ESQUIZOFRENIARESUMEN: Este estudio de carácter descriptivo objetivó identificar los factores envueltos en las reinternaciones de los portadores de esquizofrenia de un hospital psiquiátrico en una capital brasileira. Los sujetos de la investigación fueron portadores de esquizofrenia con histórico de tres o más internaciones en la institución, en el período de un año. Datos secundarios fueron recogidos con investigación documental y los datos primarios con entrevistas con los responsables por los pacientes. Como factores relacionados a las reinternaciones están la no-continuidad del cuidado al portador de esquizofrenia en la red de atención substitutiva, después del alta hospitalario, la baja condición socioeconómica de los pacientes y familiares,...

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“…A detailed description of this methodology has been published elsewhere. 13 Monthly data series were assembled with the inpatient days calculated for each month, according to overall diagnoses and ICD-10 major psychiatric diagnostic categories -organic mental disorders (F00-F09); mental and behavioral disorders due to psychoactive substance use (F10-F19); schizophrenia, schizotypal, and delusional disorders (F20-F29); mood [affective] disorders (F30-F39); and a residual group with all other categories. In this new database, the temporal variable was centralized to avoid data co-linearity.…”

Section: Methodsmentioning

confidence: 99%

Trends in elderly psychiatric admissions to the Brazilian public health care system

Ritter

Pai

Belmonte-de-Abreu

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: To evaluate trends in psychiatric bed occupancy by elderly inpatients in the Brazilian public health care system between 2000 and 2010 and to determine the leading psychiatric diagnosis for hospital admissions. Methods: Data from all 895,476 elderly psychiatric admissions recorded in the Brazilian Public Health Care Database (DATASUS) between January 2000 and February 2010 were analyzed. Polynomial regression models with estimated curve models were used to determine the trends. The number of inpatient days was calculated for the overall psychiatric admissions and according to specific diagnoses. Results: A moderate decreasing trend (p o 0.001) in the number of inpatient days was observed in all geriatric psychiatric admissions (R 2 = 0.768) and in admissions for organic mental disorders (R 2 = 0.823), disorders due to psychoactive substance use (R 2 = 0.767), schizophrenia (R 2 = 0.680), and other diagnoses (R 2 = 0.770), but not for mood disorders (R 2 = 0.472). Most admissions (60 to 65%) were due to schizophrenia. Conclusion: There was a decreasing trend in inpatient days for elderly psychiatric patients between 2000 and 2010. The highest bed occupancy was due to schizophrenia, schizotypal, and delusional disorders.

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Uso do Datasus para avaliação dos padrões das internações psiquiátricas, Rio Grande do Sul

Cited by 22 publications

References 22 publications

Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

Fatores Relacionados Com as Reinternações De Portadores De Esquizofrenia

Trends in elderly psychiatric admissions to the Brazilian public health care system

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