Ana Maria Ribeiro dos Santos

Morbimortalidade em idosos por fratura proximal do fêmur

The increase in the number of elderly is a reality in Brazil, which raises the discussion about incapacitating events among this age group. The occurrence of falls among Brazilian elderly deserves special mention because of their physical, psychological, and social consequences. An important consequence is a proximal fracture of the femur, responsible for a large percentage of surgeries and hospital admissions, representing high costs to public health. A bibliographic study was carried out with the objective of analyzing the morbid-mortality of this type of fracture in publications listed in the MEDLINE, LILACS, and SciELO data bases from January of 2003 to December of 2007. The average rate of mortality in the first year after-trauma was 21,8%. Advanced age, previous associated illnesses, and the male gender are the factors of greatest contribution to the occurrence of death from such occurrences among Brazilian elderly.

Análise dos custos hospitalares em um serviço de emergência

Atualmente os acidentes e violencias sao classificados pelo Ministerio da Saude, conforme a Classificacao Internacional de Doencas como Causas Externas. Este estudo objetivou analisar os custos hospitalares por causas externas em um Servico de Emergencia de Teresina-PI. Estudo descritivo, com abordagem quantitativa cujos dados foram coletados atraves do Sistema de Informacoes Hospitalares do Hospital Getulio Vargas, referentes aos anos de 2005 a 2007. Os resultados mostram que no Piaui a situacao tem sido semelhante ao restante do pais, observando-se que em Teresina as causas externas vem aumentando o numero de ocorrencias e elevando o custo das admissoes hospitalares. Constatou-se crescente aumento das admissoes (19,5%) e dos custos hospitalares (114,9%) decorrentes destas causas. Conclui-se que estes dados podem subsidiar a implementacao de politicas publicas que previnam e combatam esse problema, como tambem sensibilizar os profissionais de saude, haja vista a grande demanda de vitimas por essas causas, exigindo profissionais qualificados.Currently, accidents and violence are classified in Brazil by the Ministry of Health, according to the International Classification of Diseases as External Causes. The objective of this study is to analyze hospital costs resulting from external causes at the Emergency Ward in Teresina-PI, Brazil. The data was collected through the Hospital Information System at Getúlio Vargas Hospital from 2005 to 2007. The results presented in show that the situation in Teresina, Piauí has been similar to the rest of the Brazil, given that in Teresina, external causes have been increasing in number of occurrences and has elevated the cost of hospital admissions. An increase in admissions (19.5%) and hospital costs (114.9%) because of these causes was observed. One concludes that this data may aid in the implementation of public policies which prevent and combat this problem, as well as sensitize health care professionals, since a great number of the external cause victims require qualified professional assistance. dESCrIptorS: External causes. Violence. Accidents. Hospital costs. ANALISIS dE LoS CoStoS HoSpItALArES EN uN SErVICIo dE EMErGENCIA rESuMEN: Actualmente los accidentes y violencia son clasificados por el Ministerio de la Salud, de acuerdo con la Clasificación Internacional de Enfermedades como Causas Externas. El presente es un estudio descriptivo, con abordaje cuantitativo, cuyo objetivo fue analizar los costos hospitalares por causas externas en un Servicio de Emergencia en Teresina-PI. Los datos fueron recogidos a través del Sistema de Informaciones Hospitalares del Hospital Getulio Vargas, referentes a los años de 2005 a 2007. Los resultados presentados muestran que en Piauí la situación ha sido semejante al resto del país, observándose que en Teresina las causas externas están aumentando el número de ocurrencias y elevando el costo de las admisiones hospitalares. Se constató un creciente aumento de las admisiones (19,5%) y de los costos hospitalares (114,9%) debido a estas causas. Se puede concluir que estos datos pueden ayudar a la implementación de políticas públicas que prevengan y combatan ese problema, como también sensibilizar los profesionales del área de la salud, pues, la gran demanda de víctimas de causas externas, exige profesionales calificados. dESCrIptorES: Causas externas. Violencia. Accidentes. Costos de hospital.

Morbid-mortality in elderly due to proximal fractures of the femur

The increase in the number of elderly is a reality in Brazil, which raises the discussion about incapacitating events among this age group. The occurrence of falls among Brazilian elderly deserves special mention because of their physical, psychological, and social consequences. An important consequence is a proximal fracture of the femur, responsible for a large percentage of surgeries and hospital admissions, representing high costs to public health. A bibliographic study was carried out with the objective of analyzing the morbid-mortality of this type of fracture in publications listed in the MEDLINE, LILACS, and SciELO data bases from January of 2003 to December of 2007. The average rate of mortality in the first year after-trauma was 21,8%. Advanced age, previous associated illnesses, and the male gender are the factors of greatest contribution to the occurrence of death from such occurrences among Brazilian elderly.

Aspectos sócio-políticos da implantação da Central de Transplantes do Piauí

A qualitative study aiming at understanding the socio-political aspects that mediate the implantation of the Transplant Center of Piaui, identify the social topics involved in this implantation and analyze the participation of the organized civil society. Ten people directly related to the implantation of the transplant center were involved in the study, selected through the “snowball” technique. A loosely structured interview, taped, transcribed and submitted for thematic analysis was used. It was concluded that the implantation of the transplant center in Piaui was the fruit of a complex series of negotiations and interests among the State and organized civil society, as there was no political project for action in the area of transplants. This distancing from the responsibility of the public sector characterizes the importance that was given to this implantation. Descriptors: Society; Health Policy; Transplant RESUMEN

Morbimortalidad en ancianos por fractura de fémur proximal

The increase in the number of elderly is a reality in Brazil, which raises the discussion about incapacitating events among this age group. The occurrence of falls among Brazilian elderly deserves special mention because of their physical, psychological, and social consequences. An important consequence is a proximal fracture of the femur, responsible for a large percentage of surgeries and hospital admissions, representing high costs to public health. A bibliographic study was carried out with the objective of analyzing the morbid-mortality of this type of fracture in publications listed in the MEDLINE, LILACS, and SciELO data bases from January of 2003 to December of 2007. The average rate of mortality in the first year after-trauma was 21,8%. Advanced age, previous associated illnesses, and the male gender are the factors of greatest contribution to the occurrence of death from such occurrences among Brazilian elderly.

Analisis de los costos hospitalares en un servicio de emergencia

Atualmente os acidentes e violencias sao classificados pelo Ministerio da Saude, conforme a Classificacao Internacional de Doencas como Causas Externas. Este estudo objetivou analisar os custos hospitalares por causas externas em um Servico de Emergencia de Teresina-PI. Estudo descritivo, com abordagem quantitativa cujos dados foram coletados atraves do Sistema de Informacoes Hospitalares do Hospital Getulio Vargas, referentes aos anos de 2005 a 2007. Os resultados mostram que no Piaui a situacao tem sido semelhante ao restante do pais, observando-se que em Teresina as causas externas vem aumentando o numero de ocorrencias e elevando o custo das admissoes hospitalares. Constatou-se crescente aumento das admissoes (19,5%) e dos custos hospitalares (114,9%) decorrentes destas causas. Conclui-se que estes dados podem subsidiar a implementacao de politicas publicas que previnam e combatam esse problema, como tambem sensibilizar os profissionais de saude, haja vista a grande demanda de vitimas por essas causas, exigindo profissionais qualificados.Currently, accidents and violence are classified in Brazil by the Ministry of Health, according to the International Classification of Diseases as External Causes. The objective of this study is to analyze hospital costs resulting from external causes at the Emergency Ward in Teresina-PI, Brazil. The data was collected through the Hospital Information System at Getúlio Vargas Hospital from 2005 to 2007. The results presented in show that the situation in Teresina, Piauí has been similar to the rest of the Brazil, given that in Teresina, external causes have been increasing in number of occurrences and has elevated the cost of hospital admissions. An increase in admissions (19.5%) and hospital costs (114.9%) because of these causes was observed. One concludes that this data may aid in the implementation of public policies which prevent and combat this problem, as well as sensitize health care professionals, since a great number of the external cause victims require qualified professional assistance. dESCrIptorS: External causes. Violence. Accidents. Hospital costs. ANALISIS dE LoS CoStoS HoSpItALArES EN uN SErVICIo dE EMErGENCIA rESuMEN: Actualmente los accidentes y violencia son clasificados por el Ministerio de la Salud, de acuerdo con la Clasificación Internacional de Enfermedades como Causas Externas. El presente es un estudio descriptivo, con abordaje cuantitativo, cuyo objetivo fue analizar los costos hospitalares por causas externas en un Servicio de Emergencia en Teresina-PI. Los datos fueron recogidos a través del Sistema de Informaciones Hospitalares del Hospital Getulio Vargas, referentes a los años de 2005 a 2007. Los resultados presentados muestran que en Piauí la situación ha sido semejante al resto del país, observándose que en Teresina las causas externas están aumentando el número de ocurrencias y elevando el costo de las admisiones hospitalares. Se constató un creciente aumento de las admisiones (19,5%) y de los costos hospitalares (114,9%) debido a estas causas. Se puede concluir que estos datos pueden ayudar a la implementación de políticas públicas que prevengan y combatan ese problema, como también sensibilizar los profesionales del área de la salud, pues, la gran demanda de víctimas de causas externas, exige profesionales calificados. dESCrIptorES: Causas externas. Violencia. Accidentes. Costos de hospital.

Analysis of the hospital cost in an emergency service

Atualmente os acidentes e violencias sao classificados pelo Ministerio da Saude, conforme a Classificacao Internacional de Doencas como Causas Externas. Este estudo objetivou analisar os custos hospitalares por causas externas em um Servico de Emergencia de Teresina-PI. Estudo descritivo, com abordagem quantitativa cujos dados foram coletados atraves do Sistema de Informacoes Hospitalares do Hospital Getulio Vargas, referentes aos anos de 2005 a 2007. Os resultados mostram que no Piaui a situacao tem sido semelhante ao restante do pais, observando-se que em Teresina as causas externas vem aumentando o numero de ocorrencias e elevando o custo das admissoes hospitalares. Constatou-se crescente aumento das admissoes (19,5%) e dos custos hospitalares (114,9%) decorrentes destas causas. Conclui-se que estes dados podem subsidiar a implementacao de politicas publicas que previnam e combatam esse problema, como tambem sensibilizar os profissionais de saude, haja vista a grande demanda de vitimas por essas causas, exigindo profissionais qualificados.Currently, accidents and violence are classified in Brazil by the Ministry of Health, according to the International Classification of Diseases as External Causes. The objective of this study is to analyze hospital costs resulting from external causes at the Emergency Ward in Teresina-PI, Brazil. The data was collected through the Hospital Information System at Getúlio Vargas Hospital from 2005 to 2007. The results presented in show that the situation in Teresina, Piauí has been similar to the rest of the Brazil, given that in Teresina, external causes have been increasing in number of occurrences and has elevated the cost of hospital admissions. An increase in admissions (19.5%) and hospital costs (114.9%) because of these causes was observed. One concludes that this data may aid in the implementation of public policies which prevent and combat this problem, as well as sensitize health care professionals, since a great number of the external cause victims require qualified professional assistance. dESCrIptorS: External causes. Violence. Accidents. Hospital costs. ANALISIS dE LoS CoStoS HoSpItALArES EN uN SErVICIo dE EMErGENCIA rESuMEN: Actualmente los accidentes y violencia son clasificados por el Ministerio de la Salud, de acuerdo con la Clasificación Internacional de Enfermedades como Causas Externas. El presente es un estudio descriptivo, con abordaje cuantitativo, cuyo objetivo fue analizar los costos hospitalares por causas externas en un Servicio de Emergencia en Teresina-PI. Los datos fueron recogidos a través del Sistema de Informaciones Hospitalares del Hospital Getulio Vargas, referentes a los años de 2005 a 2007. Los resultados presentados muestran que en Piauí la situación ha sido semejante al resto del país, observándose que en Teresina las causas externas están aumentando el número de ocurrencias y elevando el costo de las admisiones hospitalares. Se constató un creciente aumento de las admisiones (19,5%) y de los costos hospitalares (114,9%) debido a estas causas. Se puede concluir que estos datos pueden ayudar a la implementación de políticas públicas que prevengan y combatan ese problema, como también sensibilizar los profesionales del área de la salud, pues, la gran demanda de víctimas de causas externas, exige profesionales calificados. dESCrIptorES: Causas externas. Violencia. Accidentes. Costos de hospital.

Socio-political aspects of the implantation of the Transplant Center of Piauí

A qualitative study aiming at understanding the socio-political aspects that mediate the implantation of the Transplant Center of Piaui, identify the social topics involved in this implantation and analyze the participation of the organized civil society. Ten people directly related to the implantation of the transplant center were involved in the study, selected through the “snowball” technique. A loosely structured interview, taped, transcribed and submitted for thematic analysis was used. It was concluded that the implantation of the transplant center in Piaui was the fruit of a complex series of negotiations and interests among the State and organized civil society, as there was no political project for action in the area of transplants. This distancing from the responsibility of the public sector characterizes the importance that was given to this implantation. Descriptors: Society; Health Policy; Transplant RESUMEN

Aspectos socio-políticos de la implantación de la Central de Trasplantes de Piauí

A qualitative study aiming at understanding the socio-political aspects that mediate the implantation of the Transplant Center of Piaui, identify the social topics involved in this implantation and analyze the participation of the organized civil society. Ten people directly related to the implantation of the transplant center were involved in the study, selected through the “snowball” technique. A loosely structured interview, taped, transcribed and submitted for thematic analysis was used. It was concluded that the implantation of the transplant center in Piaui was the fruit of a complex series of negotiations and interests among the State and organized civil society, as there was no political project for action in the area of transplants. This distancing from the responsibility of the public sector characterizes the importance that was given to this implantation. Descriptors: Society; Health Policy; Transplant RESUMEN