Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023
ABSTRACT Objective: To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil. Methods: Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive...
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Associação Brasileira de Pós-Graduação em Saúde Coletiva
2025-04-01
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| Series: | Revista Brasileira de Epidemiologia |
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| author | Ellen Vanuza Martins Bertelli Gislayne Cristina Torreias de Carvalho Raphael Mendonça Guimarães Viviane Gomes Parreira Dutra |
| author_facet | Ellen Vanuza Martins Bertelli Gislayne Cristina Torreias de Carvalho Raphael Mendonça Guimarães Viviane Gomes Parreira Dutra |
| author_sort | Ellen Vanuza Martins Bertelli |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil. Methods: Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive conditions in children between 2010 and 2023. Results: The highest hospitalization rates were in 2021 (265.9/10,000 inhabitants/year) and the under 1 age group had the highest rates. There was a reduction in ambulatory care-sensitive conditions in group 1, in the first and second segments (MPC=-1.50; 95%CI -3.79-0.32 p=0.016 and MPC=-1.91; 95%CI -3.44--0.81 and p=0.007), group 2, with a constant drop throughout the series of 0.57% per month (95%CI -0.70--0.43 and p<0.001) and in group 16 (MPC=-0.38; 95%CI -0.55--0.21 and p<0.001). Bacterial pneumonia was the main cause of hospitalization in all age groups. Group 4 showed a uniform increase in rates of 1.56% per month (95%CI 0.27-2.80 and p=0.018). There was a drop in rates in the first segment at all ages: <1 year: -2.90% and p=0.019; 1 to 4 years: -1.75% (p=0.011) and 5 to 9 years: -0.79% (p=0.053), followed by an increase and then a drop again. In the last segment, all the age groups showed an increase in rates. Conclusions: The scenario in Roraima is worrisome and requires urgent interventions, as there is evidence of weaknesses in primary health care, probably aggravated by the migratory crisis. The strategies sought are still insufficient. |
| format | Article |
| id | doaj-art-4d0911d0901c41dab92e48a2260dfaa7 |
| institution | OA Journals |
| issn | 1980-5497 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
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| series | Revista Brasileira de Epidemiologia |
| spelling | doaj-art-4d0911d0901c41dab92e48a2260dfaa72025-08-20T02:26:02ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972025-04-012810.1590/1980-549720250016Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023Ellen Vanuza Martins Bertellihttps://orcid.org/0000-0003-2721-6912Gislayne Cristina Torreias de Carvalhohttps://orcid.org/0009-0000-8993-4683Raphael Mendonça Guimarãeshttps://orcid.org/0000-0003-1225-6719Viviane Gomes Parreira Dutrahttps://orcid.org/0000-0001-6939-742XABSTRACT Objective: To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil. Methods: Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive conditions in children between 2010 and 2023. Results: The highest hospitalization rates were in 2021 (265.9/10,000 inhabitants/year) and the under 1 age group had the highest rates. There was a reduction in ambulatory care-sensitive conditions in group 1, in the first and second segments (MPC=-1.50; 95%CI -3.79-0.32 p=0.016 and MPC=-1.91; 95%CI -3.44--0.81 and p=0.007), group 2, with a constant drop throughout the series of 0.57% per month (95%CI -0.70--0.43 and p<0.001) and in group 16 (MPC=-0.38; 95%CI -0.55--0.21 and p<0.001). Bacterial pneumonia was the main cause of hospitalization in all age groups. Group 4 showed a uniform increase in rates of 1.56% per month (95%CI 0.27-2.80 and p=0.018). There was a drop in rates in the first segment at all ages: <1 year: -2.90% and p=0.019; 1 to 4 years: -1.75% (p=0.011) and 5 to 9 years: -0.79% (p=0.053), followed by an increase and then a drop again. In the last segment, all the age groups showed an increase in rates. Conclusions: The scenario in Roraima is worrisome and requires urgent interventions, as there is evidence of weaknesses in primary health care, probably aggravated by the migratory crisis. The strategies sought are still insufficient.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100413&lng=en&tlng=enPrimary health careChild healthHospitalizationEpidemiology |
| spellingShingle | Ellen Vanuza Martins Bertelli Gislayne Cristina Torreias de Carvalho Raphael Mendonça Guimarães Viviane Gomes Parreira Dutra Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 Revista Brasileira de Epidemiologia Primary health care Child health Hospitalization Epidemiology |
| title | Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 |
| title_full | Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 |
| title_fullStr | Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 |
| title_full_unstemmed | Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 |
| title_short | Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023 |
| title_sort | time series of hospitalizations for primary care sensitive conditions in children in the state of roraima brazil 2010 to 2023 |
| topic | Primary health care Child health Hospitalization Epidemiology |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100413&lng=en&tlng=en |
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