HOSPITALIZATIONS FOR CARDIOVASCULAR CONDITIONS SENSITIVE TO PRIMARY CARE AT THE UNIVERSITY HOSPITAL OF THE AMAZON

HOSPITALIZATIONS FOR CARDIOVASCULAR CONDITIONS SENSITIVE TO PRIMARY CARE

Abstract

Cardiovascular diseases are the leading causes of death in the world, along with malignant neoplasms, and 75% of deaths occur in low- and middle-income countries, such as Brazil. In the state of Amazonas, they have the highest mortality. Hospitalizations for some of these diseases are considered ambulatory care-sensitive conditions, which means that they are often unnecessary hospital admissions, if there were effective care in PHC. Therefore, the objective of this study is to analyze hospitalizations for ambulatory care-sensitive cardiovascular conditions at the Getúlio Vargas University Hospital from 2013 to 2022. To this end, a cross-sectional, descriptive, and retrospective study with a quantitative approach was conducted on hospitalizations for ambulatory care-sensitive cardiovascular conditions at the Getúlio Vargas University Hospital from 2013 to 2022, based on public data collected in the Hospital Information System (SIH) of the Department of Informatics of the Brazilian Unified Health System (DATASUS). The results showed that other cerebrovascular diseases represent the highest number of hospitalizations, as well as the highest average cost of hospitalizations. The epidemiological profile observed was a more prevalent age group of 50 to 64 years, brown and female patients. The average length of stay of hospitalizations increased in the decade studied. It was observed that the North region still suffers from limited access to health services, which, together with insufficient screening in PHC, contributes to the health deficit in this regard. Thus, the continuous need for effective interventions and public health policies aimed at these conditions is highlighted.