ArticleInternational journal for equity in health2015
Factors associated with avoidable hospitalisation of children younger than 2 years old: the 2006 Brazilian National Demographic Health Survey.
Article in International journal for equity in health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Effect of single follow-up home visit on readmission in a group of frail elderly patients - a Danish randomized clinical trial.BMC health services research · 2019Trial
- Avoidable hospitalizations for ambulatory care sensitive conditions in children under five years in Ecuador, 2000-2023.Cadernos de saude publica · 2025Article
- [Factors associated with hospitalizations for primary care-sensitive conditions in Brazil: an ecological studyFactores asociados a las hospitalizaciones infantiles por afecciones que podrían tratarse en la atención primaria en Brasil: estudio ecológico].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Differences in the prevalence of hospitalizations and utilization of emergency outpatient services for ambulatory care sensitive conditions between asylum-seeking children and children of the general population: a cross-sectional medical records study (2015).BMC health services research · 2017Article
- Hospitalizations due to primary care-sensitive conditions among children under five years of age: cross-sectional study.Sao Paulo medical journal = Revista paulista de medicinaArticle
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Abstract
introductionAmbulatory Care Sensitive Conditions (ACSC) are conditions for which hospitalisation is thought to be avoidable with the use of effective preventive care and early disease management. The objective of this study was to estimate the rate of avoidable hospitalisations in children younger than 24 months of age participating in a Brazilian national representative survey and to identify the risk factors for such hospitalisations.
methodsWe analysed data from a cross-sectional study of 1901 children from the 2006 Brazilian National Demographic Health Survey of Women and Children (NDHS). The children's socioeconomic, biological and maternal characteristics, nutritional status, and access to healthcare were tested; variables with p < 0.20 were selected to fit a Poisson regression.
resultsThe prevalence of avoidable hospitalisation was 11.8% (95% Confidence Interval [CI], 9.0, 15.2); the prevalence was higher in the Southeast (40.1%) and Northwest (21.7%) macro-regions. The multivariate model identified five risk factors for avoidable hospitalisation: male gender (Prevalence Ratio [PR] = 1.48, p = 0.004), low socioeconomic level (PR = 1.51, p = 0.005), children from mothers younger than 20 years of age (PR = 1.41, p = 0.031), not breastfed within the first hour of life (PR = 1.29, p = 0.034), and neonatal hospitalisation (PR = 1.66, p = 0.043).
conclusionsTo decrease the costs associated with avoidable hospitalisations, health managers and professionals should focus their efforts on providing effective primary healthcare to families of low socioeconomic levels, particularly prenatal and paediatric care, as well as encouraging breastfeeding and supporting young mothers. Strategies to improve children's health by controlling such hospitalisations in Brazil should consider all residence areas and geopolitical macro-regions.
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