ArticleInnovation (Cambridge (Mass.))2020
Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015.
Article in Innovation (Cambridge (Mass.)), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Causal effects of wildfire PMNature communications · 2026Article
- Association of hospitalization costs with demographic, socioeconomic, and lifestyle characteristics: Population-based study in Sao Paulo city, Brazil, 2003-2015.Health policy OPEN · 2026Article
- Nanodrug Delivery Systems for Lower Respiratory Infections: Pulmonary Targeting, Anti-Infective Applications, and Translational Challenges.International journal of nanomedicine · 2026Review
- Cost-effectiveness of pasireotide as second-line therapy for adult acromegaly patients from the perspective of the Brazilian Unified Health System.Frontiers in endocrinology · 2026Article
- Impact of extreme temperature on hospitalization for cardiovascular diseases in Lanzhou, China.BMC public health · 2025Article
- Assessing the cost-effectiveness of capnography for end-tidal COAmerican heart journal plus : cardiology research and practice · 2024Article
- Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study.BMJ open respiratory research · 2024Article
- Article
- Temperature variability and common diseases of the elderly in China: a national cross-sectional study.Environmental health : a global access science source · 2023Article
- The effects of an innovative integrated care intervention in Brazil on local health service use by dependent older people.BMC health services research · 2022Article
- Association between ambient temperature and hospitalization for renal diseases in Brazil during 2000-2015: A nationwide case-crossover study.Lancet regional health. Americas · 2022Article
- Disease burden and attributable risk factors of respiratory infections in China from 1990 to 2019.The Lancet regional health. Western Pacific · 2021Article
- Associations of Residential Greenness with Depression and Anxiety in Rural Chinese Adults.Innovation (Cambridge (Mass.)) · 2020Article
- Socioeconomic level and associations between heat exposure and all-cause and cause-specific hospitalization in 1,814 Brazilian cities: A nationwide case-crossover study.PLoS medicine · 2020Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Brazil, the increase in non-fatal events presents a new, unprecedented challenge for the free and universally accessible public healthcare system (SUS), the size and nature of which has yet to be reliably quantified. We examined the change in all-cause and cause-specific SUS hospital admissions during 2000 to 2015. MATERIALS AND
methodsData on hospital admissions across 1,816 cities were collected from the Brazilian Unified Health System. The age-standardized rates of hospital admissions, the associated healthcare costs, and length of hospital stay were quantified. Stratum analyses were performed by age, sex, region, and cause-specific categories.
resultsHospital admission rates decreased by 10.2‰ per decade to 54.2‰ in 2015. For admissions in 2015, healthcare costs per patient equaled US$353 (an increase of $23.5/year since 2000) with an average length of hospital stay of 5 days (a decline of 0.04 days/year since 2000). Circulatory diseases incurred the greatest financial costs. Children and the elderly were most susceptible, especially for pneumonia. Injury and poisoning were the primary reason for admission in adult males, whereas maternal and other female-specific conditions were the highest burden in females. The burden of hospital admission was highest in the south and lowest in the north and northeast. DISCUSSION: Although hospital admission rates and length of stay have decreased in Brazil since 2000, the decline has been offset by an increase in direct healthcare costs. Age-, sex-, and region-specific features of the disease burden should be factored into future plans for healthcare expenditure in Brazil.
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