Dados do Trabalho

Título

Chronic critical illness prevalence, mortality and costs in public health system in Rio Grande do Sul, Brazil.

Objetivo

The aim of this study was to show the prevalence, mortality and costs to the public health system of CCI hospitalizations in Rio Grande do Sul, Brazil during a pre-pandemic period.

Métodos

Historical database cohort study of the Brazil public health system in (DATASUS). All ICU hospitalizations between June 2018 and May 2019 in the state of Rio Grande do Sul were included. Length-of-stay, ICU and hospital mortality and amount paid for hospitalizations were evaluated. CCI definition used was: ICU stay ≥8 days added by one of the following:(a) tracheostomy, (b) MV for ≥96 hours, (c) sepsis, (d) severe wounds, (e) stroke (ischemic or hemorrhagic) or head trauma.

Resultados

From June 2018 to May 2019 there were 747.125 hospitalizations in Rio Grande do Sul, Brazil and in 56.767 of these required at least one day in ICU. A total od, 8,057 had criteria for CCI. The prevalence of CCI was 16.5%. The median length-of-ICU stay was 14 days (10 – 20 days) for CCI hospitalizations vs 3 days (2 - 6 days) for acute hospitalizations (p<.001). The median length-of-hospital stay were 19 days (13 -30 days) for CCI and 8 days (4 – 15 days) for acute hospitalizations (p<.001). Hospital mortality was higher in CCI (31.7% vs. 20.5%, respectively p<.001). The mean cost for health system was also higher in the CCI hospitalizations.

Conclusão

This data show a high prevalence of CCI. Higher mortality and higher cost for the health system for CCI than acute critical hospitalization were observed.