Hospital admissions for dementia in the Brazilian public health system over the last decade.

Autor: Justo AFO; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil., Gonçalves NG; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil., Santos ANMD; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil., Paradela RS; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil.; Global Brain Health Institute University of California San Francisco California USA., Aliberti MJR; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil.; Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de Sao Paulo São Paulo São Paulo Brazil., Ferri CP; Department of Psychiatry Federal University of São Paulo São Paulo São Paulo Brazil., Suemoto CK; Division of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil.; Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de Sao Paulo São Paulo São Paulo Brazil.
Jazyk: angličtina
Zdroj: Alzheimer's & dementia (Amsterdam, Netherlands) [Alzheimers Dement (Amst)] 2024 Oct 10; Vol. 16 (4), pp. e70017. Date of Electronic Publication: 2024 Oct 10 (Print Publication: 2024).
DOI: 10.1002/dad2.70017
Abstrakt: Objective: The rise in dementia prevalence, particularly in lower- and middle-income countries (LMIC), places a significant burden on healthcare systems. However, comprehensive data on dementia hospital admissions are scarce.
Methods: We analyzed admission rates for dementia, cost of hospital admissions, lengths of hospital stay, and in-hospital deaths in 2010 and 2019 in Brazil.
Results: Admission rates declined from 19.7/100,000 inhabitants in 2010 to 14.6/100,000 in 2019. In-hospital mortality increased from 3.9% in 2010 to 8.8% in 2019, particularly for short-term stays. Although 9.6% of hospital admissions occurred in regions with lower economic power in 2010 and 10.4% in 2019, these regions had higher mortality, reaching 4.3% of in-hospital deaths in 2010 and 9.3% in 2019.
Conclusion: The observed trends, alongside sex and regional disparities, underscore the need for targeted investment in healthcare infrastructure and training to improve dementia care in LMIC.
Highlights: The rate of hospital admissions for dementia was similar in 2010 and 2019 in Brazil.The cost per hospital admission in 2010 decreased by 38.5% compared with 2019.There was an increase in short-term hospital stays for dementia in 2019 compared to 2010, accompanied by an increase in mortality rates for these short-term stays.While hospital admissions for dementia decreased in men and increased in women, the in-hospital mortality due to dementia increased for both sexes.
Competing Interests: The authors declare no conflicts of interest. Author disclosures are available in the Supporting information.
(© 2024 The Author(s). Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals LLC on behalf of Alzheimer's Association.)
Databáze: MEDLINE
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