Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

Autor: Ricardo Barbosa LIMA, Larissa Dias VILELA, Paulo NELSON-FILHO, Léa Assed Bezerra da SILVA, Raquel Assed Bezerra da SILVA
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Brazilian Oral Research, Vol 37 (2023)
Druh dokumentu: article
ISSN: 1807-3107
DOI: 10.1590/1807-3107bor-2023.vol37.0129
Popis: Abstract Dental caries is an important Public Health issue. However, the treatment of this disease in tertiary dental care requires further investigation. Therefore, the objective of this study was to evaluate caries-related hospital morbidity in the Brazilian Unified Health System (SUS) from 2008 to 2022. An ecological study was conducted with secondary data on caries-related Hospital Admission Authorizations (AIH) and in-hospital dental procedures (IDP). Data were collected nationwide and statistical analysis was performed with a significance level (p) of 5%. In the last 15 years, 3,474 caries-related AIH and 63,657 IDP were approved within SUS. There was a significant upward trend in the number of caries-related AIH (p = 0.018) and a stationary trend in the number of caries-related IDP (p = 0.841). Moreover, from 2008 to 2022, R$ 1,160,843.09 was allocated for caries-related AIH. Hospital mortality was 0.29% (10 deaths), and 75.1% were elective inpatient admissions. Among SUS users, adults constituted the majority (49%), with a higher frequency of males (59.8%) and whites (46.2%). The most frequent type of caries-related IDP was restoration of permanent teeth (55.3%). Nonetheless, during the COVID-19 pandemic years, significant reductions in caries-related AIH and IDP within the SUS were observed (all p
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