An analysis of costs and hospitalizations by cerebral vascular accident in the Northeast, 2008-2019

Abstract

There is an important underfunding of the Unified Health System and a lack of information about health costs and demands, fundamental data for health managers to be able to make decision-making. To analyze stroke admissions to SUS in the Northeast region, from 2008 to 2019. This is a descriptive and retrospective epidemiological study, with subsequent analysis of the data, carried out through the Hospital Information System (SIH/SUS) from 2008 to 2019, in the Northeast. Most hospitalizations occurred among brown people (82.75%), aged 70-79 years (26.93%). There was an increase in hospitalization costs, during the period, by 251.62%, totaling an annual average of 37,750,782.1 reais. The lethality rate in the period was 17.38%, decreasing 14.28%, relatively, and the hospitalization time increased 7.143%, reaching 7.6 days in 2019. The number of hospitalizations increased 124.2% in the period, and on average, the cost per hospitalization was 1050.65 reais. The states with the highest percentage of mortality and cost per hospitalization were Sergipe and Alagoas. Thus, it was understood that there was an increase in the number of hospitalizations and the total cost in this period. In addition, there was an important increase in the cost per hospitalization. Furthermore, despite the increase in the number of deaths per year, there was a reduction in the lethality rate.