Keywords
Elderly
Hospitalizations
Epidemiology
Prevention
How to Cite
Abstract
INTRODUCTION: Pneumonia is a serious lung infection that especially affects the elderly, due to the fragility of the immune system and the presence of comorbidities. This study analyzes the incidence, risk factors and hospital costs associated with hospitalizations for pneumonia in the elderly in Brazil, highlighting the need for effective prevention and management strategies to reduce its impact. OBJECTIVE: This study aims to analyze hospital admissions for pneumonia in the elderly in Brazil from January 2024 to May 2024, with emphasis on distribution by age group, patient sex, types of care and hospital costs. METHODOLOGY: This is a quantitative retrospective study using data from the SUS Hospital Information System (SIH/SUS), accessed via the TABNET/DATASUS secondary database. Hospitalizations, age group, patient sex, types of care and hospital costs due to HF in Brazil between January 2024 and May 2024 were analyzed. The analysis used descriptive statistics and tabulation in a Microsoft Excel 2016 spreadsheet, with results presented in tables in Microsoft Word 10. RESULTS: The results indicate that the Southeast Region leads in hospitalizations for pneumonia in the elderly (57.74%) and also in hospital expenses (R$ 74,085,867.55). The most affected age group is those aged 80 and over, with 44.50% of hospitalizations. Female and emergency hospitalizations predominate, reflecting the severity of the cases and the need for immediate medical interventions across the country. CONCLUSION: Therefore, the analysis highlights the high prevalence of pneumonia in the elderly, with a higher incidence in the Southeast Region. The predominance of urgent hospitalizations and high hospital costs highlight the severity of the disease and the need for immediate interventions. Effective prevention and management strategies are essential to reduce the impact of pneumonia in this vulnerable population.
References
AKHTAR, A. et al. Respiratory-tract infections among geriatrics: prevalence and factors associated with the treatment outcomes. Therapeutic Advances in Respiratory Disease, v. 15, p. 1753466620971141, 28 abr. 2021.
ALMEIDA, P. et al. Fatores de risco para pneumonia em pacientes com acidente vascular encefálico. Revista CEFAC, v. 22, p. e9920, 26 out. 2020.
BRAGA DE OLIVEIRA ROSA, G. et al. Prevenção de pneumonia em idosos hospitalizados. Ciência, Cuidado e Saúde. Disponível em: https://openurl.ebsco.com/contentitem/doi:10.4025%2Fciencuidsaude.v19i0.42795?sid=ebsco:plink:crawler&id=ebsco:doi:10.4025%2Fciencuidsaude.v19i0.42795. Acesso em: 7 ago. 2024.
CHEBIB, N. et al. Pneumonia prevention in the elderly patients: the other sides. Aging Clinical and Experimental Research, v. 33, n. 4, p. 1091–1100, 1 abr. 2021.
CILLÓNIZ, C. et al. Community-acquired pneumonia in critically ill very old patients: a growing problem. European Respiratory Review, v. 29, n. 155, 31 mar. 2020.
DONALISIO, M. R.; ARCA, C. H. M.; MADUREIRA, P. R. DE. Perfil clínico, epidemiológico e etiológico de pacientes com pneumonia adquirida na comunidade internados em um hospital geral da microrregião de Sumaré, SP. Jornal Brasileiro de Pneumologia, v. 37, p. 200–208, abr. 2011.
EPITÁCIO, J. R. S. et al. Prevalência de óbitos em idosos por pneumonia nas macrorregiões da Bahia entre 2018-2022. Revista Contemporânea, v. 4, n. 4, p. e3962–e3962, 29 abr. 2024.
ESTRELA, Y. D. C. A. et al. Avaliação do quadro clínico-nutricional de pacientes com pneumonia internados em um hospital público da Paraíba. Journal of Medicine and Health Promotion, v. 6, n. 1, p. 154–168, 9 jan. 2021.
GARNERO, L. et al. Acesso e cobertura da Atenção Primária à Saúde para populações rurais e urbanas na região norte do Brasil. Saúde em Debate, v. 42, p. 81–99, set. 2018.
KALIL, A. C. et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clinical Infectious Diseases, v. 63, n. 5, p. e61–111, 2016.
LYU, J. C.; LULI, G. K. Understanding the Public Discussion About the Centers for Disease Control and Prevention During the COVID-19 Pandemic Using Twitter Data: Text Mining Analysis Study. Journal of Medical Internet Research, v. 23, n. 2, p. e25108, 9 fev. 2021.
MARIANO, P. M. M. S. et al. Fatores de risco para pneumonia em pacientes com acidente vascular encefálico. Revista CEFAC, v. 22, p. e9920, 26 out. 2020.
METLAY, J. P. et al. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine, v. 200, n. 7, p. e45–e67, out. 2019.
MIGUEL, I. I. S. DA N. G. O efeito da corticoterapia endovenosa no tratamento da pneumonia no idoso com DPOC. MasterThesis. [S.l: s.n.].
MINISTÉRIO DA SAÚDE. Dados de morbidade hospitalar. Sistema de Informações Hospitalares do SUS, 2024. Disponível em: https://www.datasus.gov.br. Acesso em: 7 ago. 2024.
PARDO SANTANA, S. et al. Caracterización clínica y epidemiológica de pacientes con infecciones respiratorias agudas en Timor Leste. Revista Cubana de Higiene y Epidemiología, v. 59, 2022.
RIBEIRO, J. H. DE S. et al. Manifestações clínicas das pneumonias e o risco para a saúde do idoso. Research, Society and Development, v. 12, n. 1, p. e25212139659–e25212139659, 10 jan. 2023.
ROSSETTO, C. et al. Causas de internação hospitalar e óbito em idosos brasileiros entre 2005 e 2015. Revista Gaúcha de Enfermagem, v. 40, p. e20190201, 17 out. 2019.
SANTIAGO, L. M. et al. Condições sociodemográficas e de saúde de idosos institucionalizados em cidades do Sudeste e Centro-Oeste do Brasil. Geriatrics, Gerontology and Aging, v. 10, n. 2, p. 86–92, jun. 2016.
SIMONETTI, A. F. et al. Management of community-acquired pneumonia in older adults. Therapeutic Advances in Infectious Disease, v. 2, n. 1, p. 3–16, fev. 2014.
SIMONS, K. et al. Age and gender patterns in health service utilisation: Age-Period-Cohort modelling of linked health service usage records. BMC Health Services Research, v. 23, p. 480, 12 maio 2023.
TAVARES, C. DE A. M. et al. Alterações da ECA2 e Fatores de Risco para Gravidade da COVID-19 em Pacientes com Idade Avançada. Arquivos Brasileiros de Cardiologia, v. 115, p. 701–707, 23 out. 2020.
VIANA, A. L. D. et al. Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil. Saúde e Sociedade, v. 24, p. 413–422, jun. 2015.
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Copyright (c) 2024 Igor Gabriel Mendes Costa, William Roberto de Oliveira Rezende Júnior, Luísa Mairink Fernandes, Gabriel Buffon Cupertino, Monique Ferreira Lombardi, Raquel Araujo Nogueira, Gusthavo Dias Simplicio, Fabiana Souza Oliveira, Evaristo Salvador da Cruz Neto, Lorena Leal Fagundes, Jéssica Garcia Caetano, Rafaella da Matta Castilho, Letícia Lobato Tavares, Elzanice de Fátima Brandão Falcão Felix