Characteristics and current direct costs of hospital admissions
          due to occupational accidents in the southwest of Bahia from 2005 to 2007

Silva, Ana Cláudia Conceição da; Pereira, Thalles da Costa Lobê

doi:10.1590/1809-4503201400020008ENG

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Epidemiologia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • Rev. bras. epidemiol. 17 (02) • June 2014 • https://doi.org/10.1590/1809-4503201400020008ENG copy

Characteristics and current direct costs of hospital admissions due to occupational accidents in the southwest of Bahia from 2005 to 2007

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

This study aimed to identify the profile and cost of admissions for occupational accidents, under the Unified Health System (UHS) in municipalities of the southwest of Bahia, in the period of 2005 to 2007.

Methods:

It was conducted a descriptive study using the records of the Hospital Information System (HIS), from which were extracted data about the sociodemographic, occupational and hospitalization profiles. To express the results, indicators were used as absolute frequencies and proportions, the average stay, Total Cost of Hospitalization (TCH), Hospital Mortality (HM), Average Spenditure (AS) and Cost per Day (CD).

Results:

962 admissions were recorded, of which 94.1% were related to path accidents. Among the admitted subjects 65.7% were male, and the most affected age groups were 5 to 14 and 15 to 24 years. There were forearm fractures on 26 cases of typical accidents. 248 cases of intracranial injuries happened during commuting to work, which accounted for 78.2% of traffic accidents and 28.8% of falls. The average stay was of 2.6 days and the deaths occurred in 0.5% of patients discharges. The total cost of the admissions was of R$ 243,125.06, being the AS of R$ 252.73 and CD of R$ 97.44, lower than the external causes. The frequencies of the variables related to the occupation were not verified due to missing values.

Conclusion:

The data from the HIS Systems were limited for identify the profile of the admitted workers. However, they are important and can be used on occupational health surveillance.

Accidents, occupational; Hospital costs; Hospitalization; Hospital information systems; Health profile; Occupational health

Variables	2005		2006		2007		Total
Variables	n	%	n	%	n	%	n	%
Type of work accident (n = 962)
Typical	55	13.9	28	9.4	–	–	83	8.6
Commute	341	86.1	271	90.6	267	100.0	879	91.4
City of hospitalization (n = 962)
Caatiba	26	6.6	26	8.7	45	16.9	97	10.1
Itapetinga	237	59.8	124	41.5	–	–	361	37.5
Jequié	–	–	–	–	1	0.3	1	0.1
Poções	133	33.6	149	49.8	221	82.8	503	52.3
Age group (years) (n = 962)
Male
< 1	4	1.0	3	1.0	1	0.4	8	0.8
1 – 4	21	5.3	15	5.0	12	4.5	48	5.0
5 – 14	75	18.9	52	17.4	34	12.7	161	16.7
15 – 24	49	12.4	37	12.4	29	10.9	115	12.0
25 – 34	33	8.3	26	8.7	36	13.5	95	9.9
35 – 44	27	6.8	14	4.7	20	7.5	61	6.3
45 – 54	19	4.8	21	7.0	11	4.1	51	5.3
55 – 64	15	3.8	15	5.0	14	5.2	44	4.6
≥ 65	21	5.3	17	5.7	11	4.1	49	5.1
Female
< 1	2	0.5	–	–	2	0.7	4	0.4
1 – 4	17	4.3	18	6.0	13	4.9	48	5.0
5 – 14	27	6.8	25	8.4	25	9.4	77	8.0
15 – 24	12	3.1	6	2.0	13	4.9	31	3.2
25 – 34	14	3.5	9	3.0	10	3.7	33	3.4
35 – 44	7	1.8	12	4.0	10	3.7	29	3.1
45 – 54	14	3.5	11	3.7	6	2.3	31	3.2
55 – 64	13	3.3	7	2.3	6	2.3	26	2.7
≥ 65	26	6.6	11	3.7	14	5.2	51	5.3

Nature of the lesion/Primary diagnosis	External Cause/Secondary diagnosis
	Falls		C. A.		I.		A.		P. A. V. C.		O. E. C.
	n	%	n	%	n	%	n	%	n	%	n	%
Traumas (n = 66)
Traumatic brain injury	3	4.9	–	–	–	–	–	–	–	–	–	–
Shoulder and arm fractures	7	11.5	–	–	–	–	–	–	–	–	–	–
Luxations in the scapular waist	4	6.6	–	–	–	–	–	–	–	–	–	–
Forearm fractures	26	42.6	–	–	–	–	–	–	–	–	–	–
Femoral fractures	1	1.6	1	14.3	–	–	–	–	–	–	–	–
Ankle and leg fractures	15	24.6	5	71.4	–	–	1	100.0	–	–	–	–
Other traumas	1	01.6	1	14.3	–	–	-	-	–	–	1	12.5
Effect of toxic substances (n = 4)
Toxic effects of non-medicinal substances	–	–	–	–	–	–	–	–	4	100.0	–	–
Other lesions (n = 12)	4	6.6	–	–	1	100.0	–	–	–	–	7	87.5

Nature of the lesion/Primary diagnosis	External Cause/Secondary diagnosis
	Falls		C. A.		I.		A.		S. I. I.		P. A. V. C.		O. E. C.
	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Traumas (n = 500)
Traumatic brain injury	112	33.4	93	80.8	–	–	38	31.1	1	1.9	–	–	4	10.5
Shoulder and arm fractures	15	4.5	–	–	–	–	–	–	–	–	–	–	1	2.6
Luxations in the scapular waist	15	4.5	–	–	–	–	–	–	–	–	–	–	–	–
Forearm fractures	104	31.0	1	0.9	–	–	–	–	–	–	–	–	–	–
Femoral fractures	15	4.5	1	0.9	–	–	–	–	–	–	–	–	1	2.6
Leg and ankle fractures	8	2.4	7	6.1	–	–	–	–	–	–	–	–	1	2.6
Other traumas	54	16.1	11	9.6	–	–	4	3.3	–	–	–	–	14	36.8
Burns (n = 19)	–	–	–	–	1	14.3	12	9.8	–	–	–	–	6	15.8
Effects of toxic substances (n = 323)
Toxic effects of alcohol	–	–	–	–	1	14.3	09	7.4	40	75.5	–	–	–	–
Toxic effects of non-medicinal substances	–	–	–	–	–	–	39	32.0	–	–	207	98.6	–	–
Other toxic effects	1	0.3	–	–	5	71.4	3	2.5	12	22.6	3	1.4	3	8.0
Other lesions (n = 38)	11	3.3	2	1.7	–	–	17	13.9	–	–	–	–	8	21.1

External cause	2005				2006				2007				Total
	Male		Female		Male		Female		Male		Female		Male		Female
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Falls	158	39.9	70	17.7	86	28.8	44	14.7	23	08.6	19	07.1	267	27.8	133	13.8
Commuting accidents
Cycling accidents	5	1.3	1	0.3	3	1.0	2	0.7	5	1.9	–	–	13	1.4	3	0.3
Motorcycle accidents	16	4.0	3	0.8	17	5.7	1	0.3	16	6.0	3	1.1	49	5.1	7	0.7
Automobile accidents	9	2.3	1	0.3	5	1.7	1	0.3	7	2.6	6	2.2	21	2.2	8	0.8
Other commuting accidents	5	1.3	2	0.5	6	2.0	–	–	5	1.9	–	–	16	1.7	2	0.2
Intoxication
Exposure to harmful substances	–	–	4	1.0	1	0.3	–	–	2	0.7	–	–	3	0.3	4	0.4
Aggression	23	5.8	15	3.7	29	9.7	8	2.7	32	12.0	17	6.4	84	8.7	40	4.2
Self-harm	6	1.5	3	0.8	10	3.3	7	2.3	18	6.7	9	3.5	34	3.5	19	2.0
Contact with poisonous beings	30	7.6	27	6.6	36	12.0	28	9.5	54	20.2	39	14.6	120	12.5	94	9.8
Other external causes
Exposure to physical agents	12	3.0	5	1.3	5	1.7	3	1.0	5	1.9	3	1.1	22	2.3	11	1.1
Medical care complications	–	–	1	0.3	–	–	1	0.3	–	–	2	0.7	–	–	4	0.4
Events of undetermined intention	–	–	–	–	2	0.7	4	1.3	1	0.4	1	0.4	3	0.3	5	0.5

Variables	2005	2006	2007	Total in the period
Lethality (%)
Typical accidents	–	–	–	–
Commuting accidents	0.6	–	1.1	0.6
All work accidents	0.5	–	1.1	0.5
Mean time of permanence (days)
Typical accidents	2.8	2.3	–	2.6
Commuting accidents	2.8	2.4	2.5	2.6
All work accidents	2.8	2.4	2.5	2.6
Total Cost of Hospitalizations (R$)
Typical Accidents	21.809.82	9.366.17	–	31.175.99
Commuting accidents	100.586.73	60.248.55	51.113.79	211.949.07
All work accidents	122.396.55	69.614.72	51.113.79	243.125.06
Mean Income (R$)
Typical Accidents	396.54	334.51	–	375.61
Commuting accidents	294.98	222.32	191.44	241.13
All work accidents	309.08	232.83	191.44	252.73
Cost-Day (R$)
Typical Accidents	141.62	148.67	–	143.67
Commuting accidents	104.34	93.41	76.40	93.04
All work accidents	109.48	98.33	76.40	97.44

Associação Brasileira de Saúde Coletiva Av. Dr. Arnaldo, 715 - 2º andar - sl. 3 - Cerqueira César, 01246-904 São Paulo SP Brasil , Tel./FAX: +55 11 3085-5411 - São Paulo - SP - Brazil
E-mail: revbrepi@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Ana Cláudia Conceição da Silva Departamento de Saúde da Universidade Estadual do Sudoeste da Bahia Avenida José Moreira Sobrinho, s/n, Jequiezinho CEP: 45206-190, Jequié, BA, Brasil E-mail: anaclaudiacs@gmail.com