Overview of hospitalizations by ambulatory care sensitive conditions
					in the municipality of Cotia, Brazil

Torres, Renata Laszlo; Ciosak, Suely Itsuko

doi:10.1590/S0080-623420140000600020

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Sumário

Artigo Original • Rev. esc. enferm. USP 48 (spe) • Aug 2014 • https://doi.org/10.1590/S0080-623420140000600020 copy

Overview of hospitalizations by ambulatory care sensitive conditions in the municipality of Cotia, Brazil^* * Extracted from the study "Panorama das Internações por Condições Sensíveis à Atenção Primária no município de Cotia" 1st Exhibition of Studies of the Graduate Program in Nursing, School of Nursing, University of São Paulo, 2013

Panorama de las hospitalizaciones por condiciones sensibles de la atención primaria en la ciudad de cotia

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

To describe the profile of Hospitalizations by Amulatory Care Sensitive Conditions (HACSC), in the Municipality of Cotia, from 2008 to 2012.

Method

ecological, exploratory, longitudinal study with a quantitative approach. Data on HACSC, by age group and sex, were obtained from the Department of the Unified Health System. For data analysis descriptive statistics were used.

Results

During the period, there were 46,676 admissions, excluding deliveries, 7,753 (16.61%) by HACSC. The main causes were cerebrovascular diseases, 16.96%, heart failure, 15.50%, hypertension, 10.80% and infection of the kidney and urinary tract, 10.51%. Regarding gender, HACSC occurred predominantly in males. There was a greater number of HACSC at extreme age ranges, especially in the elderly.

Conclusion

Chronic diseases predominate among the leading causes of HACSC and there was no significant difference between sex.    

Hospitalization; Primary Health Care; Quality of Health Care; Health evaluation; Public health nursing

Year	Hospitalizations without deliveries	HACSC		Change (previous year)
	No.	No.	%	%
2008	4,458	706	15.84	–
2009	9,333	1,721	18.44	143.77
2010	10,374	1,642	15.83	-4.59
2011	10,964	1,840	16.78	12.06
2012	11,547	1,844	15.97	0.22
Total	46,676	7,753	16.61	–

HACSC	2008	2009	2010	2011	2012	Total
Diseases preventable by immunization and sensitive conditions	0.57	0.29	0.97	1.03	0.43	0.67
Infectious gastroenteritis and complications	4.96	3.95	4.14	4.35	3.90	4.17
Anemia	0.28	0.35	0.24	0.22	0.22	0.26
Nutritional deficiencies	0.71	0.70	0.24	0.92	0.49	0.61
Infections of the ear, nose and throat	1.13	2.61	1.83	1.25	1.84	1.81
Bacterial pneumonia	1.13	0.87	1.40	1.25	3.42	1.70
Asthma	3.54	3.72	3.59	2.17	2.60	3.04
Lung diseases	5.10	4.82	6.94	6.96	9.27	6.86
Hypertension	10.62	14.12	10.23	9.35	9.71	10.80
Angina	6.23	4.53	3.35	6.14	4.61	4.84
Heart Failure	11.61	16.50	16.50	17.28	13.39	15.50
Cerebrovascular Disease	25.21	17.08	16.32	15.87	15.35	16.96
Diabetes mellitus	6.23	5.52	6.52	6.85	6.29	6.29
Epilepsy	4.25	4.71	6.21	3.70	3.15	4.37
Infection of the kidney and urinary tract	8.92	8.13	9.50	10.82	13.94	10.51
Infection of the skin and subcutaneous tissue	3.12	5.11	5.30	5.49	4.23	4.85
Inflammatory disease of female pelvic organs	1.98	1.86	1.16	1.79	2.01	1.74
Gastrointestinal ulcer	1.70	1.39	1.71	1.68	2.33	1.78
Related to prenatal diseases and birth	2.69	3.72	3.84	2.88	2.82	3.24
Total	100.00	100.00	100.00	100.00	100.00	100.00

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Suely Itsuko Ciosak.  Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem da USP . Av. Dr. Enéas de Carvalho Aguiar, 419 – Cerqueira César . CEP 05403-000 – São Paulo, SP, Brazil . siciosak@usp.br