Bariatric surgeries performed by the Brazilian National Health System in residents of the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil, 2010-2016

Carvalho, Adriane da Silva; Rosa, Roger dos Santos

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 27 (2) • 2018 • https://doi.org/10.5123/S1679-49742018000200008 copy

Bariatric surgeries performed by the Brazilian National Health System in residents of the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil, 2010-2016^* * Article based on a master’s thesis to be presented as partial requirement to obtain the master’s title in Public Health at the Federal University of Rio Grande do Sul (UFRGS).

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to characterize caracterize by Brazilian National Health System (SUS) hospitalizations for bariatric surgeries in residents of the Metropolitan Region of Porto Alegre, RS, Brazil, from 2010 to 2016.

Methods:

data analysis of the National Hospital Information System (SIH/SUS); calculation of indicators by sex, age groups, use of Intensive Care Unit and hospitalization expenses; the target population were patients aged 15 years and older.

Results:

there were 1,249 hospitalizations (178.4/year; 5.4/100 thousand inhab./year), and the average age was 41.3±10.3 years old (average±standard deviation); the female sex was more prevalent (85.0%) and the age group 35-39 years accounted for 234 cases (18.7%); 227 patients (18.2%) needed ICU; there were 2 (0.2%) deaths; the mean for hospital stay was 5.1±3.2 days; the average annual expense was BRL1,073.830.29±223,791.48; and the average cost for hospitalization was BRL6,018.26±851,34 (BRL1,171.03/day).

Conclusion:

bariatric surgeries were characterized as procedures undergone by young female adults, with relatively frequent use of ICU and low fatality.

Keywords:
Obesity; Bariatric Surgery; Hospitalizations; Unified Health System

Age groups (in years)	Female			Male			Total
Age groups (in years)	n	%	Coefficient	n	%	Coefficient	n	%	Coefficient
15-19	3	0.3	0.3	3	1.6	0.2	6	0.5	0.3
20-24	28	2.6	2.4	9	4.8	0.8	37	3.0	1.6
25-29	92	8.7	7.4	16	8.6	1.3	108	8.6	4.3
30-34	170	16.0	13.4	37	19.8	2.9	207	16.6	8.2
35-39	201	18.9	18.3	33	17.6	3.1	234	18.7	10.8
40-44	155	14.6	15.5	32	17.1	3.4	187	15.0	9.6
45-49	155	14.6	15.0	19	10.2	2.0	174	13.9	8.8
50-54	118	11.1	11.5	16	8.6	1.8	134	10.7	7.0
55-59	99	9.3	11.2	12	6.4	1.6	111	8.9	6.8
60-64	33	3.1	4.6	7	3.7	1.2	40	3.2	3.1
65-69	7	0.7	1.3	3	1.6	0.7	10	0.8	1.1
70-74	1	0.1	0.3	-	-	-	1	0.1	0.2
Total	1,062	100.0	8.7	187	100.0	1.7	1,249	100.0	5.4

Municipality of residence	Female		Male		Total
Municipality of residence	n	Coefficient	n	Coefficient	n	Coefficient
Alvorada	37	6.7	6	1.2	43	4.0
Araricá	3	21.3	-	-	3	10.6
Arroio dos Ratos	1	2.6	-	-	1	1.4
Cachoeirinha	17	4.7	4	1.2	21	3.0
Campo Bom	12	6.3	3	1.6	15	4.0
Canoas	152	15.7	25	2.8	177	9.5
Capela de Santana	7	21.1	-	-	7	10.6
Charqueadas	13	14.0	2	1.4	15	7.0
Dois Irmãos	4	4.2	-	-	4	2.1
Eldorado do Sul	12	12.0	-	-	12	6.1
Estância Velha	20	15.2	1	0.8	21	8.1
Esteio	14	5.8	3	1.4	17	3.7
Glorinha	7	36.5	-	-	7	17.8
Gravataí	26	3.4	4	0.6	30	2.0
Guaíba	17	6.0	5	1.9	22	4.1
Igrejinha	11	11.6	2	2.1	13	6.9
Ivoti	8	11.7	1	1.6	9	6.7
Montenegro	9	5.2	1	0.6	10	2.9
Nova Hartz	3	5.9	1	1.8	4	3.9
Nova Santa Rita	5	7.5	-	-	5	3.8
Novo Hamburgo	26	3.6	7	1.0	33	2.4
Parobé	11	7.0	2	1.3	13	4.2
Portão	6	6.4	2	2.2	8	4.3
Porto Alegre	518	11.8	95	2.5	613	7.5
Rolante	6	10.7	-	-	6	5.4
Santo Antônio da Patrulha	8	6.8	3	3.0	11	4.9
São Jerônimo	5	8.0	1	1.6	6	4.7
São Leopoldo	7	1.1	2	0.3	9	0.7
São Sebastião do Caí	7	11.0	2	3.0	9	7.2
Sapiranga	19	8.5	2	1.0	21	4.9
Sapucaia do Sul	12	3.1	1	0.3	13	1.7
Taquara	19	12.3	6	4.0	25	8.3
Triunfo	6	8.4	2	3.0	8	5.7
Viamão	34	4.9	4	0.6	38	2.9
Total	1,062	8.7	187	1.7	1,249	5.4

Age group (in years)	Female		Male		Total
Age group (in years)	Average cost	Standard-deviation	Average cost	Standard-deviation	Average cost	Standard-deviation
15-19	5,775.80	431.44	5,814.03	429.44	5,794.92	430.87
20-24	5,782.86	507.97	5,838.26	471.70	5,796.34	499.96
25-29	5,923.65	798.94	5,934.71	705.83	5,925.29	785.86
30-34	6,016.69	895.94	6,190.28	650.76	6,047.71	859.85
35-39	5,976.32	834.95	6,242.17	793.80	6,013.81	834.41
40-44	6,164.11	1,048.15	5,922.09	733.24	6,122.70	1,005.45
45-49	5,945.78	739.19	6,022.33	1,486.57	5,954.14	853.59
50-54	6,061.78	925.37	6,026.01	425.31	6,057.51	880.80
55-59	6,035.02	794.77	6,308.87	623.36	6,064.62	782.70
60-64	5,858.72	592.37	5,935.96	340.25	5,872.24	557.33
65-69	6,153.56	797.49	6,232.00	38.70	6,177.09	668.53
70-74	6,034.16	0.00	-	-	6,034.16	0.00
Total	6,008.04	860.19	6,076.34	796.71	6,018.26	851.34

Hospital	Hospitalizations (A)		Use of ICU^a (B)		% of use of ICU^a (B/A)
Hospital	n	%	n	%
Hospital A	527	42.2	44	19.3	8.3
Hospital B	273	21.9	1	0.4	0.4
Hospital C	265	21.2	35	15.4	13.2
Hospital D	184	14.7	147	64.7	79.9
Total	1,249	100.0	227	100.0	18.2

Hospital	Hospitalization with use of ICU^b		Hospitalization without the use of ICU^b		Total
Hospital	Cost per hospitalization	Standard-deviation	Cost per hospitalization	Standard-deviation	Cost per hospitalization	Standard-deviation
Hospital A	5,906.38	415.99	5,823.82	558.76	5,830.71	548.74
Hospital B	6,828.96	0.00	5,736.54	480.20	5,740.54	483.85
Hospital C	6,132.80	1,111.94	5,734.20	444.48	5,786.85	594.12
Hospital D	7,579.92	1,072.24	6,191.81	425.61	7,300.79	1,124.50
Total	7,029.10	1,238.36	5,793.74	517.47	6,018.26	851.34

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Authors' contributions Carvalho AS and Rosa RS contributed to the conception and design of the study, analysis and interpretation of data, writing and critical review of the intellectual content of the manuscript. Both authors approved the final version of the manuscript and declared to be responsible for all aspects of the study, ensuring its accuracy and integrity.