Análise de série temporal das internações de pacientes com diagnóstico de doença falciforme no estado de Sergipe ao longo de 12 anos

Abstract

Study Design: Epidemiologic survey. Objectives: Make a time series analysis of hospitalizations of patients with sickle cell disease, hospitalized in period of 12 years. Methodology: Survey of secondary data from Brazilian official system of hospital information (Sistema de Informação Hospitalar Descentralizado - SIHD) of Ministry of Health by software TabWin, relating admissions occurred in hospitals in province of Sergipe (Brazil) between January of 2002 and December of 2013. Results: We identified 663 patients who suffers from sickle cell disease, who were admitted to a hospital from January 2002 to December 2013. Among them 54% were male (358/663) average age 15, mortality rate 1,4% (9/663). A number of hospitalised cases increased from 13 to 154 per year. Annual Percent Change (APC) considering standardized mortality ratio (SMR) for male was 29,7%in the period (IC 95%:22,1%to 37,9%;p<0,001). The hospitalisation ratio in the state in the very period of our study, considering the populacional growth was of 2,9/10.000 inhabitants. Conclusion: We noticed a great increasingly of the number of admitted new patients to hospitals since the year 2008, most likely due to fact of a new method approach in surveyance, using neonatal screening (Guthrie test) and consequently early diagnose for this disease. This present study, notwithstanding all the limits, can contribute with the epidemiologic knowlegdment about this disease helping the Government in planning Public Health actions.