Keywords
Hospitalized patients
Mortality
Costs and cost analysis
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To characterize the profile of patients hospitalized with kidney failure in a referral hospital in the city of Campina Grande, Paraíba. Methods: This is a quantitative, descriptive, and retrospective study based on the analysis of secondary data from DATASUS and SIH/SUS. Sex, age, race, year and month of hospitalization, type of care, mortality rate, number of deaths, length of hospital stay, and hospital costs were collected. The study period covered November 2023-November 2024, with the Hospital Municipal Pedro I as the reference institution. Results: A predominance of male patients (61.3%) and individuals over 50 years old (72.5%) was observed. Most patients were of mixed race (48.7%), reflecting potential socioeconomic disparities. All hospitalizations were emergency cases, suggesting late diagnosis and lack of prior medical follow-up. The mortality rate was 21.2%, with higher lethality among the elderly. The average length of hospital stay was 9.9 days, with longer stays observed in the 50–59 age group. The average hospitalization cost was R$ 1,546, with a greater financial impact on elderly patients. Conclusion: The findings emphasize the need for early screening policies, expansion of primary care, and implementation of preventive strategies to reduce hospitalizations and improve the prognosis of kidney failure.
References
AL-MALLAH MH, et al. Cardiorespiratory fitness and cardiovascular disease prevention: an update. Current Atherosclerosis Reports, 2018; 20: 1-9.
BESSA JW, et al. Abordagem geral da doença renal crônica e sua relação com a hipertensão arterial sistêmica: uma revisão integrativa. Revista Eletrônica Acervo Médico, 2021; 1(1): 8904.
BOULWARE LE e MOHOTTIGE D. The seen and the unseen: race and social inequities affecting kidney care. Clinical Journal of the American Society of Nephrology, 2021; 16(5): 815-7.
CLARK-CUTAIA MN, et al. Disparities in chronic kidney disease-the state of the evidence. Current Opinion in Nephrology and Hypertension, 2021; 30(2): 208-14.
KUZMENKO NV, et al. Seasonal dynamics of myocardial infarctions in regions with different types of a climate: a meta-analysis. The Egyptian Heart Journal, 2022; 74(1): 84.
LORENZO A e LIAÑO F. High temperatures and nephrology: The climate change problem. Nefrología (English Edition), 2017; 37(5): 492-500.
MAHER SZ e SCHREIBMAN IR. The clinical spectrum and manifestations of acute liver failure. Clinics in Liver Disease, 2018; 22(2): 361-74.
MALIG BJ, et al. Associations between ambient temperature and hepatobiliary and renal hospitalizations in California, 1999 to 2009. Environmental Research, 2019; 177: 108566.
MARCHETTI J, et al. O elevado risco nutricional está associado a desfechos desfavoráveis em pacientes internados na unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva, 2019; 31: 326-32.
MIER MP, et al. Insuficiencia renal crónica. Medicine-Programa de Formación Médica Continuada Acreditado, 2019; 12(79): 4683-92.
MIER MP, et al. Protocolo diagnóstico de la insuficiencia renal crónica. Medicine-Programa de Formación Médica Continuada Acreditado, 2019; 12(79): 4702-4.
MUZY J, et al. Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cadernos de Saúde Pública, 2021; 37: 76120.
PACHECO LP, et al. Abordagem atualizada da Lesão Renal Aguda (LRA): uma revisão narrativa. Revista Eletrônica Acervo Médico, 2022; 7: 10162.
PADMANABHAN A, et al. Chronic renal failure: An autopsy study. Saudi Journal of Kidney Diseases and Transplantation, 2017; 28(3): 545-51.
PAIM LS, et al. A importância do diagnóstico precoce da doença renal crônica na atenção primária à saúde. Revista Eletrônica Acervo Médico, 2023; 23(5): 12835.
PAZOS F. Range of adiposity and cardiorenal syndrome. World Journal of Diabetes, 2020; 11(8): 322.
SARMENTO PV, et al. Transplante renal, infecções associadas e suas medidas terapêuticas: uma revisão de literatura. Revista Eletrônica Acervo Saúde, 2022; 15(2): 9762.
SILVA JM, et al. Manejo da lesão renal aguda: uma revisão narrativa. Revista Eletrônica Acervo Saúde, 2021; 13(5): 7072.
SODRÉ GR, et al. Aspectos fisiopatológicos relacionados à doença renal em indivíduos com diabetes mellitus. Revista Eletrônica Acervo Saúde, 2024; 24(11): 17823.
SOUZA FILHO MD, et al. Perfil epidemiológico de pacientes com doenças renais atendidos em uma clínica especializada. Revista Eletrônica Acervo Saúde, 2023; 23(12): 15156.
SOUZA MD, et al. Transição da saúde e da doença no Brasil e nas Unidades Federadas durante os 30 anos do Sistema Único de Saúde. Ciência & Saúde Coletiva, 2018; 23: 1737-50.
TAVARES AP, et al. Cuidados de suporte renal: uma atualização da situação atual dos cuidados paliativos em pacientes com DRC. Brazilian Journal of Nephrology, 2020; 43: 74-87.
VALDIVIELSO JM, et al. Sex hormones and their influence on chronic kidney disease. Current Opinion in Nephrology and Hypertension, 2019; 28(1): 1-9.
WANG L, et al. A stochastic dynamical model for nosocomial infections with co-circulation of sensitive and resistant bacterial strains. Journal of Mathematical Biology, 2023; 87(3): 41.
YEO SC, et al. Cost-effectiveness of screening for chronic kidney disease in the general adult population: a systematic review. Clinical Kidney Journal, 2024; 17(1): 137.