Temporal and spatial analysis of Hospitalizations for Sensitive Conditions in Primary Care in the elderly

Abstract

Objective: To analyze the dynamics and temporal trend of Conditions Sensitive to Primary Care (ICSAP) in the elderly in the state of Sergipe. Method: Ecological study, with spatial and temporal trend of ICSAP analysis in the elderly. Data used from the Hospital Information System of the Unified Health System, considering the seven health regions and the 75 cities of Sergipe as units of analysis is during the years 2008 to 2020. Results: We have identified the five most common groups of causes: Bacterial Pneumonia, Cerebrovascular Disease, Heart Failure, Hypertension and Diabetes Mellitus. Regions with a growth trend: Itabaiana and Nossa Senhora da Glória (bacterial pneumonia, and cerebrovascular diseases), Nossa Senhora do Socorro (bacterial pneumonia), and Propriá (diabetes mellitus). In the spatial analysis, all rates were very high in the cities of all health regions, with emphasis on Propriá (cause groups) and Estância and Lagarto (for all except Hiper). Clusters with high rates were observed for bacterial pneumonia, cerebrovascular diseases and diabetes mellitus, with a predominance in the central region, and hypertension in eastern Sergipe. Four clusters considered low were identified in four of the five cause groups: Cerebrovascular Diseases in the regional groups of Nossa Senhora da Glória; Heart Failure and Diabetes Mellitus in the regions of Nossa Senhora da Glória, Itabaiana and La; Hypertension in the regions of Itabaiana and Lagarto. Conclusion: The study can contribute to health promotion strategies in primary care and in policies aimed at greater comprehensive ness of health actions for theeld erly.