Incidence of intra-hospital care related to pressure ulcers and the influence of the COVID-19 pandemic in the city of São Paulo, from March to December 2020
Background: In Brazil, there is no published article that measures the expense of this condition for the health system. There are international studies that show that treating a pressure ulcer is significantly more expensive than preventing it. The purpose of this article is to describe the incidence of patients with hospitalization related to pressure ulcers, in the city of São Paulo, in the period of the 1st increase in cases of COVID - 19 (March 2020 to December 2020), as well as the related expense with these hospitalizations.
Method and Findings: Through the TABNET knowledge and public data platform, detailed data on the AIH were selected - by place of hospitalization - São Paulo, in the main procedure field, using the selection of the municipality of São Paulo in the platform line. The data, specifically, from three institutions were studied. Data were also collected from these hospitals and from the city of São Paulo, referring to the average number of days of hospitalization and the total value of the AIH. The study was retrospective, longitudinal, grouped, of the ecological type.
All values found referred to the SUS code 0415040035 (debridement of ulcer/devitalized tissues). A total of 2,832 cases were found, with an approximate average of 283.2 monthly cases; the month with the lowest incidence was December 2020 with 205 cases and the month with the highest incidence was March 2020 with 405 cases. With a total expense of 4,238,625.57 with an average value of RS 423,862.55.
Conclusion: There is also a high cost of SUS, with preventable morbidity and cost reduction. There is no tendency for costs to fall, despite the decrease in incidence.
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