RESUMO
OBJECTIVE: To evaluate the number and cost of hospitalizations due to tuberculosis occurring in the Spanish National Health System (NHS) during 1999 to 2006. METHODS: The specific diagnosis-related groups (DRG) for tuberculosis (DRGs 705, 709, 711 and 798-802) were analyzed. RESULTS: We observed a striking decrease in hospitalizations (-25%), concomitant tuberculosis-HIV infection (-8.7%), and tuberculosis-related deaths (-0.5%, NS). In addition, there was a drop in the absolute number of hospital admissions and overall cost (from 31.3 to 30.8 and from 40.6 to 40.1 million euro), and a significant decrease in the relative hospitalizations and cost with respect to the overall number and hospital budget (from 0.21% to 0.10% and from 0.15% to 0.07%). CONCLUSIONS: There is a marked decrease in tuberculosis-related hospitalizations and mortality, but the disease remains a considerable health burden.
Assuntos
Hospitalização/economia , Hospitalização/estatística & dados numéricos , Tuberculose Pulmonar/economia , Tuberculose Pulmonar/epidemiologia , Custos e Análise de Custo , Humanos , Espanha , Tuberculose Pulmonar/terapiaRESUMO
Objetivo Evaluar los costes hospitalarios y globales de las altas por tuberculosis (TB) del Sistema Nacional de Salud (19992006).Métodos Se estudiaron los Grupos de Diagnósticos Relacionados (GDR) específicos de TB (GDR 705, 709, 711 y 798801).Resultados Hubo disminución significativa del 25% en hospitalizaciones totales; del 8,7% de TB/infección por VIH y del 0,5% de letalidad (NS). Existió decremento de costes absolutos hospitalarios y globales (de 31,3 a 30,8 millones y de 40,6 a 40,0 millones de ) y relativos respecto a costes hospitalarios y globales (del 0,21 al 0,10% y del 0,15 al 0,07%, respectivamente).Conclusiones Aunque existe progresiva disminución en hospitalizaciones y mortalidad por TB, aún representan una considerable carga sanitaria (AU)
Objective To evaluate the number and cost of hospitalizations due to tuberculosis occurring in the Spanish National Health System (NHS) during 1999 to 2006.MethodsThe specific diagnosis-related groups (DRG) for tuberculosis (DRGs 705, 709, 711 and 798-802) were analyzed. Results We observed a striking decrease in hospitalizations (..) (AU)