Abstract
To evaluate the incidence, mortality and cost of non-traumatic abdominal emergencies treated in Brazilian emergency departments. This paper used DataSus information from 2008 to 2016 (http://www.tabnet.datasus.gov.br). The number of hospitalizations, costs - AIH length of stay and mortality rates were described in acute appendicitis, acute cholecystitis, acute pancreatitis, acute diverticulitis, gastric and duodenal ulcer, and inflammatory intestinal disease. The disease that had the highest growth in hospitalization was diverticular bowel disease with an increase of 68.2%. For the period of nine years, there were no significant changes in the average length of hospital stay, with the highest increase in gastric and duodenal ulcer with a growth of 15.9%. The mortality rate of gastric and duodenal ulcer disease increased by 95.63%, which is significantly high when compared to the other diseases. All had their costs increased but the one that proportionally had the highest increase in the last nine years was the duodenal and gastric ulcer, with an increase of 85.4%. Non-traumatic abdominal emergencies are extremely prevalent. Hence, the importance of having updated and comparative data on the mortality rate, number of hospitalization and cost generated by these diseases to provide better healthcare services in public hospitals.
Highlights
In emergency departments, trauma is the most frequent pathological condition (20.1%), followed by cardiopulmonary disorders (13.8%) and gastrointestinal problems, including abdominal pain and digestive symptoms (13.6%)[1]
The importance of having updated and comparative data on the mortality rate, number of hospitalization and cost generated by these diseases to provide better healthcare services in public hospitals
In order to obtain the data, it was necessary to access the link of the Hospital Information System (SIH) and insert the CID 10 of the following diseases: acute appendicitis, acute cholecystitis, acute pancreatitis, gastric and duodenal ulcer, inflammatory bowel disease and acute diverticulitis
Summary
In emergency departments, trauma is the most frequent pathological condition (20.1%), followed by cardiopulmonary disorders (13.8%) and gastrointestinal problems, including abdominal pain and digestive symptoms (13.6%)[1]. Acute abdominal pain is one of the most common causes for referral to the emergency department (9.1%) and to emergency surgery, in addition to being the most common cause for non-trauma-related hospital admissions[1,2,3]. There is a high prevalence of abdominal emergencies of non-traumatic origin treated worldwide; there are only a few studies on this topic in our community. This is a national database study with the purpose of assessing the evolution of incidence, mortality and cost of non-traumatic abdominal emergencies treated in Brazilian emergency departments
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