TEMPORAL TREND OF HOSPITAL ADMISSIONS OF CHILDREN DUE TO AMBULATORY CARE-SENSITIVE CONDITIONS IN FEIRA DE SANTANA, BAHIA, 2009 TO 2019

Abstract

Hospitalizations for Ambulatory Care-Sensitive Conditions (ACSC) represent avoidable hospitalizations that are caused by diseases and conditions that respond well to interventions implemented in Primary Health Care. The objective of this study was to analyze the temporal trend of HACSC in children aged 0 to 9 years, considering age components and main causes, in Feira de Santana – Bahia, 2009 to 2019. This is a time series study in which the trend was analyzed with the simple linear regression model with serial correction of the residuals proposed by Prais and Winsten, with 5% significance. Data were collected from the Hospital Information System, the Information System on Live Births, e-Gestor Atenção Básica and the Brazilian Institute of Geography and Statistics. Most HACSC was in the age group of 1 to 4 years, male, brown race/skin color. Infectious gastroenteritis and complications were one of the most frequent causes in the age subgroups, showing a decreasing trend; Hospitalizations for epilepsy and infection of the skin and subcutaneous tissue showed an increasing trend. Hospitalization rates for diseases related to prenatal care and childbirth in children under 1 year of age showed an increasing trend. Financial resources, planning in the Family Health Strategy and intersectoral actions, covering all stages of the child cycle and the peculiarities of this population, are necessary to prevent/minimize the occurrence of HACSC.