Banca de DEFESA: LARISSA CELESTE ARAUJO PAIVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : LARISSA CELESTE ARAUJO PAIVA
DATA : 31/03/2021
HORA: 10:00
LOCAL: Remotamente
TÍTULO:

DIFFERENTIAL COSTS OF THE ADMISSION TO THE DELIVERY OF PREGNANT WOMEN WITH DIABETES IN A PUBLIC MATERNITY OF SALVADOR

PALAVRAS-CHAVES:

Gestational diabetes. Costs. Illness costs. I am leaving.

PÁGINAS: 72
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

In Brazil, diabetes is considered the main metabolic disease during pregnancy. Gestational Diabetes is defined as any degree of glucose intolerance, whose diagnosis occurs at the beginning of pregnancy, and may or may not persist after delivery. The lifestyle habits of pregnant women and / or the hereditary burden are considered important factors for the development of the disease. Pregnant women with diabetes tend to have greater complications in pregnancy and there are greater possibilities of complications, reflecting a higher cost for health services and an impact on families. The general objective of the study is to estimate the average differential of direct hospitalization costs for the delivery of pregnant women with diabetes and without the disease, in a public maternity hospital in Salvador / Bahia, in 2016 from the perspective of the Unified Health System. it is an observational study, with a test of difference of means between two retrospective paired groups, of disease cost assessment, with a quantitative approach. For the collection of data from the epidemiological clinical profile, information from the records of the 135 patients and data from their hospital systems were used. In order to estimate the costs of patients in each group, data were collected regarding the number of tests and medication used, delivery mode, hospitalization of pregnant women in the ward and newborns in the ICU. Descriptive statistical analysis was performed with a mean difference test to obtain the average cost and check the significance of the difference. The results for the case and comparison groups were found respectively: Type of delivery: cesarean section - 81.4% vs 24.6%, normal delivery - 18.6% vs 75.4%; Hospitalization of pregnant women for clinical complications: only those in the case group admitted, which corresponds to 30% of pregnant women in the group; NB admitted to the ICU: 23.2% vs 4.61%. The average total cost was R $ 9,463.4 x R $ 5,986.53,30

case and comparison, respectively. All items had higher values in the case group. The cost item that contributed to a greater difference between the groups was the admission to the pregnant woman and what reduced this difference was the admission of the NB to the ICU. The average incremental cost can be up to 58.8% more for pregnant women with diabetes. This higher proportion corresponded to an average incremental differential of R $ 3,476.9 for pregnant women with diabetes hospitalized for childbirth in 2016. It is evident that the delivery of pregnant women with gestational diabetes, in addition to being more costly for SUS, also implies greater possibility of unfavorable outcomes, therefore reinforcing preventive measures and early diagnosis is necessary and urgent to minimize the health impacts of women and their children.

MEMBROS DA BANCA:
Presidente - 2425791 - ERIKA SANTOS DE ARAGAO
Externo(a) ao Programa - 2569100 - CLAUDIA SILVA MARINHO ANTUNES BARROS
Externo(a) ao Programa - 1321461 - VINICIUS DE ARAUJO MENDES