25/11/2021 - 14:00 - 15:10
COC 67- SAÚDE MENTAL |
32667 - MORTALITY AMONG INPATIENTS WITH MENTAL DISORDERS IN BRAZIL, 2000-2015
ANA PAULA SOUTO MELO - UFSJ, MARIANGELA LEAL CHERCHIGLIA - UFMG, ANTONIO LUIS PINHO RIBEIRO - UFMG, MOHSEN NAGHAVI - IHME/ USA
Background: People with mental disorders (PMD) have a mortality rate 2.22 times higher than the general population, with a decade of Years of Life Lost. Most studies of mortality among PMD occurred in high-income countries.
Objective: To describe the risk of general mortality in a nationwide cohort of PMD inpatients compared to others inpatients from 2000-2015 in Brazil.
Methods: This national retrospective cohort included all patients hospitalized through the Brazilian National Health System (SIH-SUS-Brazil) from January 1, 2000 thru May 31, 2015. Time of follow-up was measured from the date of the patients´ first hospitalization until their death, or May 2015. Probabilistic and deterministic record linkages integrated data from SIH and The National Mortality System (SIM). PMD were determined as a primary diagnosis, codes “F00-F99” by ICD-10, without substance abuse (F10-F19). Mortality was expressed per 100,000 inpatients and the relative risk (RR) was calculated with 95% confidence interval (CI), comparing mortality among PMD with those with other diagnoses.
Results: A total of 74,772,125 patients were hospitalized in SIH-SUS-Brazil from 2000 to 2015 -1,175,771(1.6 %) PMD and 73,596,354 (98.4%) with others diagnoses. Among 5,579,750 deaths registered in the period, 110,537 occurred among PMD, (mortality rate=10,376/100,000 inpatients). Conversely, we identified 5,469,213 in others inpatients (mortality rate 8,027/100,000 inpatients). The relative risk of death in PMD was 1.26 (95% CI=1.25-1.27) (p<0001), when comparing the two groups.
Conclusion: Analysis indicates an excess risk of dying among PMD inpatients in Brazil. Prevention of excess mortality should be considered a high public health priority among PMD.
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