Regional analysis of hospital admission authorizations for the treatment of facial fractures in the State of Paraíba

Abstract

Objective: This study aims to analyze this demand between 2014 and 2024, providing support for the planning and distribution of health resources. Materials and methods: Using AIH data from the DATASUS system, the types of industrial fractures in state hospitals were analyzed, including the number of authorizations, the average length of hospital stay, and the associated deaths. The methodology involved a descriptive analysis of the evolution of AIHs and the distribution among the different hospital doors. Results and discussion: The data show a significant increase in AIHs over the period, with a greater concentration in reference hospitals, such as Hospital Dom Luiz Gonzaga Fernandes and Hospital Senador Humberto Lucena, which treat most of the complex cases. The results indicate the need for decentralization of care and strengthening of regional hospitals in order to improve access and reduce the overload of large centers. Conclusions: The increase in hospitalizations due to facial fractures and the concentration of care in referral hospitals indicate the need to decentralize care and strengthen regional hospitals. Such measures are essential to improve access, reduce the burden on large centers and guide strategic health planning.