EPIDEMIOLOGICAL PROFILE OF HOSPITALIZATIONS AND HOSPITAL COSTS OF ELDERLY PEOPLE DUE TO CHRONIC NON-COMMUNICABLE DISEASES IN BRAZIL
Elderly people; hospital costs; chronic noncommunicable diseases; public health.
Introduction: In Brazil, hospitalizations of older adults continue to be predominantly caused by chronic noncommunicable diseases (NCDs), especially cardiovascular, respiratory, and neoplasms, which account for the highest percentage of admissions and account for a significant portion of healthcare system costs. Objective: This study aimed to analyze the main causes of hospitalization and their associated costs from 2019 to 2023, based on records from the SUS Hospital Information System (SIH/SUS). Method: This was an ecological and descriptive study, based on the analysis of secondary data. All national records of hospitalizations of people aged 60 years or older were considered, including sociodemographic, clinical, healthcare, and economic variables. Results: The results indicated that circulatory system diseases accounted for approximately 38% of hospitalizations of older adults, followed by respiratory diseases (22%) and neoplasms (18%). The average cost per hospitalization was approximately R$3,500.00, accounting for 45% of hospital expenses during the period. Regarding the average length of stay, elderly individuals hospitalized for respiratory diseases stayed approximately 10 days, while those hospitalized for cancer exceeded 12 days. It was also observed that heart failure had a readmission rate close to 25%, reflecting the fragility of the transition from hospital to home care. Conclusion: We conclude that reducing hospitalizations and their costs requires integrated and preventive public policies capable of strengthening primary care, expanding rehabilitation programs, and ensuring continued follow-up after discharge, promoting active and healthy aging in the country.