ABSTRACT
Introduction
Stroke is a neurological disease associated with hospital morbidity, and its sequels requires speech-language therapy care.
Purpose
To analyze the profile of hospital morbidity from stroke and its relation to speech therapy coverage in the state of Paraiba, Brazil.
Methods
Ecological type study, carried out with data obtained from the Brazilian Hospital Information System (SIH / SUS – Sistema de Informações Hospitalares / Sistema Único de Saúde) and the National Registry of Health Facilities (CNES - Cadastro Nacional de Estabelecimentos de Saúde) in the years of 2010 and 2014, considering the number of approved inpatient hospital authorization, sex, age, average amount spent per admission, average length of stay and the number of speech-language therapists in the public hospital system. It was calculated the rate of hospitalization, the incidence rate of hospitalization from stroke and the proportion of hospitalization from stroke in relation to speech-language therapy coverage.
Results
There was a decline in hospitalizations from stroke in the State of Paraiba, between 2010 and 2014. There was a higher concentration of hospitalizations outside the metropolitan area of João Pessoa, in both years, increase of 9.8% in the amount spent per admission and a seven day stay on average in the hospital. The number of hospitalizations was higher in individuals of 60 years or older, with a similar proportion of either sex. The number of Speech-language therapists linked to the public hospital system increased 82.8% in 2014, however, with the highest concentration in the metropolitan region of João Pessoa. In both years, the proportion of hospitalizations from stroke in relation to speech therapy coverage was higher outside the João Pessoa metropolitan area.
Conclusion
In the state of Paraiba, between 2010 and 2014, there was a decline in stroke hospitalization, greater concentration of admissions of elderly individuals outside the metropolitan region of João Pessoa, with the same proportion between the sexes. Speech-language therapy coverage was scarce in the most remote areas of the capital.
Stroke; Morbidity; Speech, language and hearing sciences; Hospitals; Information systems
