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DOI: 10.1055/s-0045-1808874
EPIDEMIOLOGY OF HOSPITALIZATIONS FOR INFLAMMATORY BOWEL DISEASE IN ADULTS IN BRAZIL, FROM 2019 TO 2024
Introduction Inflammatory bowel disease (IBD) encompasses chronic inflammatory disorders of the digestive tract, such as Crohn's disease and ulcerative colitis. Its prevalence is associated with environmental, hereditary, and racial factors. When severe, IBD can be disabling, negatively affecting patients' quality of life. Epidemiological analyses of hospitalizations are essential to identify trends, the impact on public health, and gaps in healthcare policies for individuals with this condition.
Objective To analyze hospitalizations of adults with IBD in Brazil over the last 5 years. The analysis aims to outline the epidemiological profile of these patients, providing insights for the development of collective measures aimed at the most affected populations and optimizing public health resources.
Methods A cross-sectional, descriptive, retrospective, and quantitative study on hospitalizations for Crohn's disease and ulcerative colitis from January 2019 to January 2024. The data from the Department of Informatics of the Brazilian Unified Health System (DATASUS) were used. The variables selected for the study were: sex, race, age group, and length of stay. Only patients aged 20 to 80 years were included in the analysis.
Results Between 2019 and 2024, there were 27,304 hospitalizations for IBD in Brazil, of which 52.7% were female patients. The most affected age groups were 20 to 29 years and 30 to 39 years, representing 17.5% and 16%, respectively. Regarding self-declared color/race, the most affected group was white, totaling 40.1% of the hospitalizations, followed by brown, with 38.2%. In 2022, the highest average length of stay was recorded, with 6.9 days, while the overall average for the analyzed years was 6.5 days.
Conclusion The results indicate a higher occurrence of IBD hospitalizations among adults aged 20 to 39 years. There was a slight difference between genders, with 3% more women hospitalized. Special attention is given to the small predominance of whites compared to browns, with only a 2% difference between the two groups, highlighting the particular role of ethnicity in the epidemiology of the Brazilian population. Additionally, the length of stay suggests the complexity of care in healthcare services. Although the conclusions are not definitive, the findings allow for better targeting of diagnostic and treatment actions toward the most affected populations.
No conflict of interest has been declared by the author(s).
Publication History
Article published online:
25 April 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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