{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:07:02Z","timestamp":1775639222675,"version":"3.50.1"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective:  To analyze the trend of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil.  Methods:  Ecological time series study with secondary data collected from the Hospital Information System, on hospitalizations for primary care-sensitive conditions in children between 2010 and 2023.  Results:  The highest hospitalization rates were in 2021 (265.9\/10,000 inhabitants\/year) and the under 1 age group had the highest rates. There was a reduction in ambulatory care-sensitive conditions in group 1, in the first and second segments (MPC=-1.50; 95%CI -3.79-0.32 p=0.016 and MPC=-1.91; 95%CI -3.44--0.81 and p=0.007), group 2, with a constant drop throughout the series of 0.57% per month (95%CI -0.70--0.43 and p&lt;0.001) and in group 16 (MPC=-0.38; 95%CI -0.55--0.21 and p&lt;0.001). Bacterial pneumonia was the main cause of hospitalization in all age groups. Group 4 showed a uniform increase in rates of 1.56% per month (95%CI 0.27-2.80 and p=0.018). There was a drop in rates in the first segment at all ages: &lt;1 year: -2.90% and p=0.019; 1 to 4 years: -1.75% (p=0.011) and 5 to 9 years: -0.79% (p=0.053), followed by an increase and then a drop again. In the last segment, all the age groups showed an increase in rates.  Conclusions:  The scenario in Roraima is worrisome and requires urgent interventions, as there is evidence of weaknesses in primary health care, probably aggravated by the migratory crisis. The strategies sought are still insufficient.<\/jats:p>","DOI":"10.1590\/1980-549720250016","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T17:19:29Z","timestamp":1744046369000},"source":"Crossref","is-referenced-by-count":1,"title":["Time series of hospitalizations for primary care-sensitive conditions in children in the state of Roraima, Brazil, 2010 to 2023"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2721-6912","authenticated-orcid":false,"given":"Ellen Vanuza Martins","family":"Bertelli","sequence":"first","affiliation":[{"name":"Universidade Est\u00e1cio de S\u00e1,  Brazil; Universidade Estadual de Roraima,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8993-4683","authenticated-orcid":false,"given":"Gislayne Cristina Torreias de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Roraima,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1225-6719","authenticated-orcid":false,"given":"Raphael Mendon\u00e7a","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade Est\u00e1cio de S\u00e1,  Brazil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6939-742X","authenticated-orcid":false,"given":"Viviane Gomes Parreira","family":"Dutra","sequence":"additional","affiliation":[{"name":"Universidade Est\u00e1cio de S\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1590\/0103-11042018s116","article-title":"Coordena\u00e7\u00e3o do cuidado e Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade no Sistema \u00danico de Sa\u00fade","volume":"42","author":"Almeida PFD","year":"2018","journal-title":"Sa\u00fade Debate"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1590\/0103-11042018s114","article-title":"Qualidade da Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade no Brasil: avan\u00e7os, desafios e perspectivas","volume":"42","author":"Facchini LA","year":"2018","journal-title":"Sa\u00fade Debate"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1590\/0103-11042018s106","article-title":"Acesso e cobertura da Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade para popula\u00e7\u00f5es rurais e urbanas na Regi\u00e3o Norte do Brasil","volume":"42","author":"Garnelo L","year":"2018","journal-title":"Sa\u00fade Debate"},{"key":"ref4","series-title":"Cen\u00e1rio da Inf\u00e2ncia e Adolesc\u00eancia no Brasil 2024","year":"2024"},{"key":"ref5","series-title":"Panorama","year":"2020"},{"key":"ref6","article-title":"Reflexos da imigra\u00e7\u00e3o venezuelana na assist\u00eancia em sa\u00fade no maior hospital de Roraima: an\u00e1lise qualitativa","volume":"29","author":"Arruda-Barbosa L","year":"2020","journal-title":"Sa\u00fade Soc"},{"key":"ref7","article-title":"A hipervulnerabilidade dos ind\u00edgenas Warao no Norte do Brasil em tempos de pandemia","volume":"14","author":"Ara\u00fajo JLP","year":"2021","journal-title":"Ambiente"},{"key":"ref8","article-title":"Surto de sarampo na regi\u00e3o Norte do Brasil em 2018 e 2019: Estudo Epidemiol\u00f3gico","volume":"25","author":"Nascimento BF","year":"2021","journal-title":"Braz J Inf Dis"},{"issue":"10","key":"ref9","article-title":"Avalia\u00e7\u00e3o de estrutura da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade materno-infantil. 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