{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:01:41Z","timestamp":1790870501855,"version":"4.1.0"},"reference-count":26,"publisher":"Ordem dos Medicos","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introdu\u00e7\u00e3o: O consumo excessivo de \u00e1lcool constitui um importante problema global de sa\u00fade p\u00fablica, contribuindo para les\u00f5es, morbilidade, incapacidade e mortalidade prematura. A doen\u00e7a hep\u00e1tica alco\u00f3lica (DHA), que abrange patologias desde a esteatose at\u00e9 \u00e0 cirrose e carcinoma hepatocelular, representa uma propor\u00e7\u00e3o relevante dos internamentos hospitalares relacionados com o consumo de \u00e1lcool em Portugal. Este estudo teve como objetivo descrever os padr\u00f5es temporais, demogr\u00e1ficos e geogr\u00e1ficos dos epis\u00f3dios de internamento hospitalar por DHA em Portugal Continental entre 2013 e 2023.M\u00e9todos: Estudo ecol\u00f3gico espaciotemporal baseado em epis\u00f3dios de internamento hospitalar com diagn\u00f3stico principal de DHA, extra\u00eddos da base de dados de morbilidade hospitalar do Minist\u00e9rio da Sa\u00fade. Os dados populacionais foram obtidos do Instituto Nacional de Estat\u00edstica. Foram calculadas taxas brutas por sexo e grupo et\u00e1rio e taxas padronizadas por idade, com estratifica\u00e7\u00e3o por sexo, regi\u00e3o e munic\u00edpio. As tend\u00eancias temporais foram analisadas por regress\u00e3o binomial negativa, expressas em raz\u00f5es de taxas (RR) e IC95%. A varia\u00e7\u00e3o espacial foi avaliada com modelos hier\u00e1rquicos bayesianos ajustados utilizando Integrated Nested Laplace Approximation.Resultados: Foram analisados 37 158 epis\u00f3dios de internamento hospitalar com diagn\u00f3stico principal de DHA. A taxa padronizada m\u00e9dia anual foi de 37,1 por 100 000 habitantes (homens = 66,9; mulheres = 12,3). Observou-se uma tend\u00eancia decrescente significativa nas taxas de epis\u00f3dios de internamento (RR = 0,955; IC 95%: 0,943 - 0,968), correspondente a uma redu\u00e7\u00e3o anual de 4,5%, consistente entre sexos. As taxas foram superiores no sexo masculino e no grupo et\u00e1rio dos 55 - 64 anos. Geograficamente, taxas e riscos relativos mais elevados foram observados em munic\u00edpios do interior das regi\u00f5es Norte e Centro, enquanto valores inferiores foram observados no Alentejo. Conclus\u00e3o: Apesar da redu\u00e7\u00e3o global das taxas de epis\u00f3dios de internamento hospitalar por DHA, observou-se um padr\u00e3o consistente, com taxas mais elevadas no sexo masculino (55 - 64 anos) e em \u00e1reas do interior de Portugal continental, em concord\u00e2ncia com a distribui\u00e7\u00e3o espacial dos riscos relativos. Estes resultados descrevem padr\u00f5es de internamento hospitalar, evidenciando a necessidade de monitoriza\u00e7\u00e3o epidemiol\u00f3gica cont\u00ednua para apoiar o planeamento em sa\u00fade e interven\u00e7\u00f5es direcionadas, incluindo preven\u00e7\u00e3o do consumo nocivo de \u00e1lcool e gest\u00e3o de internamentos por DHA.<\/jats:p>","DOI":"10.20344\/amp.24411","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:33:37Z","timestamp":1790843617000},"page":"617-625","source":"Crossref","is-referenced-by-count":0,"title":["Internamentos Hospitalares por Doen\u00e7a Hep\u00e1tica Alco\u00f3lica em Portugal Continental: Padr\u00f5es Demogr\u00e1ficos, Geogr\u00e1ficos e Temporais (2013 - 2023)"],"prefix":"10.20344","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7779-7228","authenticated-orcid":false,"given":"Carlos","family":"Aniceto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7910-3111","authenticated-orcid":false,"given":"Mafalda","family":"Sousa-Uva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1327-3537","authenticated-orcid":false,"given":"Rui","family":"Tato Marinho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0206-5874","authenticated-orcid":false,"given":"Carlos","family":"Matias-Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"13641","unstructured":"World Health Organization. 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