{"id":"https://openalex.org/W4406236746","doi":"https://doi.org/10.21203/rs.3.rs-5764666/v1","title":"Regional Analysis of Hospital Admission Authorizations for the Treatment of Facial Fractures in the State of Para\u00edba","display_name":"Regional Analysis of Hospital Admission Authorizations for the Treatment of Facial Fractures in the State of Para\u00edba","publication_year":2025,"publication_date":"2025-01-10","ids":{"openalex":"https://openalex.org/W4406236746","doi":"https://doi.org/10.21203/rs.3.rs-5764666/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-5764666/v1","doi":"https://doi.org/10.21203/rs.3.rs-5764666/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-5764666/v1","pdf_url":"https://www.researchsquare.com/article/rs-5764666/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-5764666/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028986973","display_name":"Ilan Hudson Gomes de Santana","orcid":"https://orcid.org/0000-0002-0426-3129","observed_orcids":["https://orcid.org/0000-0002-0426-3129"]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Ilan Hudson Gomes Santana","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113342644","display_name":"Mayara Rebeca Martins Viana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Mayara Rebeca Martins Viana","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115410687","display_name":"Anderson Jara Ferreira","orcid":"https://orcid.org/0000-0002-9407-403X","observed_orcids":["https://orcid.org/0000-0002-9407-403X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anderson Jara Ferreira","raw_affiliation_strings":["General Hospital of Juiz de Fora"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Hospital of Juiz de Fora","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Camila Co\u00ealho Guimar\u00e3es","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116357","display_name":"Catholic University of Santa Mar\u00eda","ror":"https://ror.org/027ryxs60","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210116357"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Camila Co\u00ealho Guimar\u00e3es","raw_affiliation_strings":["Catholic University of Santa Mar\u00eda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University of Santa Mar\u00eda","institution_ids":["https://openalex.org/I4210116357"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115410688","display_name":"Erick Andres Alpaca Zevallos","orcid":"https://orcid.org/0000-0002-5065-1851","observed_orcids":["https://orcid.org/0000-0002-5065-1851"]},"institutions":[{"id":"https://openalex.org/I4210116357","display_name":"Catholic University of Santa Mar\u00eda","ror":"https://ror.org/027ryxs60","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210116357"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Erick Andres Alpaca Zevallos","raw_affiliation_strings":["Catholic University of Santa Mar\u00eda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University of Santa Mar\u00eda","institution_ids":["https://openalex.org/I4210116357"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092364136","display_name":"Paola de Cassia Spessato Schwerz","orcid":"https://orcid.org/0000-0002-9033-5466","observed_orcids":["https://orcid.org/0000-0002-9033-5466"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paola Cassia Spessato Schwerz","raw_affiliation_strings":["FAI University Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"FAI University Center","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106330895","display_name":"Karolayne Dutra F\u00e9lix","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Karolayne Dutra F\u00e9lix","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113382959","display_name":"Maria Eduarda Batista Henriques","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria Eduarda Batista Henriques","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Felipe Germoglio Cardoso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Felipe Germoglio Cardoso","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003541280","display_name":"Eduardo Dias Ribeiro","orcid":"https://orcid.org/0000-0002-6321-4159","observed_orcids":["https://orcid.org/0000-0002-6321-4159"]},"institutions":[{"id":"https://openalex.org/I169045520","display_name":"Universidade Federal da Para\u00edba","ror":"https://ror.org/00p9vpz11","country_code":"BR","type":"education","lineage":["https://openalex.org/I169045520"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Eduardo Dias Ribeiro","raw_affiliation_strings":["Federal University of Para\u00edba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Federal University of Para\u00edba","institution_ids":["https://openalex.org/I169045520"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5028986973"],"corresponding_institution_ids":["https://openalex.org/I169045520"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11562","display_name":"Facial Trauma and Fracture Management","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11562","display_name":"Facial Trauma and Fracture Management","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.004000000189989805,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/facial-fractures","display_name":"facial fractures","score":0.9860000014305115},{"id":"https://openalex.org/keywords/facial-trauma","display_name":"facial trauma","score":0.7139999866485596},{"id":"https://openalex.org/keywords/regional-health-planning","display_name":"regional health planning","score":0.5230000019073486},{"id":"https://openalex.org/keywords/decentralization-of-care","display_name":"decentralization of care","score":0.8730000257492065},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8799999952316284},{"id":"https://openalex.org/keywords/trauma-mortality","display_name":"trauma mortality","score":0.7419999837875366},{"id":"https://openalex.org/keywords/referral-hospitals","display_name":"referral hospitals","score":0.7850000262260437},{"id":"https://openalex.org/keywords/paraiba","display_name":"Para\u00edba","score":0.7580000162124634}],"concepts":[{"id":"https://openalex.org/C108759981","wikidata":"https://www.wikidata.org/wiki/Q788590","display_name":"Authorization","level":2,"score":0.828251838684082},{"id":"https://openalex.org/C48103436","wikidata":"https://www.wikidata.org/wiki/Q599031","display_name":"State (computer science)","level":2,"score":0.6149352192878723},{"id":"https://openalex.org/C2779598192","wikidata":"https://www.wikidata.org/wiki/Q17514788","display_name":"Prior authorization","level":2,"score":0.47724318504333496},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4487428367137909},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3650500774383545},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3562631607055664},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.35097795724868774},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16054674983024597},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.1248500645160675},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1007947027683258},{"id":"https://openalex.org/C11413529","wikidata":"https://www.wikidata.org/wiki/Q8366","display_name":"Algorithm","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-5764666/v1","doi":"https://doi.org/10.21203/rs.3.rs-5764666/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-5764666/v1","pdf_url":"https://www.researchsquare.com/article/rs-5764666/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-5764666/v1","doi":"https://doi.org/10.21203/rs.3.rs-5764666/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-5764666/v1","pdf_url":"https://www.researchsquare.com/article/rs-5764666/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4406236746.pdf","grobid_xml":"https://content.openalex.org/works/W4406236746.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2494992289","https://openalex.org/W2754243625","https://openalex.org/W2807910168","https://openalex.org/W2884305554","https://openalex.org/W2901173958","https://openalex.org/W2953236303","https://openalex.org/W2987213094","https://openalex.org/W3036592669","https://openalex.org/W3048195033","https://openalex.org/W3095118541","https://openalex.org/W3116891026","https://openalex.org/W3152882357","https://openalex.org/W3153794287","https://openalex.org/W3193776983","https://openalex.org/W4200526096","https://openalex.org/W4280490990","https://openalex.org/W4323318766","https://openalex.org/W4386316786","https://openalex.org/W4393235077"],"related_works":["https://openalex.org/W4405309427","https://openalex.org/W7104571869","https://openalex.org/W6968727647","https://openalex.org/W4415223817","https://openalex.org/W2460929832","https://openalex.org/W7171699726","https://openalex.org/W2087780121","https://openalex.org/W3021549401","https://openalex.org/W6981551103","https://openalex.org/W2972426646"],"abstract_inverted_index":{"Abstract":[0],"Introduction:":[1],"External":[2],"fractures,":[3],"often":[4],"the":[5,27,40,60,74,87,91,98,108,113,131,142,149,158,167,175,178,183,199,217,237],"result":[6],"of":[7,64,80,89,94,107,110,157,169,177,213,219],"traffic":[8],"accidents":[9],"and":[10,22,55,62,68,97,112,120,148,188,197,216,226,233],"interpersonal":[11],"violence,":[12],"represent":[13],"a":[14,104,125,134,208],"public":[15],"health":[16,65],"problem":[17],"that":[18],"requires":[19],"specialized":[20],"treatment":[21,212],"hospital":[23,95,117],"infrastructure.":[24],"In":[25],"Para\u00edba,":[26],"demand":[28,52,210],"for":[29,34,59,211,236],"Hospital":[30,147],"Admission":[31],"Authorizations":[32],"(AIHs)":[33],"these":[35],"injuries":[36],"has":[37],"increased":[38],"over":[39,130],"years,":[41],"concentrated":[42],"in":[43,83,128,137,192],"large":[44,202],"hospitals.":[45],"This":[46],"study":[47,206],"aims":[48],"to":[49,185,194,222],"analyze":[50],"this":[51],"between":[53,115,172],"2014":[54],"2024,":[56],"providing":[57],"subsidies":[58],"planning":[61,221],"distribution":[63,114],"resources.":[66],"Materials":[67],"Methods:":[69],"Using":[70],"AIH":[71],"data":[72,123],"from":[73],"DATASUS":[75],"system,":[76],"we":[77],"analyzed":[78],"types":[79],"industrial":[81],"fractures":[82,215],"state":[84],"hospitals,":[85,139,173],"including":[86],"number":[88],"approvals,":[90],"average":[92],"length":[93],"stay,":[96],"associated":[99],"deaths.":[100],"The":[101,122,161,180,205],"methodology":[102],"involved":[103],"descriptive":[105],"analysis":[106],"evolution":[109],"AIHs":[111,129],"different":[116],"doors.":[118],"Results":[119],"Discussion:":[121],"show":[124],"significant":[126],"increase":[127],"period,":[132],"with":[133],"greater":[135],"concentration":[136],"referral":[138],"such":[140],"as":[141],"Dom":[143],"Luiz":[144],"Gonzaga":[145],"Fernandes":[146],"Senador":[150],"Humberto":[151],"Lucena":[152],"Hospital,":[153],"which":[154],"handle":[155],"most":[156],"complex":[159],"cases.":[160,179],"mortality":[162],"rate":[163,168],"was":[164],"low,":[165],"but":[166],"hospitalization":[170],"varied":[171],"reflecting":[174],"complexity":[176],"results":[181],"indicate":[182],"need":[184],"decentralize":[186],"care":[187,235],"strengthen":[189,223],"regional":[190,224],"hospitals":[191,225],"order":[193],"improve":[195],"access":[196],"reduce":[198],"overload":[200],"on":[201],"centers.":[203],"Conclusions:":[204],"highlights":[207],"growing":[209],"bone":[214],"importance":[218],"strategic":[220],"implement":[227],"prevention":[228],"policies,":[229],"ensuring":[230],"more":[231],"equitable":[232],"efficient":[234],"population":[238],"affected":[239],"by":[240],"facial":[241],"trauma.":[242]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-01-10T00:00:00"}