Paulo Roberto Hernandes Júnior
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Bruno Carvalho Brandão
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Juliana de Souza Rosa
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Heloá Santos Faria da Silva
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Patrick de Abreu Cunha Lopes
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Background: Chronic subdural hematoma is a common type of intracranial hemorrhage with a greater predominance in the elderly. Objectives: To analyze the current panorama of surgical treatment procedures for chronic subdural hematoma performed in the State of São Paulo and to correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on surgical treatment was carried out, available from January 2008 to December 2020 and articles available in Scielo, Lilacs and PubMed. Results: There were 15,148 hospitalizations for surgical procedures for the treatment of chronic subdural hematoma, representing a total expenditure of R$ 45,365,258.21, with 2018 being the year with the highest number of hospitalizations (1,418) and with the highest amount spent during the period (R$ 4,570,334.28). 678 of them were elective while 11,671 were urgent. 3,820 were carried out in public care and 4,317 in private one. All of them were considered medium complexity. Mortality rate was 9.20, corresponding to 1,393 deaths, with 2020 the year with the greatest mortality, 10.24, and 2013 with the lowest, 8.00. The mortality rate for elective procedures was 10.18 compared to 9.63 for urgent procedures, whereas in the public sector it was 8.09 compared to 9.73 for the private sector. The average total hospital stay was 8.7 days, with an average cost of R$ 2,994.80. Conclusion: There is a greater number of hospitalizations in the urgency and private sector and a higher mortality rate in elective procedures and in the private sector.
Intracerebral Hemorrhage Immediately Following Surgical Treatment of Chronic Subdural Hematoma
