scholarly journals Epidemiological profile of Dementia in the state of São Paulo in the last 5 years

2021 ◽  
Author(s):  
Giovanna de Camargo Innocencio ◽  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Jhoney Francieis Feitosa
Keyword(s):  
Mortality Rate ◽  
Early Diagnosis ◽  
Functional Neuroimaging ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
Nutritional Deficiencies ◽  
São Paulo ◽  
Pubmed Database ◽  
Epidemiological Profile

Background: dementia is a syndrome characterized by the presence of a progressive deficit in cognitive function, with interference in social and occupational activities, with risk factors varying with genetic and environmental stressors. The differential diagnosis must identify potentially reversible conditions, of different etiologies, such as metabolic changes, intoxications, and nutritional deficiencies. In primary degenerative dementias and sequelae forms, the etiological diagnosis carries therapeutic and prognostic implications. Objectives: to analyse the current epidemiological profile of dementia in the state of São Paulo in the last 5 years. Methods: a literature review was carried out based on articles available in the Scielo and PubMed database and an observational, descriptive and cross- sectional collection of epidemiological data on dementias available in DATASUS – SUS Hospital Information System (SIH/SUS) – in the last 5 years – January 2016 to December 2020 – assessing the number of hospitalizations, the amount of public spending, mortality rate and permanence. Results: in the analyzed period, 3.105 hospitalizations were observed due to occurrences related to dementia, representing a total expenditure of R$37.847.961,13, with 2017 being the year with the highest number of hospitalizations and responsible for the highest amount spent. The total mortality rate in the 5 years studied was 5,57, corresponding to 173 deaths, with 2020 being the year with the highest rate while 2017 had the lowest rate. The average of the permanence in the hospital was 180 days. Conclusion: patients with dementia need early diagnosis and procedures to reduce the rate of hospitalizations and mortality, as well as public costs. For this, technological innovations, using structural and functional neuroimaging methods, as well as biology and molecular genetics techniques, have presented perspectives for the early diagnosis of dementia.

scholarly journals Scenario of the last 13 years of procedures for treating acute demielinizing polyradiculoneuritis in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public ◽  
Total Hospital Stay ◽  
Treatment Procedures

Background: Polyradiculoneuritis is considered to be the biggest cause of flaccid paralysis in the world and even after the progression phase, some patients may present with disabling residual deficits, both sensory and motor. Objectives: Analyze the current panorama of treatment procedures for acute demyelinating polyradiculoneuritis performed in the State of São Paulo and correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on treatment for acute demyelinating polyradiculoneuritis, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed. Results: There were 7,917 hospitalizations, representing a total expenditure of R$ 9,392,552.04, 2009 being the year with the highest number of hospitalizations (809) and 2017 with the highest amount spent during the period (R$ 967,284.65). 805 are elective and 7,109 are urgent, with 1,736 occurring in the public sector and 3,506 in the private sector. All of them were considered medium complexity. The total mortality rate was 1.57, corresponding to 124 deaths, 2019 being the year with the highest mortality rate, 2.94, and 2015 with the lowest rate, 0.53. The mortality rate for elective procedures was 0.99 compared to 1.63 for urgent procedures, whereas in the public sector it was 1.61 compared to 1.23 for the private sector. The average total hospital stay was 8.3 days, with an average cost of R$ 1,186.38. Conclusion: It is important to correctly notify the procedures performed, improving the epidemiological analysis and directing investments in health more appropriately.

scholarly journals Analysis of procedures for treating muscle dystrophies in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Genetic Diseases ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
Muscular Dystrophies ◽  
São Paulo ◽  
The Public

Background: Muscular dystrophies are degenerative and genetic diseases characterized by progressive weakness and muscle atrophies. Objectives: To analyze the current panorama of muscular dystrophy treatment procedures performed in the State of São Paulo, correlating it with current epidemiology. Methods: literature review and observational, descriptive, and transversal data collect on the treatment of muscular dystrophies, available on the DATASUS website, from January 2008 to December 2020, and articles from Scielo and PubMed. Results: There were 2,600 hospitalizations with a total expenditure of R$ 28,004,202.59, with 2015 being the year with the highest number of hospitalizations (248), although 2014 was the year responsible for the highest amount spent during the period (R$ 2,858,500 , 87). Of the total procedures, 1,849 were carried out on an elective basis and 749 were urgent, with 1,330 occurring in the public sector and 286 in the private sector. The total mortality rate was 1.08, corresponding to 28 deaths, with 2016 being the year with the highest mortality rate, 4.91, while 2014 had the lowest rate, 0.41. The mortality rate for elective procedures was 0.54 compared to 2.40 for urgent procedures, whereas in the public sector it was 0.53 compared to 1.75 for the private sector. The average total hospital stay was 27.7 days, with an average cost of R$ 10,770.85. Conclusion: the treatment of muscular dystrophies usually occurs in an elective regime and in the public sector, with the mortality rate being lower in the public service compared to the private one.

scholarly journals Overview of procedures for treating intracerebral hematoma in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
Intracerebral Hematoma ◽  
São Paulo ◽  
The Public

Background: Intracerebral Hematoma has a high mortality rate. However, those who survive may experience sequelae, such as severe neurological deficits. Objectives: To analyze the current panorama of surgical treatment procedures for intracerebral hematoma performed in the State of São Paulo and to correlate the current epidemiology. Methods: A literature review and observational, descriptive and transversal data collect on surgical treatment of intracerebral hematoma, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed, were carried out. Results: There were 7,716 hospitalizations, representing a total expenditure of R$ 43,880,884.82, with 2009 being the year with the highest number of hospitalizations (758) and 2010 the year with the highest amount spent (R$ 3,961,287.80). 777 procedures were carried out on an elective basis and 6,447 and on an urgent basis, with 3,074 occurring in the public sector and 2,004 in the private sector. All 7,716 considered to be of medium complexity. The total mortality rate was 35.82, corresponding to 2,764 deaths, with 2015 being the year with the highest mortality rate, 38.36, while 2020 had the lowest rate, 32.58. The mortality rate for elective procedures was 22.52 compared to 38.67 for urgent procedures, whereas in the public sector it was 34.39 compared to 37.77 for the private sector. The average total hospital stay was 15.7 days, with an average cost of R$ 5,687.00. Conclusion: There was a predominance of the emergency service and the public sector, and the mortality rate was higher in the private service.

scholarly journals Evaluation of procedures for treating polyneuropathy in the state of São Paulo for 13 years

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public ◽  
Total Hospital Stay ◽  
Treatment Procedures

Background: Polyneuropathy is the simultaneous dysfunction of several peripheral nerves that normally occurs as a result of diabetes. Objectives: To analyze the current panorama of treatment of polyneuropathies performed in the State of São Paulo and to correlate with the epidemiology. Methods: literature review and observational, descriptive and transversal data collect on treatment of polyneuropathies, available at DATASUS from January 2008 to December 2020, assessing the number of hospitalizations, the amount of public spending, complexity, mortality rate, deaths, permanence and character of service, and articles available in Scielo, Lilacs and PubMed. Results: There were 19,099 hospitalizations for polyneuropathy treatment procedures with a total expense of R$ 21,870,767.84, with 2014 being the year with the highest number of hospitalizations (1,740) and with the highest amount spent (R$ 2,034,880.25) . Of the total procedures, 3,732 were carried out on an elective basis and 15,362 in urgency, with 5,774 in the public sector and 6,396 in the private sector. All 19,099 considered to be of medium complexity. The total mortality rate was 1.63, corresponding to 312 deaths, with 2020 being the year with the highest mortality rate, 2.42, while 2014 had the lowest rate, 1.26. The mortality rate for elective procedures was 0.38 compared to 1.94 for urgent procedures, whereas in the public sector it was 1.25 compared to 1.77 for the private sector. The average total hospital stay was 9.3 days, with an average cost of R$ 1,145.13. Conclusion: Polyneuropathy is a disease that has a low mortality rate.

scholarly journals Evaluation of procedures for treating polyneuropathy in the state of São Paulo for 13 years

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
Tiago Veiga Gomes ◽  
...  
Keyword(s):  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public ◽  
Total Hospital Stay ◽  
Treatment Procedures

Background: Polyneuropathy is the simultaneous dysfunction of several peripheral nerves that normally occurs as a result of diabetes. Objectives: To analyze the current panorama of treatment of polyneuropathies performed in the State of São Paulo and to correlate with the epidemiology. Methods: literature review and observational, descriptive and transversal data collect on treatment of polyneuropathies, available at DATASUS from January 2008 to December 2020, assessing the number of hospitalizations, the amount of public spending, complexity, mortality rate, deaths, permanence and character of service, and articles available in Scielo, Lilacs and PubMed. Results: There were 19,099 hospitalizations for polyneuropathy treatment procedures with a total expense of R$ 21,870,767.84, with 2014 being the year with the highest number of hospitalizations (1,740) and with the highest amount spent (R$ 2,034,880.25) . Of the total procedures, 3,732 were carried out on an elective basis and 15,362 in urgency, with 5,774 in the public sector and 6,396 in the private sector. All 19,099 considered to be of medium complexity. The total mortality rate was 1.63, corresponding to 312 deaths, with 2020 being the year with the highest mortality rate, 2.42, while 2014 had the lowest rate, 1.26. The mortality rate for elective procedures was 0.38 compared to 1.94 for urgent procedures, whereas in the public sector it was 1.25 compared to 1.77 for the private sector. The average total hospital stay was 9.3 days, with an average cost of R$ 1,145.13. Conclusion: Polyneuropathy is a disease that has a low mortality rate.

scholarly journals Analysis of procedures for treating multiple sclerosis outbreak in the state of São Paulo in 13 year

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Emergency Services ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public

Background: Multiple sclerosis is a chronic disease of the central nervous system, it has an inflammatory and autoimmune character. Objectives: Analyze the current panorama of multiple sclerosis treatment procedures carried out in the State of São Paulo for 13 years and correlate the current epidemiology with the results obtained. Methods: A literature review and observational, descriptive and transversal data collect on the treatment data for multiple sclerosis outbreaks, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed, were carried out. Results: There were 13,282 hospitalizations, representing a total expenditure of R$ 6,493,227.03, with 2019 being the year with the highest number of hospitalizations (2,250) and with the highest amount spent during the period (R$ 915,299.20). Of the total procedures, 9,104 were performed on an elective basis and 4,178 on an urgent basis, with 1,897 occurring in the public sector and 1,493 in the private sector. All 13,282 considered to be of medium complexity. The total mortality rate was 0.62, corresponding to 83 deaths. The mortality rate for elective procedures was 0.05 compared to 1.87 for urgent procedures, whereas in the public sector it was 1.00 compared to 2.41 for the private sector. The average total hospital stay was 2.6 days, with an average cost of R$ 488.87. Conclusion: It is possible to note, therefore, that the procedures have a predominance of the elective character and the public sector, with the highest mortality rates occurring in the private and emergency services.

scholarly journals Clinical-epidemiological profile of the hospitalized patient with Alzheimer in the State of São Paulo

2021 ◽  
Author(s):  
Vinícius de Oliveira Silva ◽  
Lucas Costa Lins ◽  
Elton Marcio Marques Coelho
Keyword(s):  
Mortality Rate ◽  
Severe Disease ◽  
Sao Paulo ◽  
The State ◽  
Daily Activities ◽  
Cognitive Deterioration ◽  
São Paulo ◽  
Moderate Disease ◽  
Hospital Morbidity ◽  
Epidemiological Profile

Background: Alzheimer’s Disease (AD) is the most common form of dementia and its prevalence practically doubles every five years from the age of 60. The progression of the disease determines cognitive deterioration, impairment of basic daily activities and the need for multiple hospitalizations. Objectives: Characterize the clinical-epidemiological profile of hospitalizations for Alzheimer’s in the state of São Paulo, in the period from 2015 to 2019. Design and Setting: Epidemiological, descriptive and retrospective study with quantitative analysis. Methods: Data provided from the Hospital Morbidity System (SIH-SUS) of the Ministry of Health. Results: A total of 2270 hospitalizations were identified, with a decrease in the number of hospitalizations over the five years (590 in 2015 and 435 in 2019). There was a predominance in people over 80 years old. About 68% of hospitalizations were on an urgent basis. The mortality rate increased 286.23% between 2015 and 2019, and the region with the highest number of hospitalizations was the greater São Paulo (n=1318). Conclusion: The increase in the mortality rate, associated with the reduction in the number of hospitalizations over the years and the predominance of hospitalizations on an urgent basis, may indicate that hospitalizations occur in the presence of a more severe disease, whether due to better management of moderate disease or late diagnosis of its complications. The predominance of hospitalizations in the greater São Paulo region indicates a centralization of health services and technological resources.

scholarly journals Analysis of procedures for treating muscle dystrophies in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  
Keyword(s):  
Public Sector ◽  
Mortality Rate ◽  
Private Sector ◽  
Genetic Diseases ◽  
Total Mortality ◽  
Sao Paulo ◽  
The State ◽  
Muscular Dystrophies ◽  
São Paulo ◽  
The Public

Background: Muscular dystrophies are degenerative and genetic diseases characterized by progressive weakness and muscle atrophies. Objectives: To analyze the current panorama of muscular dystrophy treatment procedures performed in the State of São Paulo, correlating it with current epidemiology. Methods: literature review and observational, descriptive, and transversal data collect on the treatment of muscular dystrophies, available on the DATASUS website, from January 2008 to December 2020, and articles from Scielo and PubMed. Results: There were 2,600 hospitalizations with a total expenditure of R$ 28,004,202.59, with 2015 being the year with the highest number of hospitalizations (248), although 2014 was the year responsible for the highest amount spent during the period (R$ 2,858,500 , 87). Of the total procedures, 1,849 were carried out on an elective basis and 749 were urgent, with 1,330 occurring in the public sector and 286 in the private sector. The total mortality rate was 1.08, corresponding to 28 deaths, with 2016 being the year with the highest mortality rate, 4.91, while 2014 had the lowest rate, 0.41. The mortality rate for elective procedures was 0.54 compared to 2.40 for urgent procedures, whereas in the public sector it was 0.53 compared to 1.75 for the private sector. The average total hospital stay was 27.7 days, with an average cost of R$ 10,770.85. Conclusion: the treatment of muscular dystrophies usually occurs in an elective regime and in the public sector, with the mortality rate being lower in the public service compared to the private one.

scholarly journals Epidemiological profile of bacterial meningitis in the state of São Paulo

2021 ◽  
Author(s):  
Daniel Rocha Diniz Teles ◽  
Sabrina de Freitas Barros Soares ◽  
Paloma Fernandes de Oliveira ◽  
Matheus Gomes Diniz e Silva ◽  
Antonio Fernando Soares Menezes Segundo
Keyword(s):  
Mortality Rate ◽  
Bacterial Meningitis ◽  
Signs And Symptoms ◽  
Its Region ◽  
Sao Paulo ◽  
The State ◽  
Epidemiological Surveillance ◽  
São Paulo ◽  
Aged 80 And Over ◽  
Epidemiological Profile

Introduction: Meningitis is an inflammatory process of the meninges, which can be of infectious cause or not. Among the infectious, the bacterial is the most alarming for society, since it has a much higher rate of morbidity and mortality. Objectives: Analyze and describe the epidemiological profile of bacterial meningitis in the State of São Paulo. Methods: Descriptive epidemiological study of cases of bacterial meningitis in the State of São Paulo, carried out through the DATASUS platform, in the period from 2016 to 2020. Results: The State of São Paulo registered 4013 cases of bacterial meningitis, 67.1% of the cases in the Southeast (5977), being responsible for 53% of the cases of this disease in Brazil. The most affected age group in the State was 0 to 4 years, 33.7% of the total, while elderly people aged 80 and over were the least affected (2.3%). As for deaths, São Paulo recorded 862 and a mortality rate of 21.4%, higher than the country average (20.5%), representing 64% of deaths in the Southeast region. In addition, males were the most affected, registering 58.1% of the total, while females registered 41.8%. Conclusions: São Paulo has the majority of cases and deaths from bacterial meningitis in its region, with a mortality rate that exceeds Brazilian averages and which contributes to the Southeast having more than half of the cases of meningitis in Brazil. More active epidemiological surveillance and greater dissemination of information on meningitis and its signs and symptoms is necessary.

scholarly journals Clinical-epidemiological profile of the patient hospitalized with Dementia in the state of São Paulo

2021 ◽  
Author(s):  
Matheus Gomes Reis Costa ◽  
Victor Bertani Andrade ◽  
Carla Jamile Jabar Menezes
Keyword(s):  
Mortality Rate ◽  
Black Population ◽  
Mortality Rates ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
White Population ◽  
Present Information ◽  
Study Methodology ◽  
Epidemiological Profile

Background: Dementia syndromes have a progressive and varied nature, causing cognitive and functional decay. Therefore, understanding the epidemiology of this disease is important for its screening. Objectives: To present the patients hospitalized in the state of São Paulo clinical-epidemiological profile, between March 2011 and February 2021. Design and settings: Descriptive, retrospective, and quantitative epidemiological study. Methodology: The data were collected in Sistema de Informação Hospitalares do Sistema Único de Saúde. The number of hospitalizations and mortality rate were analyzed, correlating them with sex, color, age group, care type, and year. Results: In 6572 hospitalizations, there was no sex majority. 20.3% of the patients did not present information about color. Among the identified, the majority was white (66.2%) or brown (24.7%). Individuals older than 60 years represented 62.6%, with peak between 70 and 79 years old. White population had the highest mortality rates (7.85 ‰), followed by the black population (7.55 ‰). The mortality rate was higher among women older than 80 years. Mortality in elective care (11.6 ‰) was approximately 4 times higher than in emergency care (2.77 ‰). Conclusions: The profile includes white and brown population, older than 60 years. Higher mortality rates in women older than 80 years may be related to their longer life expectancy. Higher mortality in elective care may indicate greater neurodegenerative diseases presence.

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