scholarly journals Brain vascular accident treatment procedures: an analysis of the perspective of 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 ◽  
Sao Paulo ◽  
The State ◽  
Ischemic Brain ◽  
Stroke Treatment ◽  
The Public ◽  
Brain Stroke ◽  
Treatment Procedures

Background: Brain stroke is the second leading cause of death worldwide, especially in countries that suffer a marked change in the population profile due to an accelerated process of demographic and epidemiological transition. Objectives: To analyze the current panorama of hemorrhagic or ischemic brain stroke treatment procedures performed 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 hemorrhagic or ischemic brain stroke treatment, available from January 2008 to December 2020, and articles available in Scielo and PubMed, were carried out. Results: There were 480,470 hospitalizations, representing a total expenditure of R$ 652,087,158.23. 11,517 procedures were performed on an elective basis and 468,922 urgently, with 134,893 occurring in the public sector and 144,502 in the private sector. All 480,470 considered to be of medium complexity. The total mortality rate was 17.34, corresponding to 83,324 deaths. The mortality rate for elective procedures was 17.36 compared to 17.34 for urgent procedures, whereas in the public sector it was 18.54 compared to 16.72 for the private sector. The average total hospital stay was 8.2 days, with an average cost of R$ 1,357.19. Conclusion: It is an urgent procedure, with a decreasing mortality rate in the last 12 years. It is very important to emphasize that despite being considered a procedure of medium complexity, it has a high mortality rate.

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 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 Profile conservative treatment of cranioencephalic traumatism medium degree 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):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Public Sector ◽  
Mortality Rate ◽  
Conservative Treatment ◽  
Private Sector ◽  
Sao Paulo ◽  
The State ◽  
The Public ◽  
Treatment Procedures

Background: The traumatic brain injury has a great impact on neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for mid-level traumatic brain injury performed in the State of São Paulo and to correlate with the current epidemiology. Methods: Literature review and observational, descriptive and transversal data collect on conservative treatment data for medium grade traumatic brain injury, available at DATASUS from January 2008 to December 2020 and articles available at Scielo, Lilacs and PubMed. Results: There were 63,218 hospitalizations for conservative treatment procedures in this period, accounting for R$ 68,668,413.92, with 2011 being the year with the highest number of hospitalizations (5,262), although 2020 with the greatest expenditure (R$ 5,984,875.09). 1,149 of them were elective, while 47,478 were urgent, with the occurrence of 24,527 in the public sector and 13,705 in the private sector. All 63,218 considered to be of medium complexity. The total mortality rate was 9.69, corresponding to 6,125 deaths, with 2009 being the year with the highest mortality rate, 10.34, while 2011 had the lowest rate, 9.14. The mortality rate for elective procedures was 6.44 compared to 9.89 for urgent procedures, whereas in the public sector it was 10.80 compared to 7.63 for the private sector. The average total hospital stay was 7.7 days, with an average cost of R$ 1,086.22. Conclusion: Medium grade traumatic brain injury has a short period of inhospital stay and a higher number of admissions and mortality rates in emergency care and in the public sector.

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 Profile conservative treatment of cranioencephalic traumatism medium degree 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):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Public Sector ◽  
Mortality Rate ◽  
Conservative Treatment ◽  
Private Sector ◽  
Sao Paulo ◽  
The State ◽  
The Public ◽  
Treatment Procedures

Background: The traumatic brain injury has a great impact on neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for mid-level traumatic brain injury performed in the State of São Paulo and to correlate with the current epidemiology. Methods: Literature review and observational, descriptive and transversal data collect on conservative treatment data for medium grade traumatic brain injury, available at DATASUS from January 2008 to December 2020 and articles available at Scielo, Lilacs and PubMed. Results: There were 63,218 hospitalizations for conservative treatment procedures in this period, accounting for R$ 68,668,413.92, with 2011 being the year with the highest number of hospitalizations (5,262), although 2020 with the greatest expenditure (R$ 5,984,875.09). 1,149 of them were elective, while 47,478 were urgent, with the occurrence of 24,527 in the public sector and 13,705 in the private sector. All 63,218 considered to be of medium complexity. The total mortality rate was 9.69, corresponding to 6,125 deaths, with 2009 being the year with the highest mortality rate, 10.34, while 2011 had the lowest rate, 9.14. The mortality rate for elective procedures was 6.44 compared to 9.89 for urgent procedures, whereas in the public sector it was 10.80 compared to 7.63 for the private sector. The average total hospital stay was 7.7 days, with an average cost of R$ 1,086.22. Conclusion: Medium grade traumatic brain injury has a short period of inhospital stay and a higher number of admissions and mortality rates in emergency care and in the public sector.

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 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 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 Scenario of serious treatment of serious cranioencephalic traumatism 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):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Public Sector ◽  
Mortality Rate ◽  
Conservative Treatment ◽  
Private Sector ◽  
Severe Traumatic Brain Injury ◽  
Sao Paulo ◽  
The State ◽  
The Public

Background: Cranioencephalic trauma consists of injury to brain tissue, being one of the main causes of death in the world. Objectives: Analyze the current panorama of conservative treatment procedures for severe traumatic brain injury performed 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 conservative treatment for severe traumatic brain injury, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed, were carried out. Results: There were 30,850 hospitalizations, representing a total expenditure of R$ 100,307,344.78, with 2008 being the year with the highest number of hospitalizations (2,596), although 2017 was the year responsible for the highest amount spent during the period ( R$ 9,042,101.44). Of the total procedures, 997 were performed on an elective basis and 21,917 on an urgent basis, with 9,054 occurring in the public sector and 9,005 in the private sector. All 30,850 considered to be of high complexity. The total mortality rate in the 13 years studied was 36.32, corresponding to 11,204 deaths. The mortality rate for elective procedures was 49.15 compared to 35.40 for urgent procedures, whereas in the public sector it was 35.97 compared to 33.44 for the private sector. The average total hospital stay was 12.4 days, with an average cost of R$ 3,251.45. Conclusion: There is a high mortality rate, mainly in elective procedures and in the public sector.

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