Scenario of serious treatment of serious cranioencephalic traumatism in the state of São Paulo
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.