scholarly journals Profile of procedures for the treatment of chronic suddural hematoma in the state of São Paulo

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mortality Rate ◽  
Private Sector ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
The Elderly ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Public Care

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.

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 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 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 Surgical procedures for the treatment of extradural hematoma in the state of São Paulo, Brazil: an analysis

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Stay ◽  
Surgical Procedures ◽  
Middle Meningeal Artery ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Extradural Hematoma ◽  
Public Care ◽  
Private Care

Background: extradural hematoma (EDM) is one the most lethal traumatic brain injury, being due to the rupture of middle meningeal artery and resulting in intracranial hypertension and brain damage. Objectives: to describe the overview of surgical procedures for the treatment of EDM in the state of São Paulo, correlating it with current epidemiology. Methods: observational, descriptive, and transversal data collect on surgical procedures for the treatment of EDM, available on DATASUS website, from January 2008 up to December 2020, taking in account: number of hospitalizations, public health expenditures, complexity, mortality rate, deaths, hospital stay, and service character. Results: there were 10,210 hospitalizations for such procedures in this period, accounting for R$39,342,868.41, with 2010 the year with the greatest number of hospitalizations (1,074) and 2011 with the greatest expenditure (R$3,772,361.55). 849 of them were elective, while 7,279 were urgent. 4,459 were carried out in public care and 2,671 in private one. All of them were considered medium complexity. Mortality rate was 11.29%, corresponding to 1,153 deaths, with 2015 the year with the greatest mortality (14.20%) and 2020 the lowest (9.93%). Mortality rate was lower in elective procedures (10.60 versus 11.46 in urgent ones) and when carried out in public sector (10.88 versus 11.49 in private care). Average stay was 10.9 days and average cost per hospital stay was R$3,853.37. Conclusion: surgical procedures for the treatment of EDM are considered medium complexity, most of which being carried out in public care. Higher mortality rate was observed in urgent cases and private care.

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 Treatment procedures for uncontrolled epileptic seizures in the state of São Paulo, Brazil: an overview

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Stay ◽  
Epileptic Seizures ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Public Care ◽  
Complete Control ◽  
Private Care ◽  
Treatment Procedures

Background: epileptic seizures are treated with antiepileptics; nevertheless, about 30% of these patients do not present complete control with only drug therapy. Objectives: to describe the overview of treatment procedures for uncontrolled epileptic seizures in the state of São Paulo, correlating it with current epidemiology. Methods: observational, descriptive, and transversal data collect on treatment procedures for uncontrolled epileptic seizures, available on DATASUS website, from January 2008 up to December 2020, taking in account: number of hospitalizations, public health expenditures, complexity, mortality rate, deaths, hospital stay, and service character. Results: there were 131,397 hospitalizations for treatment procedures in this period, accounting for R$97,412,992.73, with 2008 the year with the greatest number of hospitalizations (12,041) and 2020 with the greatest expenditure (R$10,065,826.67). 7,091 of them were elective, while 124,290 were urgent. 45,307 were carried out in public care and 38,154 in private one. All of them were considered medium complexity. Mortality rate was 2.76%, corresponding to 3,621 deaths, with 2020 the year with the greatest mortality (3.67%) and 2008 with the lowest (2.21%). Mortality rate was lower in elective procedures (0.83 versus 2.87 in urgent ones) and when carried out in public sector (2.40 versus 2.55 in private care). Average stay was 5.4 days and average cost per hospital stay was R$741.36. Conclusion: treatment procedures for uncontrolled epileptic seizures are classified as medium complexity, most of which being urgent. Higher mortality rate was observed in urgent cases and private health care.

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 Treatment procedures for uncontrolled epileptic seizures in the state of São Paulo, Brazil: an overview

2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Stay ◽  
Epileptic Seizures ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Public Care ◽  
Complete Control ◽  
Private Care ◽  
Treatment Procedures

Background: epileptic seizures are treated with antiepileptics; nevertheless, about 30% of these patients do not present complete control with only drug therapy. Objectives: to describe the overview of treatment procedures for uncontrolled epileptic seizures in the state of São Paulo, correlating it with current epidemiology. Methods: observational, descriptive, and transversal data collect on treatment procedures for uncontrolled epileptic seizures, available on DATASUS website, from January 2008 up to December 2020, taking in account: number of hospitalizations, public health expenditures, complexity, mortality rate, deaths, hospital stay, and service character. Results: there were 131,397 hospitalizations for treatment procedures in this period, accounting for R$97,412,992.73, with 2008 the year with the greatest number of hospitalizations (12,041) and 2020 with the greatest expenditure (R$10,065,826.67). 7,091 of them were elective, while 124,290 were urgent. 45,307 were carried out in public care and 38,154 in private one. All of them were considered medium complexity. Mortality rate was 2.76%, corresponding to 3,621 deaths, with 2020 the year with the greatest mortality (3.67%) and 2008 with the lowest (2.21%). Mortality rate was lower in elective procedures (0.83 versus 2.87 in urgent ones) and when carried out in public sector (2.40 versus 2.55 in private care). Average stay was 5.4 days and average cost per hospital stay was R$741.36. Conclusion: treatment procedures for uncontrolled epileptic seizures are classified as medium complexity, most of which being urgent. Higher mortality rate was observed in urgent cases and private health care.

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