Open AccessOverview of the conservative treatment of light grain cranioencephalic traumatism in the state of São Paulo
Author(s) -
Paulo Roberto Hernandes Júnior,
Juliana de Souza Rosa,
Patrick de Abreu Cunha Lopes,
Bárbara Tisse da Silva,
Heloá Santos Faria da Silva,
Tiago Veiga Gomes,
Giovanna de Camargo Innocencio,
Jhoney Francieis Feitosa
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.115
Subject(s) - conservative treatment , medicine , observational study , public sector , traumatic brain injury , mortality rate , epidemiology , pediatrics , surgery , demography , emergency medicine , psychiatry , political science , sociology , law
Background: The traumatic brain injury is one of the main causes of mortality and disability in the world. Objectives: To analyze the current panorama of conservative treatment procedures for mild traumatic brain injury performed in the State of São Paulo and correlate with the current epidemiology. Methods: Literature review and observational, descriptive and transversal data collect on conservative treatment of mild grade traumatic brain injury, available at DATASUS from January 2008 to December 2020 and articles from Scielo, Lilacs and PubMed. Results: There were 150,743 hospitalizations for the conservative treatment of mild traumatic brain injury, being considered of medium complexity. They represent a total expenditure of R$ 64,098,819.38, with 2010 being the year with the highest number of hospitalizations (14,153) and 2011 being the year with the highest amount spent during the period (R$ 5,522,391.52). Of the total procedures, 1,744 are elective and 112,805 are urgent. In the public sector, 53,820 were carried out and 45,050 in the private sector. The total mortality rate was 1.60, corresponding to 2,413 deaths, with 2008 being the year with the highest mortality rate, 2.20 and 2016 had the lowest rate, 1.18. The mortality rate for elective procedures was 1.89 compared to 1.71 for urgent procedures, whereas in the public sector it was 1.73 compared to 1.58 for the private sector. The average total hospital stay was 2.4 days, with an average cost of R$ 425.22. Conclusion: The conservative treatment of traumatic brain injury has a low hospital stay and average cost.