Open AccessConservative treatment of rachimedular trauma: a state epidemiological analysis
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,
Gabriella Ferreira Hautequestt
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.118
Subject(s) - medicine , epidemiology , context (archaeology) , conservative treatment , mortality rate , observational study , spinal cord injury , public sector , emergency medicine , surgery , spinal cord , psychiatry , paleontology , economy , economics , biology
Background: Spinal cord injury is a major cause of mortality worldwide and is highly relevant in the context of neurological emergencies. Objectives: To analyze the current panorama of conservative treatment procedures for spinal trauma performed in the State of São Paulo and to correlate the current epidemiology with the results obtained. Methods: Literature review and observational, descriptive and transversal data collect on treatment for spinal trauma, available at DATASUS from January 2008 to December 2020 and articles available in Scielo, Lilacs and PubMed. Results: There were 11,402 hospitalizations for the performance of conservative treatment procedures for spinal trauma with a total expenditure of R$ 13,422,685.10, with 2013 being the year with the highest number of hospitalizations (1,031) and the highest amount spent during the period (R$ 1,216. 410.34). 234 procedures were performed on an elective basis and 8,129 on an urgent basis, with 2,921 occurring in the public sector and 4,215 in the private sector. All 11,402 considered highly complex. The total mortality rate was 4.99 (569 deaths), with 2017 being the year with the highest mortality rate, 5.95, while 2011 had the lowest rate, 3.51. The mortality rate for elective procedures was 6.84 compared to 5.19 for urgent procedures, whereas in the public sector it was 5.31 compared to 4.34 for the private sector. The average total hospital stay was 8.8 days, with an average cost of R$ 1,177.22. Conclusion: The conservative treatment of spinal trauma presents a predominance of emergency care, with a low average cost of hospitalization.