Open AccessSurgical procedures for the treatment of extradural hematoma in the state of São Paulo, Brazil: an analysis
Author(s) -
Paulo Roberto Hernandes Júnior,
Bruno Carvalho Brandão,
Juliana de Souza Rosa,
Heloá Santos Faria da Silva,
Patrick de Abreu Cunha Lopes,
Tiago Veiga Gomes,
Jhoney Francieis Feitosa,
Paula Pitta de Resende Côrtes
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.162
Subject(s) - medicine , mortality rate , intracranial hematoma , observational study , hematoma , epidemiology , emergency medicine , public sector , public health , surgery , medical emergency , nursing , economy , economics
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.