Open AccessConservative treatment of cerebral hemorrhage: an analysis of 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,
Pedro Miguel Calife da Luz,
Jhoney Francieis Feitosa
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.172
Subject(s) - medicine , conservative treatment , observational study , mortality rate , public sector , epidemiology , emergency medicine , pediatrics , surgery , economy , economics
Background: Cerebral hemorrhage represents 10% to 15% of all strokes, with the worst prognosis and the highest rate of morbimortality. Objectives: To analyze the panorama of conservative treatment procedures for cerebral hemorrhage in the State of São Paulo and correlate it with the current epidemiology. Methods: observational, descriptive and cross-sectional collection of conservative treatment data for cerebral hemorrhage, available at DATASUS website, from January 2008 up to December 2020 - evaluating the number of hospitalizations, public spending, complexity, mortality rate, deaths, permanence and character of care. Results: 15,327 hospitalizations were observed for such procedures in this period, representing a total expenditure of R$ 30,258,539.39. 2008 was the year with the highest number of hospitalizations (1,373), and 2020 was the year with the greatest expenditure (R$ 3,008,526.38). 552 of the were elective and 14,606 were urgent, with 4,102 occurring in the public sector and 4,510 in private one. All 15,327 considered to be of medium complexity. The mortality rate was 29.68, corresponding to 4,549 deaths, 2009 was the year with the highest mortality, 33.33 and 2008 the lowest, 24.33. Mortality rate was lower in elective procedures (15.40 versus 30.48 in urgent ones) and when carried out in public sector (27.16 versus 30.07 in private care). The hospital stay was 11.0 days, with a cost of R$ 1,974.20. Conclusion: The conservative treatment of cerebral hemorrhage represents a procedure of medium complexity with a long period of hospital stay. Higher mortality was observed in emergency care and the private sector.