Open AccessAnalysis of procedures for treating multiple sclerosis outbreak in the state of São Paulo in 13 year
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,
Rossy Moreira Bastos,
Jhoney Francieis Feitosa
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.718
Subject(s) - medicine , observational study , public sector , epidemiology , multiple sclerosis , outbreak , private sector , pediatrics , emergency medicine , pathology , psychiatry , economy , economics , economic growth
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.