Open AccessOverview of procedures for treating intracerebral hematoma 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,
Rossy Moreira Bastos,
Jhoney Francieis Feitosa
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.721
Subject(s) - medicine , hematoma , intracerebral hemorrhage , observational study , mortality rate , public sector , epidemiology , surgery , emergency medicine , general surgery , pediatrics , glasgow coma scale , economy , economics
Background: Intracerebral Hematoma has a high mortality rate. However, those who survive may experience sequelae, such as severe neurological deficits. Objectives: To analyze the current panorama of surgical treatment procedures for intracerebral hematoma performed in the State of São Paulo and to correlate the current epidemiology. Methods: A literature review and observational, descriptive and transversal data collect on surgical treatment of intracerebral hematoma, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed, were carried out. Results: There were 7,716 hospitalizations, representing a total expenditure of R$ 43,880,884.82, with 2009 being the year with the highest number of hospitalizations (758) and 2010 the year with the highest amount spent (R$ 3,961,287.80). 777 procedures were carried out on an elective basis and 6,447 and on an urgent basis, with 3,074 occurring in the public sector and 2,004 in the private sector. All 7,716 considered to be of medium complexity. The total mortality rate was 35.82, corresponding to 2,764 deaths, with 2015 being the year with the highest mortality rate, 38.36, while 2020 had the lowest rate, 32.58. The mortality rate for elective procedures was 22.52 compared to 38.67 for urgent procedures, whereas in the public sector it was 34.39 compared to 37.77 for the private sector. The average total hospital stay was 15.7 days, with an average cost of R$ 5,687.00. Conclusion: There was a predominance of the emergency service and the public sector, and the mortality rate was higher in the private service.