Open AccessScenario of the last 13 years of procedures for treating acute demielinizing polyradiculoneuritis 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
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.722
Subject(s) - medicine , observational study , epidemiology , mortality rate , paralysis , acute flaccid paralysis , guillain barre syndrome , pediatrics , emergency medicine , surgery , virus , virology , poliovirus
Background: Polyradiculoneuritis is considered to be the biggest cause of flaccid paralysis in the world and even after the progression phase, some patients may present with disabling residual deficits, both sensory and motor. Objectives: Analyze the current panorama of treatment procedures for acute demyelinating polyradiculoneuritis performed in the State of São Paulo and correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on treatment for acute demyelinating polyradiculoneuritis, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed. Results: There were 7,917 hospitalizations, representing a total expenditure of R$ 9,392,552.04, 2009 being the year with the highest number of hospitalizations (809) and 2017 with the highest amount spent during the period (R$ 967,284.65). 805 are elective and 7,109 are urgent, with 1,736 occurring in the public sector and 3,506 in the private sector. All of them were considered medium complexity. The total mortality rate was 1.57, corresponding to 124 deaths, 2019 being the year with the highest mortality rate, 2.94, and 2015 with the lowest rate, 0.53. The mortality rate for elective procedures was 0.99 compared to 1.63 for urgent procedures, whereas in the public sector it was 1.61 compared to 1.23 for the private sector. The average total hospital stay was 8.3 days, with an average cost of R$ 1,186.38. Conclusion: It is important to correctly notify the procedures performed, improving the epidemiological analysis and directing investments in health more appropriately.