Open AccessTreatment procedures for uncontrolled epileptic seizures in the state of São Paulo, Brazil: an overview
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 - 10.5327/1516-3180.731
Subject(s) - medicine , observational study , epilepsy , mortality rate , epidemiology , public health , pediatrics , emergency medicine , psychiatry , nursing
Background: epileptic seizures are treated with antiepileptics; nevertheless, about 30% of these patients do not present complete control with only drug therapy. Objectives: to describe the overview of treatment procedures for uncontrolled epileptic seizures in the state of São Paulo, correlating it with current epidemiology. Methods: observational, descriptive, and transversal data collect on treatment procedures for uncontrolled epileptic seizures, 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 131,397 hospitalizations for treatment procedures in this period, accounting for R$97,412,992.73, with 2008 the year with the greatest number of hospitalizations (12,041) and 2020 with the greatest expenditure (R$10,065,826.67). 7,091 of them were elective, while 124,290 were urgent. 45,307 were carried out in public care and 38,154 in private one. All of them were considered medium complexity. Mortality rate was 2.76%, corresponding to 3,621 deaths, with 2020 the year with the greatest mortality (3.67%) and 2008 with the lowest (2.21%). Mortality rate was lower in elective procedures (0.83 versus 2.87 in urgent ones) and when carried out in public sector (2.40 versus 2.55 in private care). Average stay was 5.4 days and average cost per hospital stay was R$741.36. Conclusion: treatment procedures for uncontrolled epileptic seizures are classified as medium complexity, most of which being urgent. Higher mortality rate was observed in urgent cases and private health care.