Epidemiological Analysis of 12 Years of Open Thoracoabdominal Aortic Aneurysm Repair in the Brazilian Public Health System.

Autor:	Anacleto AM; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.; Instituto de Angiologia e Cirurgia Vascular (INVASE), Hospital Beneficência Portuguesa de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil., Morales MM; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.; Instituto de Angiologia e Cirurgia Vascular (INVASE), Hospital Beneficência Portuguesa de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil., Teivelis MP; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, São Paulo, Brazil., Silva MFAD; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil., Portugal MFC; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil., Szlejf C; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil., Amaro E Junior; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, São Paulo, Brazil., Wolosker N; Vascular and Endovascular Surgery Division, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, São Paulo, Brazil.; Vascular and Endovascular Surgery Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2022 Oct 08; Vol. 37 (5), pp. 622-627. Date of Electronic Publication: 2022 Oct 08.
DOI:	10.21470/1678-9741-2021-0291
Abstrakt:	Introduction: Although endovascular correction is a promising perspective, the gold-standard treatment for thoracoabdominal aortic aneurisms and type-B dissections with visceral involvement remains open surgery, particularly due to its well-established long-term durability. This study aims to describe and evaluate public data from patients treated for thoracoabdominal aortic aneurism in the Brazilian public health system in a 12-year interval. Methods: Data from procedures performed between 2008 and 2019 were extracted from the national public database (Departamento de Informática do Sistema Único de Saúde, or DATASUS) using web scraping techniques. Procedures were evaluated regarding the yearly frequency of elective or urgency surgeries, in-hospital mortality, and governmental costs. All tests were done with a level of significance P<0.05. Results: A total of 812 procedures were analyzed. Of all surgeries, 67.98% were elective cases. There were 328 in-hospital deaths (mortality of 40.39%). In-hospital mortality was lower in elective procedures (26.92%) than in urgency procedures (46.74%) (P=0.008). Total governmental expenditure was $3.127.051,56 - an average of $3.774,22 for elective surgery and $3.791,93 for emergency surgery (P=0.999). Conclusion: The proportion of urgency procedures is higher than that recommended by international literature. Mortality was higher for urgent admissions, although governmental costs were equal for elective and urgent procedures; specialized referral centers should be considered by health policy makers.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu