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Epidemiological analysis of 5,595 procedures of endovascular correction of isolated descending thoracic aortic disease over 12 years in the public health system in Brazil
Portugal, Maria Fernanda Cassino; Teivelis, Marcelo Passos; Silva, Marcelo Fiorelli Alexandrino da; Fioranelli, Alexandre; Szlejf, Claudia; Amaro-Júnior, Edson; Wolosker, Nelson.
Afiliação
  • Portugal, Maria Fernanda Cassino; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Teivelis, Marcelo Passos; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Silva, Marcelo Fiorelli Alexandrino da; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Fioranelli, Alexandre; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Szlejf, Claudia; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Amaro-Júnior, Edson; Hospital Israelita Albert Einstein. Sao Paulo. BR
  • Wolosker, Nelson; Hospital Israelita Albert Einstein. Sao Paulo. BR
Clinics ; Clinics;76: e2890, 2021. tab
Article em En | LILACS | ID: biblio-1286064
Biblioteca responsável: BR1.1
ABSTRACT

OBJECTIVES:

In Brazil, descending thoracic aorta disease, including aneurysms and dissections, is managed preferentially by endovascular treatment, owing to its feasibility and good results. In this study, we analyzed endovascular treatment of isolated descending thoracic aortic disease cases in the Brazilian public health system over a 12-year period.

METHODS:

Public data from procedures performed from 2008 to 2019 were extracted using web scraping techniques to assess procedure type frequency (elective or urgency), mortality, and governmental costs.

RESULTS:

A total of 5,595 procedures were analyzed, the vast majority of which were urgent procedures (61.82% vs. 38.18%). In-hospital mortality was lower for elective than for urgent surgeries (4.96 vs.10.32% p=0.008). An average of R$16,845.86 and R$20,012.04 was paid per elective and emergency procedure, respectively, with no statistical difference (p=0.095).

CONCLUSION:

Elective procedures were associated with lower mortality than urgent procedures. There was no statistically significant difference between elective and urgent procedures regarding costs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Aneurisma da Aorta Torácica / Implante de Prótese Vascular / Procedimentos Endovasculares Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clinics Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Aneurisma da Aorta Torácica / Implante de Prótese Vascular / Procedimentos Endovasculares Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clinics Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil