Leiderman Dafne Braga Diamante, Fiorelli Marcelo, Teivelis Marcelo Passos, Stabellini Nickolas, Amaro Edson, Wolosker Nelson
Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, Brasil.
Universidade de São Paulo - USP, Faculdade de Medicina, Hospital de Clínicas, São Paulo, SP, Brasil.
J Vasc Bras. 2022 Apr 5;21:e20210186. doi: 10.1590/1677-5449.20210186. eCollection 2022.
Vena cava filter implantation is considered a simple procedure, which can lead to overuse and over-indication. It is nevertheless associated with short and long-term complications.
The goals of this study were to evaluate rates of vena cava filter implantation conducted by Brazil's Unified Public Health System, analyzing in-hospital mortality and migration of patients from other cities seeking medical attention in São Paulo.
This study analyzed all vena cava filter procedures conducted from 2008 to 2018 in the city of São Paulo and registered on the public database using a big data system to conduct web scraping of publicly available databases.
A total of 1324 vena cava filter implantations were analyzed. 60.5% of the patients were female; 61.7% were under 65 years old; 34.07% had registered addresses in other cities or states; and there was a 7.4% in-hospital mortality rate.
We observed an increase in the rates of use of vena cava filters up to 2010 and a decrease in rates from that year onwards, which coincides with the year that the Food and Drug Administration published a recommendation to better evaluate vena cava filter indications.
腔静脉滤器植入术被认为是一种简单的手术，这可能导致其过度使用和适应症扩大。然而，它仍与短期和长期并发症相关。
本研究的目的是评估巴西统一公共卫生系统进行腔静脉滤器植入术的比例，分析在圣保罗就医的来自其他城市患者的院内死亡率和转移情况。
本研究分析了2008年至2018年在圣保罗市进行的所有腔静脉滤器手术，并使用大数据系统对公共数据库进行网络抓取，将其登记在公共数据库中。
共分析了1324例腔静脉滤器植入术。60.5%的患者为女性；61.7%的患者年龄在65岁以下；34.07%的患者在其他城市或州登记了地址；院内死亡率为7.4%。
我们观察到，到2010年腔静脉滤器的使用率有所上升，从该年起使用率下降，这与美国食品药品监督管理局发布更好地评估腔静脉滤器适应症建议的年份一致。
