巴西国家卫生系统 2009-2018 年破裂和未破裂脑动脉瘤治疗的住院治疗情况：描述性研究。
Hospital admissions for treatment of ruptured and unruptured cerebral aneurysms within the Brazilian National Health System, 2009-2018: a descriptive study.
机构信息
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Saúde Coletiva, Porto Alegre, RS, Brasil.
Universidade Federal do Rio Grande do Sul, Departamento de Medicina Social, Porto Alegre, RS, Brasil.
出版信息
Epidemiol Serv Saude. 2022 Oct 3;31(2):e20211122. doi: 10.1590/S2237-96222022000200020. eCollection 2022.
OBJECTIVE
To analyze hospital admissions for treatment of ruptured and unruptured cerebral aneurysms with embolization and brain microsurgery performed within the Brazilian National Health System (SUS), 2009-2018.
METHODS
This was a descriptive study, using data from the SUS's Hospital Information System. Frequency of hospital admissions, procedures, use of intensive care unit (ICU), case fatality ratio and expenditures were described.
RESULTS
Of the 43,927 hospital admissions, 22,622 (51.5%) resulted in microsurgery. Embolization and cerebral microsurgery were more frequent among females. Length of hospital stay with embolization procedure was 7.7 days (±9.0), and with microsurgery, 16.2 (±14.2) days, frequency of ICU admission, 58.6% and 85.3%, and case fatality ratio, 5.9% and 10.9% respectively. Of the total expenditure, USD 240 million, 66.3% corresponded to hospitalizations with embolization procedure.
CONCLUSION
Hospital admissions with embolization procedure for treatment of cerebral aneurysms within the SUS showed a shorter length of stay, less frequent use of ICU and lower case fatality ratio, but higher expenditure when compared to brain microsurgery.
目的
分析 2009 年至 2018 年期间，在巴西国家卫生系统（SUS）中接受介入栓塞治疗和开颅夹闭术治疗的破裂和未破裂脑动脉瘤患者的住院情况。
方法
本研究为描述性研究，数据来自 SUS 的医院信息系统。描述了住院人数、手术类型、使用重症监护病房（ICU）、病死率和支出情况。
结果
在 43927 例住院患者中，有 22622 例（51.5%）接受了开颅夹闭术。女性更倾向于接受介入栓塞治疗和开颅夹闭术。栓塞治疗的平均住院时间为 7.7 天（±9.0），开颅夹闭术为 16.2 天（±14.2）；介入栓塞治疗患者 ICU 入住率为 58.6%，开颅夹闭术为 85.3%；栓塞治疗患者的病死率为 5.9%，开颅夹闭术为 10.9%。在总支出中，有 2.4 亿美元（66.3%）用于栓塞治疗的住院费用。
结论
SUS 中接受介入栓塞治疗的脑动脉瘤患者的住院时间更短、ICU 入住率更低、病死率更低，但治疗费用更高。
Zotero 插件