I Diretriz de avaliação perioperatória

Caramelli, Bruno; Pinho, Claudio; Calderaro, Daniela; Gualandro, Danielle Menosi; Yu, Pai Ching

doi:10.1590/s0066-782x2007000500030

Cited by 10 publications

(2 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Along the last decades, several strategies have been suggested to be effective in the reduction of perioperative complications [2]–[18]. Table 1 .…”

Section: Introductionmentioning

confidence: 99%

Non-Cardiac Surgery in Developing Countries: Epidemiological Aspects and Economical Opportunities – The Case of Brazil

Calderaro

Gualandro

et al. 2010

PLoS ONE

Self Cite

View full text Add to dashboard Cite

BackgroundWorldwide distribution of surgical interventions is unequal. Developed countries account for the majority of surgeries and information about non-cardiac operations in developing countries is scarce. The purpose of our study was to describe the epidemiological data of non-cardiac surgeries performed in Brazil in the last years.Methods and FindingsThis is a retrospective cohort study that investigated the time window from 1995 to 2007. We collected information from DATASUS, a national public health system database. The following variables were studied: number of surgeries, in-hospital expenses, blood transfusion related costs, length of stay and case fatality rates. The results were presented as sum, average and percentage. The trend analysis was performed by linear regression model. There were 32,659,513 non-cardiac surgeries performed in Brazil in thirteen years. An increment of 20.42% was observed in the number of surgeries in this period and nowadays nearly 3 million operations are performed annually. The cost of these procedures has increased tremendously in the last years. The increment of surgical cost was almost 200%. The total expenses related to surgical hospitalizations were more than $10 billion in all these years. The yearly cost of surgical procedures to public health system was more than $1.27 billion for all surgical hospitalizations, and in average, U$445.24 per surgical procedure. The total cost of blood transfusion was near $98 million in all years and annually approximately $10 million were spent in perioperative transfusion. The surgical mortality had an increment of 31.11% in the period. Actually, in 2007, the surgical mortality in Brazil was 1.77%. All the variables had a significant increment along the studied period: r square (r2) = 0.447 for the number of surgeries (P = 0.012), r2 = 0.439 for in-hospital expenses (P = 0.014) and r2 = 0.907 for surgical mortality (P = 0.0055).ConclusionThe volume of surgical procedures has increased substantially in Brazil through the past years. The expenditure related to these procedures and its mortality has also increased as the number of operations. Better planning of public health resource and strategies of investment are needed to supply the crescent demand of surgery in Brazil.

show abstract

“…Along the last decades, several strategies have been suggested to be effective in the reduction of perioperative complications [2]–[18]. Table 1 .…”

Section: Introductionmentioning

confidence: 99%

Non-Cardiac Surgery in Developing Countries: Epidemiological Aspects and Economical Opportunities – The Case of Brazil

Calderaro

Gualandro

et al. 2010

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…Thus, only one Class I recommendation exists for their use, i.e., in those patients who were already taking them prior the surgery. Brazilian directives recommend their use in vascular surgeries 26 .…”

Section: Chart III -Classification Of Cardiovascular Risk According Tmentioning

confidence: 99%

Aspectos relevantes da doença arterial coronariana em candidatos à cirurgia não cardíaca

Ramos¹

2010

Rev. Bras. Anestesiol.

View full text Add to dashboard Cite

Summary: Ramos GC -Relevant Aspects of Coronary Artery Disease in Candidates for Non-Cardiac Surgery. Background and objectives:Due to its prevalence, coronary artery disease (CAD) represents the main cause of morbidity and mortality in elective surgeries, which justifies this review, whose objective was to establish preoperative conducts based on rules and directive to minimize peri-and postoperative morbidity and mortality of patients with CAD.

show abstract