Situação das cirurgias cardíacas congênitas no Brasil

Abstract

The prevalence of congenital heart disease (CHD) is between 8 and 10 children per 1000 live births. Thus, it is estimated that 28,846 new cases of CHD emerge in Brazil each year. For about 20% of the cases that are related to less complex defects and those with discrete hemodynamic repercussions, the cure is spontaneous. The average number of cardiovascular surgeries for CHD that are necessary in Brazil is of the order of 23,077 procedures per year, including newborn babies with CHD and cases requiring reoperations. In 2002, 8,092 procedures were actually performed thereby giving a deficit of 65%, with the greatest shortfalls seen in the Northern and Northeastern regions (93.5% and 77.4%, respectively) and the least problems experienced in the Southern and Central Western regions (46.4% and 57.4%, respectively) as illustrated in Table 1.

Avaliação do tratamento cirúrgico da cardiopatia congênita em pacientes com idade superior a 16 anos

“…It is considered the first non-infectious cause of death in newborns 10 . Of these children, 30% require surgical treatment and/or intervention in the first year of life 11,12 . With the huge advance in pediatric cardiac surgery and improvement of results, it is estimated that today there are more than 1 million survivors with congenital heart disease in the United States 13 .…”

Cirurgia cardiovascular pediátrica: aquilo devemos preservar, o que devemos melhorar e o que devemos transformar

“…This explains the number of children undergoing surgery, which does not reach 40% of the demand population scenarios, depending on the region of the country [2]. This situation worsens when analyzing the numbers of newborns operated on the most complex procedures carried out.…”

Budget impact analysis of the percutaneous septal occluder for treatment of ostium secundum atrial septal defects in the Brazilian Unified National Health System

“…Considering that nine out of 1,000 live born infants present congenital cardiopathies, 10% of which are ASD, and that 75% of the latter are the ostium secundum type, the number of individuals with ostium secundum ASD was estimated in order to calculate the sample size for each time period analyzed 15 .…”