Resultados da intervenção coronária percutânea primária em pacientes do Sistema Único de Saúde e da saúde suplementar

Barreto, Rodrigo; Cantarelli, Marcelo José de Carvalho; Castello, Hélio José; Gonçalves, Rosaly; Gioppato, Silvio; Guimarães, João Batista de Freitas; Ribeiro, Evandro Karlo Pracchia; Vardi, Julio Cesar Francisco; Silva, Patricia Teixeira da; Gasperi, Ricardo de; Almeida, Leonardo Cao Cambra de; Coelho, Leonardo dos Santos; Almeida, Roberto Simões de

doi:10.1590/s2179-83972011000300010

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…In a recently published comparative analysis between SUS and SH patients with primary PCI data in the present hospital, there was a longer delay in the transference of SUS patients from the center of origin to the referral hospital. 9 The greater clinical complexity of the SH group, which contained a higher number of diabetic patients, patients with previous revascularizations, and patients with chronic renal failure, reflected a greater angiographic complexity. Multivessel patients with longer and restenotic lesions were more frequent in this group.…”

Section: Resultsmentioning

confidence: 99%

Resultados da intervenção coronária percutânea de pacientes tratados pelo sistema único de saúde e pela saúde suplementar

Ganassin¹,

Cantarelli²,

Castello³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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background:The main healthcare funding systems in Brazil, the public and the private healthcare systems (PuHS and PrHS, respectively), have peculiar characteristics and cover almost all patients referred for percutaneous coronary intervention (PCI). Our objective was to identify population differences and PCI hospital outcomes in patients using both systems. Methods: From August 2006 to November 2010, 4,957 consecutive patients were submitted to PCI, 2,802 (56.5%) were from the PuHS and 2,155 from the PrHS. results: Patients from the PuHS were younger, had less education, greater incidence of smoking, prior myocardial infarction (MI), single-vessel disease, left ventricular dysfunction, and received more direct stenting. In the PrHS group, there was more diabetes, dyslipidemia, prior coronary bypass graft surgery (CABG) and PCI, prior stroke, chronic renal failure, ST-segment elevation and non-ST segment elevation acute coronary syndromes, restenotic lesions, long lesions, primary PCIs, use of glycoprotein IIb/IIIa inhibitors and drug-eluting stents. PCI success (96% vs. 96,1%; P = 0.87), MI (1.7% vs. 1.8%; P = 0.72), CABG (0.1% vs. 0.2%; P = 0.85), stroke (0.1% vs. 0.1%; P > 0.99) and death (1% vs. 1.2%; P = 0.48) were not different between groups. Conclusions: Patients from the PrHS had greater clinical and angiographic complexity than those from the PuHS. However, these differences did not affect the success of the procedure

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Section: Resultsmentioning

confidence: 99%

Resultados da intervenção coronária percutânea de pacientes tratados pelo sistema único de saúde e pela saúde suplementar

Ganassin¹,

Cantarelli²,

Castello³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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“…As taxas de mortalidade nos pacientes submetidos a ATC variam de 2,3% a 11,9% de acordo com diferentes fontes. 15,[21][22][23][24] No registro CENIC, encontramos uma taxa de óbitos de 3,4%. Esse achado pode ser relativo à subnotificação e ao menor risco da amostra.…”

Section: Discussionunclassified

Preditores de Mortalidade Hospitalar nos Pacientes Tratados por Angioplastia Primária: Um Estudo de Caso-Controle Multicêntrico

Castro¹,

Castro²,

Nascimento³

et al. 2022

Arquivos Brasileiros De Cardiologia

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Fundamento: A estratificação do risco de morte dos pacientes no contexto da angioplastia primária (ATC) é fundamental. Objetivo: Identificar os fatores relacionados ao desfecho morte em pacientes submetidos a ATC. Métodos: Estudo de caso-controle, utilizando como fonte de dados um registro brasileiro. A associação entre cada variável e o desfecho óbito foi avaliada via modelo de regressão logística binária. Consideramos significativo p<0,05. Resultados: Foram analisados 26.990 registros, sendo 18.834 (69,8%) do sexo masculino, com idade mediana de 61 (17) anos. Na análise multivariada, as principais variáveis relacionadas ao desfecho óbito com seus respectivos odds ratio e intervalos de confiança (IC) com nível de significância de 95% foram a idade avançada 70 -79 anos (2,46; 1,64 -3,79) e

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“…In 2009, cardiovascular ischemic syndromes accounted for more than 7% of all deaths in the country and 19% of the total costs with hospitalizations in the SUS budget. 13,[32][33][34] It is important to highlight that there are several limitations regarding the quality of health services in Brazil, which may have influenced the use and effectiveness of different techniques, and hence on data obtained. Among these limitations, the following may be considered: different availability of hemodynamic laboratories; poor coordination of the health network; low efficacy of patient transport; and limited access or low availability of imaging tests, medications, resources, and technologies.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction and Percutaneous Coronary Intervention: What does the Epidemiological Data of the Last Years Indicate?

Minucci¹,

Reis²

2021

International Journal of Cardiovascular Sciences

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Background: ST-segment elevation acute myocardial infarction (STEMI) is a pathological process that involves cardiac muscle tissue death. Intravenous thrombolysis with fibrinolytics or primary percutaneous coronary intervention (PCI), an invasive technique, can be performed for tissue revascularization. PCI has been preferred as compared to non-invasive methods, although few studies have described its use in Brazil. Objectives:The aim of the present study was to analyze data on the use of primary PCI and investigate the relevance of hospitalizations for the treatment of STEMI in the country.Methods: A descriptive, cross-sectional analysis of data from the Brazilian Unified Health system (SUS) Department of Informatics (DATASUS) from 2010 to 2019 was conducted.Results: Hospitalizations for STEMI represented 0.6% of all hospital admissions in Brazil in the analyzed period, 0.9% of hospital costs, and 2.1% of deaths. The number of hospitalizations due to STEMI was 659,811, and 82,793 for PCIs. Length of hospital stay was 36.0% shorter and mortality rate was 53.3% lower in PCI. The mean cost of PCI was 3.5-fold higher than for treatment of STEMI.Conclusions: Data on hospitalizations for STEMI treatment in Brazil revealed high hospitalization and mortality rates, elevated costs, and long hospital stay. Although primary PCI is a more expensive and less used technique than other methods, it can reduce the length of hospital stay and mortality in the treatment of STEMI.

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Resultados da intervenção coronária percutânea primária em pacientes do Sistema Único de Saúde e da saúde suplementar

Cited by 8 publications

References 15 publications

Resultados da intervenção coronária percutânea de pacientes tratados pelo sistema único de saúde e pela saúde suplementar

Resultados da intervenção coronária percutânea de pacientes tratados pelo sistema único de saúde e pela saúde suplementar

Preditores de Mortalidade Hospitalar nos Pacientes Tratados por Angioplastia Primária: Um Estudo de Caso-Controle Multicêntrico

Acute Myocardial Infarction and Percutaneous Coronary Intervention: What does the Epidemiological Data of the Last Years Indicate?

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