Cerebrovascular accident treatment procedures: an analysis of the national scenario

Abstract

Introduction: Cerebrovascular accident (CVA) is a medical emergency and it is the second cause of mortality worldwide. Due to high prevalence, systematic analyzes should be performed in order to help improve mortality curves. Objectives: Analyze current scenario of CVA treatment procedures performed in Brazil during 12 years and correlate with results. Methods: Literature review associated to an observational, descriptive and horizontal collection of hemorrhagic or ischemic CVA treatment data, available at DATASUS - SUS Hospital Information System (SIH / SUS) - from January 2008 to December 2019 - was carried out evaluating number of hospitalizations, public spending, complexity, mortality rate, permanence, character of care. Results: 2,173,466 hospitalizations were reported, total expenditure of R$ 2,659,605,859.72. The highest number of hospitalizations and the highest amount spent occurred in 2019. Considering total procedures, 67,141 were performed as elective and 2,105,861 were urgent basis. 700,063 were performed in public services and 670,230 in the private sector, both of medium complexity. Total mortality rate was 16.62% - decreasing over the 12 years, with 2019 having the lowest rate, 15.72%. Mortality rate for elective procedures was 13.14% compared to 16.73% for urgent, whereas in the public sector it was 18.79% compared to 14.91% for the private. Conclusion: Despite decreasing mortality over years, there is discrepancy between private and public services. In this scenario, high mortality rate was found in both services although highlighted at the public sector. Better investments are needed, aiming to reduce global mortality.