Revascularização do miocárdio: estudo comparativo do custo da cirurgia convencional e da angioplastia transluminal percutânea

. In the analysis of decreasing mortality trends due to IHD, multiple factors must be considered, including age, sex, diagnosis, therapeutic interventions and environmental and socioeconomic conditions. The studies with data recorded from clinical practice provide a view that is closer to reality than the experimental ones 3 .In a study with samples of coronary angiography (CA) records performed in public hospitals in the city of Rio de Janeiro (CRJ), from 1999 to 2003, a mean in-hospital mortality of 1.6% was observed, ranging from 0.9 % to 6.8%. Mortality rates in primary and rescue CA were 17.4% and 13.1%, and in elective CA, it was 0.8% 4 . During the same period, in 2,692 coronary artery bypass graft (CABG) records in the CRJ, a variation between hospitals was observed, from 7.0% to 14.3% in the in-hospital period, and 8.5% to 20.2 % up to one year post-hospital release and a significant association between the occurrence of complications and postoperative death (p <0.0001) 5. Therefore, regarding myocardial revascularization procedures, the minimum required performance was not observed in the SRJ 6 , representing an important financial burden for the Brazilian Public Health System (SUS), with individual and social consequences 7 .In the middle of the last decade of the twentieth century, it was estimated that 80% of medical or hospital care was financed by the Public Health System (SUS) in Brazil

Section: Year N Of Camentioning

confidence: 99%

“…After one year, the mean total costs were R$ 7,875.73 for CABG and R$ 8,234.96 RVM for CA. CABG has a 23.0% higher cost than the CA 27 . This finding was similar in the SRJ, where mean total costs of CA accounted for 71% of expenses paid by SUS for CABG (Tables 2 and 3).…”

Section: Year N Of Camentioning

confidence: 99%

Desempenho e gastos do SUS com revascularizações do miocárdio no Estado do Rio de Janeiro, de 1999 a 2008

Oliveira¹,

Klein²,

Silva³

2011

“…Os estudos publicados no Brasil são comparativos dos custos da revascularização miocárdica por meio da intervenção coronariana percutânea ou pela cirurgia de revascularização miocárdica e são relativos a estimativas de custos hospitalares e de materiais, não considerando o valor do pacote pago pelo SUS 11,14,15 .…”

Section: Definiçõesunclassified

“…No Brasil, são escassos os estudos publicados sobre os aspectos econômicos relativos a procedimentos terapêuticos por intervenção coronariana percutânea ou por cirurgia de revascularização miocárdica para a doença arterial coronariana 11,[14][15][16] .…”

Section: Introductionunclassified

Análise dos valores SUS para a revascularização miocárdica percutânea completa em multiarteriais

Meireles¹,

Sumita²,

Forte³

et al. 2010

ResumoFundamento: O Sistema Único de Saúde (SUS) estabelece que a angioplastia coronariana com o implante de duplo stent não deve exceder 20% das angioplastias, resultando na necessidade de escalonar a maioria dos procedimentos nos pacientes com doença multiarterial.Objetivo: O objetivo do presente estudo foi avaliar os valores remunerados pelo SUS para a obtenção da revascularização miocárdica percutânea completa em pacientes do SUS com doença multiarterial relacionados ao número de procedimentos necessários e de stents implantados. Métodos

“…In Brazil very few studies have been published regarding the economic aspects of therapeutic procedures for coronary artery disease 2,10,11 . The objective of this paper is to assess the average cost of coronary artery bypass grafting from initial hospitalization through discharge of patients with chronic coronary artery disease with an elective indication for this procedure and relate this cost to the number of grafts performed.…”

Section: Introductionmentioning

confidence: 99%

Custos hospitalares da cirurgia de revascularização do miocárdio em pacientes coronarianos eletivos

Haddad

Bittar

Marchi

et al. 2007

SummaryObjective: To assess hospital costs associated with coronary artery bypass grafting performed on elective coronary patients, and the relation of costs with the number of grafts.Methods: Descriptive prospective study carried out at Instituto Dante Pazzanese de Cardiologia in April, May and June of 2005. Coronary patients of different ages and both genders were included. Emergency patients, patients with other associated heart conditions and reoperation cases were excluded. Appropriate forms for the operating room, early postoperative period and for the final period in the ward were developed for the initial hospitalization phase preoperatively.