Impacto dos Fatores de Risco para Doença Arterial Coronariana nos Gastos Hospitalares dos Pacientes Submetidos à Cirurgia de Revascularização do Miocárdio no SUS
Impacto dos Fatores de Risco para Doença Arterial Coronariana nos Gastos Hospitalares dos Pacientes Submetidos à Cirurgia de Revascularização do Miocárdio no SUS
Data
2018
Autores
Barbosa, João Luis
Thiers, Clarissa Antunes
Cunha, Carlos Felipe dos Santos
Moutella, Juliana
Tura, Bernardo Rangel
Orsi, Giulia Principe
Feldman, Karen
Silva, Nathália Rodrigues da
Faria, Luiz Felipe
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Cardiovascular Sciences
Resumo
Fundamentos: As doenças cardiovasculares representam uma importante causa de mortalidade e morbidade.
A cirurgia de revascularização do miocárdio pode ser indicada para o alívio dos sintomas e para diminuir a
mortalidade. Entretanto, a cirurgia é um procedimento de custo elevado e não está estabelecido o impacto do
número de fatores de risco cardiovasculares nos gastos do procedimento.
Objetivos: Identificar o impacto dos fatores de risco para a doença arterial coronariana nos gastos com a cirurgia
de revascularização do miocárdio.
Métodos: Foram selecionados 239 pacientes submetidos à cirurgia de revascularização do miocárdio isolada no
Instituto Nacional de Cardiologia no período entre 01 de Janeiro a 31 de Dezembro de 2013. Foram incluídos
pacientes com idade superior a 30 anos e indicação de revascularização cirúrgica do miocárdio. Foram excluídos os
pacientes submetidos a procedimentos combinados.
Resultados: Sete pacientes apresentaram apenas 1 fator de risco, 32 pacientes apresentaram 2 fatores de risco, 75 pacientes
apresentaram 3 fatores de risco, 78 pacientes apresentaram 4 fatores de risco, 36 pacientes apresentaram 5 fatores de risco
e 11 pacientes apresentaram 6 fatores de risco. O total dos gastos, em média, foi de R$ 14 143,22 no grupo com 1 fator de
risco, R$ 18 380,40 no grupo com 2 fatores de risco, R$ 21 229,51 no grupo com 3 fatores de risco, R$ 24 620,86 no grupo com
4 fatores de risco, R$ 21 337,92 no grupo com 5 fatores de risco e R$ 36 098,35 no grupo com 6 fatores de risco (p = 0,441).
Conclusão: Este trabalho demonstra que, em uma unidade pública de referência para a realização de procedimentos
cardiológicos de alta complexidade, não houve uma correlação significativa entre o número de fatores de risco
cardiovascular e os custos da internação. (Int J Cardiovasc Sci. 2018;31(2)90-96).
Background: Cardiovascular diseases are a major cause of mortality and morbidity. Myocardial revascularization surgery may be indicated for the relief of symptoms and to reduce mortality. However, surgery is a costly procedure and the impact of the number of cardiovascular risk factors on the cost of the procedure has not been established. Objectives: To identify the impact of risk factors for coronary artery disease on myocardial revascularization surgery cost. Methods: We selected 239 patients undergoing myocardial revascularization surgery at the National Institute of Cardiology in the period from 01 January to 31 December 2013. We included patients aged over 30 years, with indication for the procedure. Patients undergoing combined procedures were excluded. Results: Seven patients had only one risk factor, 32 patients had two risk factors, 75 patients had 3 risk factors, 78 patients had four risk factors, 36 patients had 5 risk factors and 11 patients presented 6 risk factors. The total costs, on average, was R$ 14,143.22 in the group with 1 risk factor, R$ 18,380.40 in the group with 2 risk factors, R$ 21,229.51 in the group with 3 risk factors, R$ 24,620.86 in the group with 4 risk factors, R$ 21,337.92 in the group with 5 risk factors and R$ 36,098,35 in the group with 6 risk factors (p = 0.441). Conclusion: This study demonstrates that, in a public referral center for highly complex cardiology procedures, there was no significant correlation between the number of cardiovascular risk factors and hospitalization costs. (Int J Cardiovasc Sci. 2018;31(2)90-96).
Background: Cardiovascular diseases are a major cause of mortality and morbidity. Myocardial revascularization surgery may be indicated for the relief of symptoms and to reduce mortality. However, surgery is a costly procedure and the impact of the number of cardiovascular risk factors on the cost of the procedure has not been established. Objectives: To identify the impact of risk factors for coronary artery disease on myocardial revascularization surgery cost. Methods: We selected 239 patients undergoing myocardial revascularization surgery at the National Institute of Cardiology in the period from 01 January to 31 December 2013. We included patients aged over 30 years, with indication for the procedure. Patients undergoing combined procedures were excluded. Results: Seven patients had only one risk factor, 32 patients had two risk factors, 75 patients had 3 risk factors, 78 patients had four risk factors, 36 patients had 5 risk factors and 11 patients presented 6 risk factors. The total costs, on average, was R$ 14,143.22 in the group with 1 risk factor, R$ 18,380.40 in the group with 2 risk factors, R$ 21,229.51 in the group with 3 risk factors, R$ 24,620.86 in the group with 4 risk factors, R$ 21,337.92 in the group with 5 risk factors and R$ 36,098,35 in the group with 6 risk factors (p = 0.441). Conclusion: This study demonstrates that, in a public referral center for highly complex cardiology procedures, there was no significant correlation between the number of cardiovascular risk factors and hospitalization costs. (Int J Cardiovasc Sci. 2018;31(2)90-96).
Description
Palavras-chave
Doença da Artéria Coronariana, Revascularização Miocárdica/economia, Fatores de Risco, Custos Hospitalares, Sistema Único de Saúde, Coronary Artery Disease, Myocardial Revascularization / economics, Risk Factors, Hospital Costs, Unified Health System
Citação
Barbosa JL, Thiers CA, Cunha CFS, Moutella J, Tura BR, Orsi GP, Feldmank, Silva NR, Faria LF. Impacto dos Fatores de Risco para Doença Arterial Coronariana nos Gastos Hospitalares dos Pacientes Submetidos à Cirurgia de Revascularização do Miocárdio no SUS. Int. J. Cardiovasc. Sci. 2018 mar-apr;31:(2). doi:10.5935/2359-4802.20170098