Abstract
Purpose: Description of hospitalization, mortality rates and cost of heart valve surgery performed by Brazilian Public Health System from 2008 to 2013. Methods: A cross-sectional, observational descriptive study about the procedures of valve surgeries performed in Brazil, from January 2008 to December 2013, by region and federative unit. The study was conducted using the electronic database of Health System Information (Datasus). Results: In the period of study, the total authorizations for hospital admissions for heart valve surgery in Brazil was 65,138 with an average of 10,586 per year. The Southeast region had the highest number of admission and the North the least. The Southeast region concentrated about 45% of valve surgeries in the last six years, while the North was responsible for only 3.80%. The number of heart valve surgeries in Brazil was 5.8/100,000 inhabitants. The national mortality rate during this procedure was 8.8%. The average cost in dollars applied for each valve surgery in 2012 was U$5,947 per 100,000 inhabitants and about $65,757,845 were spent in hospitalization in 2013. Conclusions: The study showed that Brazil spends a high investment in the surgical treatment of valvular heart disease. It is necessary to reinforce the institution of public health programs aimed to rheumatic heart disease in our country to change that reality.
Highlights
Valvular heart disease represents a large number of hospital admissions for cardiovascular disease in Brazil
The decline in rheumatic valve disease (RVD) places the degenerative disease as the most important of the valve disease etiology.[1] unlike what happens in these countries, in Brazil about 70% of cases of valvular disease are caused by rheumatic fever.[2]. It is estimated that 30% of cardiac surgeries in our country are associated to secondary damage from RVD.[3]. Most of the articles published internationally are about patients with other causes of valvular damage than rheumatic fever.[2,4]
Unlike what happens in other cardiovascular diseases, there are few multicenter studies with large samples on the therapy and diagnosis of valve heart disease with solid conclusions.[2]. According to data from SIH/ DATASUS, only in 2013, approximately 9,000 people were admitted to SUS hospitals (Brazilian Public Health System) due to chronic rheumatic heart disease (CRHD) across the country
Summary
Valvular heart disease represents a large number of hospital admissions for cardiovascular disease in Brazil. In 2013, still according to the SIH/ DATASUS, about R$ 100.000.000 (equivalent to U$ 44.786.816) were spent in hospitalization of patients affected by CRHD.[5] Considering that many patients with this condition had severe valve disease, and would undergo surgical therapy, it is possible to conclude that this kind of treatment represents a significant share in expenses related to this disease In this context, it is noted that interventional measures are an important treatment capable of preventing the natural history of valve disease, and this usually happens through repair or valve replacement surgery. It is estimated that approximately 275,000 valve replacement surgeries are performed each year and the operative mortality rate hovers around 1-15%, reflecting a high impact on the course of valvopatias.[6,7] On the other hand, the improvement of valve surgery increasing patient survival, and those are surviving long enough to require replacement prosthesis.[8]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
