Keywords
epidemiology
impact
reference center
Hugol
How to Cite
Abstract
Acute Coronary Syndromes (ACS) are projected to cause 23.6 million deaths globally by 2030. In 2008, ACS led to nearly 1 million hospitalizations in Brazil, according to DATASUS. In 2018, the state of Goiás established a reference center for ACS treatment at the Governor Otávio Lage de Siqueira Emergency State Hospital (HUGOL) in Goiânia. This study aimed to assess the impact of implementing the hemodynamics service at HUGOL on ACS patient mortality. The observational, epidemiological, descriptive, and time series study analyzed hospitalization, death, and mortality rates for ACS patients in Goiás from January 2008 to December 2019. Data were collected from the SUS Hospital Information System (SIH/SUS) and Mortality Information System (SIM/SUS). Mortality rates in Goiás and Goiânia showed no reduction, indicating a significant increasing trend (R2 >0.65), with the state's rate surpassing Goiânia's, consistent with literature reporting lower rates in capitals. Notably, there was a significant rise in hospitalizations at both national and international levels. The average cost per patient increased, possibly due to the lack of monetary correction, confirming the global trend of rising expenditures over time. Procedures experienced a significant increase in their performance (R2=0.79), accompanied by a rise in absolute numbers of deaths, while the mortality rate remained stable. Despite the implementation of the Hemodynamics Service at HUGOL in Goiânia, ACS mortality rates in Goiás and Goiânia continued to exhibit an increasing trend. This suggests that the intensified use of invasive procedures has not yet been sufficient to alter the epidemiology of these diseases in the state.
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Copyright (c) 2023 Lais Martins Queiroz, Jaime Garcia Pereira Neto, Vinicius Catenassi Pereira Santos , Hugo Francisco da Fonseca Neto, Vinícius Sousa Santana, Alice Jardim Zaccariotti, Arthur Gomes Pidde , Rafael Caetano Ataides, Celso Gonçalves de Castro Filho, Lucca Lopes Martins, Humberto Graner Moreira, Renato Gomes Castro