AVALIAÇÃO DO PROCEDIMENTO DE TRANSPLANTE DE FIGADO NO MUNICÍPIO DO RIO DE JANEIRO
AVALIAÇÃO DO PROCEDIMENTO DE TRANSPLANTE DE FIGADO NO MUNICÍPIO DO RIO DE JANEIRO
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DOI: https://doi.org/10.22533/at.ed.0312417054
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Palavras-chave: Transplante de Fígado, Doadores Vivos, Taxa de Mortalidade, Setor Público de Saúde, Qualidade do Procedimento.
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Keywords: Liver Transplantation, Living Donors, Mortality Rate, Public Healthcare Sector, Procedure Quality.
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Abstract: Liver transplantation is a life-saving opportunity for patients with end-stage liver diseases worldwide. There are two types of liver transplants, each with its own challenges. Even patients with brain death can become donors. Both types involve preserving and reconstructing vital connections of this essential organ. Advances in this field offer hope for those with advanced liver diseases. An analysis of liver transplants in Rio de Janeiro over 14 years aims to correlate current epidemiology with outcomes. Data from DATASUS from January 2008 to December 2022 were reviewed, including admissions, public expenditure, complexity, mortality, deaths, length of stay, and care, as well as articles from Scielo, Lilacs, and PubMed. There were 1,631 admissions, costing R$146,798,794.70, with a peak in 2022 in terms of both admissions and expenditure (R$17,410,555.36). Of these, 237 procedures were elective and 1,394 were urgent, with 326 in the public sector, 150 in the private sector, and 1,155 of unknown origin, all considered high complexity. The overall mortality rate was 11.89%, with 194 deaths recorded, the highest rate being in 2010 (25.93%) and the lowest in 2020 (6.25%). Mortality was higher in elective procedures (12.24%) and in the public sector (19.94%) compared to urgent procedures (11.84%) and the private sector (14.00%), while procedures of unknown origin had a mortality rate of 9.35%. The average length of hospital stay was 12.2 days, with an average cost of R$90,005.39. This analysis suggests that liver transplants are often performed urgently, with a downward trend in mortality over the 14-year period. However, there are disparities in quality between the public and private sectors, as reflected in mortality rates. Continuous improvement of these procedures is essential, especially in the public sector, to further reduce mortality rates. This study guides future efforts to enhance procedure quality and save more lives.
- Caio Mauricio Silva
- Gabriela Maurício Silva
- Giovana Faitanin dos Santos de Oliveira
- Patrício Clemer Alonso ramalho
- Antônio Alexandre Teixeira de Azevedo
- Renzo Peçanha Caldas
- João Vitor de Resende Côrtes
- Fábio Theodoro Gomes
- Júlia Miranda Machado
- Ana Beatriz vieira oliveira
- Paula Pitta de Resende Côrtes
