Estudos econômicos sobre o tratamento de casos de acidente vascular cerebral: revisão integrativa

Abstract

Stroke (Cerebrovascular Accident - CVA) is one of the leading causes of morbidity and imposes a significant economic burden. Objective: To summarize economic studies on the costs of acute stroke treatment in Brazil. Method: Integrative review conducted in the EMBASE, PubMed, Web of Science, CINAHL, and Biblioteca Virtual em Saúde databases. The guiding question was structured using the PVO acronym: "What are the estimated costs in economic studies related to stroke treatment expenses in Brazil?". Articles were included without date or language restrictions. After removing duplicates, title, and abstract analysis was performed using the Rayyan software. Data collection was organized in a structured table in Microsoft Excel. Results and Discussion: The average cost per patient for ischemic stroke was R$23,456.00, and for hemorrhagic stroke, R$55,176.00. Mechanical thrombectomy increased the cost of ischemic stroke compared to thrombolysis. In addition, private hospitals recorded higher costs, with R$7 million for 173 patients, while the public sector registered R$5 million for 274 patients. Conclusion: The costs of stroke treatment in Brazil exceed 4 million reais annually, associated with severity, type of treatment, and length of hospitalization.