ORIGINAL
Introdução: a ruptura de um aneurisma é uma situação extremamente grave, uma condição clínica com alta letalidade que requer tratamento eficaz. Objetivo: analisar o custo-efetividade de dois procedimentos (clipagem cirúrgica versus terapia endovascular) para tratamentos intracranianos. Métodos: um total de 129 indivíduos com aneurisma intracraniano (AI) foram dicotomizados de acordo com o tratamento do aneurisma: tratamento endovascular versus tratamento cirúrgico. Condições clínicas, classificação nas escalas de admissão e custos financeiros foram avaliados para cada grupo. Resultados: do total, 28,7% eram do sexo masculino e 71,3% do sexo feminino. A média de idade foi de 50,77 ± 12,23 e a mediana de 51 (12,5) anos. Um único aneurisma foi encontrado em 96,1% dos pacientes e múltiplos aneurismas em 3,9%. Em relação à técnica, 53,5% dos aneurismas foram tratados por clipagem cirúrgica e 46,5% dos aneurismas pela técnica endovascular. Houve um custo hospitalar total com tratamento AI de US$ 1.476.195,00, dos quais US$ 721.335,00 foram gastos com técnica endovascular e US$ 754.859,00 com clipagem cirúrgica. A escala de Hunt & Hess influencia nos valores de custo dos pacientes. A escala de Glasgow tem relação inversamente proporcional ao custo hospitalar total, ou seja, quanto maior a escala de Glasgow do paciente, menor é o gasto hospitalar. Conclusão: nosso estudo reforça a observação clínica de que o uso da técnica de clipagem cirúrgica terapêutica geralmente tem gastos menos onerosos do que aqueles que utilizaram técnicas endovasculares. As escalas de Hunt & Hess e Glasgow podem ser ferramentas úteis para o planejamento de custos de pacientes internados em centros hospitalares para o tratamento de aneurismas.
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1Research Group on Diagnostic and Therapeutic Radiology, Hospital Santa Casa, Belo Horizonte, MG, Brazil.
2Service of Radiology, Hospital Santa Casa, Belo Horizonte, MG, Brazil.
3Department of Dental Clinic-Diagnostic Core, Dental School, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
4Service of Planning and Controllership, Hospital Santa Casa, Belo Horizonte, MG, Brazil.
5Service of Neurosurgery, Hospital Santa Casa, Belo Horizonte, MG, Brazil.
6Service of Interventional Neuroradiology, Hospital Santa Casa, Belo Horizonte, MG, Brazil.
7Instituto de Educação e Pesquisa da Santa Casa de Belo Horizonte, Belo Horizonte, MG, Brazil.
Received: June 11, 2024
Accepted: June 25, 2024