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Epidemiological profile and impact of hospitalizations for complicated migraine in Brazil (2019-2023)

Monyque Pinheiro Charchar, Marcos Lude da Silva Ferreira, Lívia Vitória Costa Dias, Alec Peixoto Rabelo, Edson Luis de Barros Siqueira, Luiz Carlos Figueiredo, Luan Nascimento Pereira de Amorim

Arquivos de Neuro-Psiquiatria, 2024

Abstract

Background: Most migraines are adequately treated on an outpatient basis. However, there is a form, known as migraine with aura, which involves more severe or prolonged symptoms, such as persistent auras and neurological symptoms, requiring more specific and immediate medical interventions. Methods: Through quantitative and temporal analysis, a study was conducted on data available in the Public Health Event Records (RESP) regarding the frequency of notification of complicated migraine treatment among the Brazilian Federal Units (UF), and variables such as type of hospitalization, death rate, mortality rate, average value, and annual average length of stay. Secondary information was obtained digitally using data tabulation tools TABNET and TABWIN, provided by the Brazilian Unified Health System Information System (SIH/SUS) and made available by the Department of Informatics of the Unified Health System (DATASUS). Results: Between 2019 and 2023, 38,908 hospital admission authorizations (AIH) were approved, with a peak in 2019. Additionally, 31.1% were recorded in the Southeast region, with São Paulo having the highest number of AIH (7,313). Pará (1,281), Maranhão (4,186), Paraná (6,185), and Goiás (2,343) also stood out in their regions. Urgent hospitalizations predominated in all states except Goiás, totaling 35,773, while elective admissions amounted to 3,133, all of medium complexity. During this period, the total death rate was 125 cases, with 24% occurring in 2019 and…

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