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DOI: 10.1055/s-0036-1583315
Os primeiros dois anos do Instituto Estadual do Cérebro Paulo Niemeyer: resultados iniciais de um hospital público brasileiro dedicado à neurocirurgia
Article in several languages: English | portuguêsPublication History
09 September 2015
26 November 2015
Publication Date:
26 April 2016 (online)
Resumo
A difusão de unidades hospitalares temáticas nos grandes centros urbanos revolucionou o tratamento de cardiologia, oncologia e ortopedia nas últimas décadas. Concentrar especialistas, desde a pesquisa básica e translacional até a clínicos e cirurgiões, em unidades dedicadas a uma especialidade proporciona menores taxas de complicação, mortalidade e possível redução no tempo de internação, diminuindo custos de tratamento e aumentando prestação de serviço de maior qualidade. O Instituto Estadual do Cérebro Paulo Niemeyer (IECPN) foi inaugurado em junho de 2013, no Rio de Janeiro, como primeiro hospital nacional de grande porte totalmente dedicado ao manejo neurocirúrgico. O principal fundamento é que equipes de anestesia, enfermagem, intensivismo, patologia, radiologia e reabilitação sejam treinadas e vivenciem o manejo integral das lesões neurocirúrgicas diariamente no mesmo local. Este artigo visa analisar o contexto em que o hospital foi concebido, assim como sua estrutura, complexidade e resultados iniciais nos primeiros 24 meses de operação.
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References
- 1 Hughes RG, Hunt SS, Luft HS. Effects of surgeon volume and hospital volume on quality of care in hospitals. Med Care 1987; 25 (06) 489-503
- 2 Luft HS, Hunt SS, Maerki SC. The volume-outcome relationship: practice-makes-perfect or selective-referral patterns?. Health Serv Res 1987; 22 (02) 157-182
- 3 Begg CB, Cramer LD, Hoskins WJ, Brennan MF. Impact of hospital volume on operative mortality for major cancer surgery. JAMA 1998; 280 (20) 1747-1751
- 4 Barker II FG, Klibanski A, Swearingen B. Transsphenoidal surgery for pituitary tumors in the United States, 1996-2000: mortality, morbidity, and the effects of hospital and surgeon volume. J Clin Endocrinol Metab 2003; 88 (10) 4709-4719
- 5 Connolly Jr ES, Rabinstein AA, Carhuapoma JR. , et al; American Heart Association Stroke Council; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; Council on Cardiovascular Surgery and Anesthesia; Council on Clinical Cardiology. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association. Stroke 2012; 43 (06) 1711-1737
- 6 Amato L, Colais P, Davoli M. , et al. [Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data]. Epidemiol Prev 2013; ; 37 (2-3, Suppl (Suppl. 02) 1-100
- 7 Spetzler RF, Martin NA. A proposed grading system for arteriovenous malformations. J Neurosurg 1986; 65 (04) 476-483
- 8 Linhares E, Gonçalves R, Valadão M. , et al. Gastrointestinal stromal tumor: analysis of 146 cases of the center of reference of the National Cancer Institute--INCA. Rev Col Bras Cir 2011; 38 (06) 398-406
- 9 Lisboa LA, Moreira LF, Mejia OV. , et al. [Evolution of cardiovascular surgery at the Instituto do Coração: analysis of 71,305 surgeries]. Arq Bras Cardiol 2010; 94 (02) 162-168 , 174–181, 164–171
- 10 Birkmeyer JD, Siewers AE, Finlayson EV. , et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002; 346 (15) 1128-1137
- 11 Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 2011; 364 (22) 2128-2137
- 12 Kalkanis SN, Eskandar EN, Carter BS, Barker II FG. Microvascular decompression surgery in the United States, 1996 to 2000: mortality rates, morbidity rates, and the effects of hospital and surgeon volumes. Neurosurgery 2003; 52 (06) 1251-1261 , discussion 1261–1262
- 13 Smith ER, Butler WE, Barker II FG. In-hospital mortality rates after ventriculoperitoneal shunt procedures in the United States, 1998 to 2000: relation to hospital and surgeon volume of care. J Neurosurg 2004; ; 100 (2, Suppl Pediatrics) 90-97
- 14 Konovalov AN, Yartsev VV, Likhterman LB. The Burdenko Neurosurgery Institute: past, present, future. Neurosurgery 1997; 40 (01) 178-185
- 15 Lindquist C, Kihlström L. Department of Neurosurgery, Karolinska Institute: 60 years. Neurosurgery 1996; 39 (05) 1016-1021
- 16 Lochhead RA, Abla AA, Mitha AP. , et al. A history of the Barrow Neurological Institute. World Neurosurg 2010; 74 (01) 71-80
- 17 Abla AA, Lekovic GP, Turner JD, de Oliveira JG, Porter R, Spetzler RF. Advances in the treatment and outcome of brainstem cavernous malformation surgery: a single-center case series of 300 surgically treated patients. Neurosurgery 2011; 68 (02) 403-414 , discussion 414–415
- 18 Cavalcanti DD, Kalani MY, Martirosyan NL, Eales J, Spetzler RF, Preul MC. Cerebral cavernous malformations: from genes to proteins to disease. J Neurosurg 2012; 116 (01) 122-132
- 19 Cavalcanti DD, Guasti JA, Preul MC. Neurological and architectural sinuosities: the Niemeyer brothers. Neurosurgery 2010; 67 (05) 1167-1179