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Heart surgery programs innovation using surgical risk stratification at the São Paulo state public healthcare system: SP-score-SUS Study

Grant number: 12/51229-5
Support type:Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
Duration: October 01, 2013 - September 30, 2015
Field of knowledge:Health Sciences - Medicine
Cooperation agreement: CNPq - PPSUS
Principal Investigator:Luiz Augusto Ferreira Lisboa
Grantee:Luiz Augusto Ferreira Lisboa
Home Institution: Instituto do Coração Professor Euryclides de Jesus Zerbini (INCOR). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil


Cardiovascular diseases represent the greatest burden of morbidity and mortality for the health system and cardiac surgery has an important impact on their resolutivity. The association and correlation of patients' demographic and clinical relevant information with the resources required for each stratum represent the possibility to adapt, improve and innovate into the healthcare programs. This project aims to remodel the "InsCor" risk score for the formulation of the SP- SCORE (Sao Paulo System for Cardiac Operative Risk Evaluation) in order to better reflects the complexity of cardiac surgical care, The participating hospitals include the Health Technology Assessment Centers in of the Health Secretarlat'HTA Network of São Paulo State (HTA-NATSs / SES-SP). The SP-SCORE will use 10 variables of the InsCor model and others 8 variables with presumed influence in Brazil. The primary endpoints are morbidity and mortality. This project will contribute for the SUS- SP regionalized health-care (RRAS) sustainability and financing of the CABG and/or heart valve surgery programs promoting equitable allocation, increasing access and effectiveness, as well as characterizing the magnitude of available resources and its impact. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
CAMILA P. S. ARTHUR; OMAR A. V. MEJIA; DIOGO OSTERNACK; MARCELO ARRUDA NAKAZONE; MAXIM GONCHAROV; LUIZ A. F. LISBOA; LUÍS A. O. DALLAN; PABLO M. A. POMERANTZEFF; FABIO B. JATENE. Do We Need to Personalize Renal Function Assessment in the Stratification of Patients Undergoing Cardiac Surgery?. Arquivos Brasileiros de Cardiologia, v. 109, n. 4, p. -, Out. 2017.

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