Spinal cord compression by a pulmonary hernia.

Spinal cord compression by structures adjacent to the spine is a rare event. The authors present a case of spinal cord compression in an adult caused by a partial herniated lung after a traffic accident. No similar cases were found in the literature.

A compressão medular traumática por estruturas adjacentes à coluna é um evento raro. Os autores apresentam um caso de compressão medular ocasionada por parte do pulmão herniado em um adulto após acidente automobilístico. Não foram identificados casos semelhantes na literatura.

[Estimate of cost for diabetic foot treatment; how to prevent it and save funds]. / Estimativa do custo de tratar o pé diabético, como prevenir e economizar recursos.

In this work the cost of hospital treatment for diabetic foot wounds was estimated and the literature regarding prophylaxis for these lesions was examined. For this purpose, the records of all patients with diabetic foot symptoms submitted to surgical treatment over a period of 16 months in a public hospital were reviewed. There were 44 admissions with an average hospitalization period of 11.93 days, (± 6.34), 61 surgical procedures, with amputations in 65% of the cases. An average cost of R$ 4,367.05 (± 9249.01) and a total cost of R$ 192,150.40 was calculated for the hospital treatment involved. Treatment of diabetic foot symptoms had a high cost and required amputation in the majority of cases. A review of the literature revealed many possible models to be adopted for action in the prophylaxis of wounds associated with the diabetic foot, which can avoid amputations and save funds.

Estimativa do custo de tratar o pé diabético, como prevenir e economizar recursos / Estimate of cost for diabetic foot treatment; how to prevent it and save funds

Neste trabalho estimamos o custo do tratamento hospitalar do pé diabético e discutimos a literatura referente à profilaxia destas lesões. Para isto revisamos os prontuários dos pacien tes submetidos a tratamento cirúrgico num período de 16 meses em um hospital público e revisamos os métodos de prevenção do pé diabético. Foram 44 internações com duração média de 11,93 dias (± 6,34), 61 procedimentos cirúrgicos, com amputações em 65% dos casos. Encontramos um custo médio de R$ 4.367,05 (± 9.249,01) e um custo total de R$ 192.150,40 para estes tratamentos hospitalares. O tratamento do pé diabético teve um alto custo e exigiu amputações na maioria dos casos. A revisão da literatura evidenciou diversos modelos possíveis de serem adotados para atuar na profilaxia de lesões associadas ao pé diabético, os quais podem evitar amputações e economizar recursos.

In this work the cost of hospital treatment for diabetic foot wounds was estimated and the literature regarding prophylaxis for these lesions was examined. For this purpose, the records of all patients with diabetic foot symptoms submitted to surgical treatment over a period of 16 months in a public hospital were reviewed. There were 44 admissions with an average hospitalization period of 11.93 days, (± 6.34), 61 surgical procedures, with amputations in 65% of the cases. An average cost of R$ 4,367.05 (± 9249.01) and a total cost of R$ 192,150.40 was calculated for the hospital treatment involved. Treatment of diabetic foot symptoms had a high cost and required amputation in the majority of cases. A review of the literature revealed many possible models to be adopted for action in the prophylaxis of wounds associated with the diabetic foot, which can avoid amputations and save funds.