• Paloam Cardoso Nôvo, de FariasSérgio Augusto BarbosaSABFaculty of Medicine of the State University of Amazonas, Manaus, Amazonas, Brazil., Victor do Valle Guttemberg, Victor Rodrigo Félix Dos Santos, João Pedro Moreira Guilherme, and de AmorimRobson Luis OliveiraRLODivision of Neurosurgery-Getúlio Vargas University Hospital, Manaus, Amazonas, Brazil; Post-Graduation Program on Basic and Advanced Immunology of Federal University of Amazonas, Manaus, Amazonas, Brazil; Faculty of Medicin.
• Division of Neurosurgery-Getúlio Vargas University Hospital, Manaus, Amazonas, Brazil; Post-Graduation Program on Basic and Advanced Immunology of Federal University of Amazonas, Manaus, Amazonas, Brazil. Electronic address: paloamcardosonovo@gmail.com.
• World Neurosurg. 2023 May 1; 173: e359e363e359-e363.

BackgroundAmazonas is the largest state in Brazil, covering an area of 1,559,159.148 km2 and primarily occupied by the Amazon rainforest. Fluvial and aerial transport are the primary means of transportation. Studying the epidemiologic profile of patients transported by neurologic emergencies is essential because there is only 1 referral center hospital serving approximately 4 million inhabitants in Amazonas.MethodsThis work studies the epidemiologic profile of patients referred by air transport for evaluation by the neurosurgery team at a referral center in the Amazon.ResultsOf the 68 patients transferred, 50 (75.53%) were men. The study covered 15 municipalities in Amazonas. Of the patients, 67.64% had a traumatic brain injury due to various causes, and 22.05% had had a stroke. Of all patients, 67.65% did not undergo surgery and 43.9% evolved with good evolution and without complications.ConclusionsAir transportation for neurologic evaluation is essential in Amazonas. However, most patients did not require neurosurgical intervention, indicating that investments in medical infrastructures, such as computed tomography scanners and telemedicine, may optimize health costs.Copyright © 2023 Elsevier Inc. All rights reserved.

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