scholarly journals PROFILE OF PATIENTS RECEIVING TOTAL KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 25 (5) ◽  
pp. 202-205 ◽  
Author(s):  
MARCELO JOSÉ CORTEZ BEZERRA ◽  
IGOR MAGALHÃES BARBOSA ◽  
THALES GONÇALVES DE SOUSA ◽  
LARISSA MEIRELES FERNANDES ◽  
DIEGO LEONARDO MENEZES MAIA ◽  
...  

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
O. Zargari ◽  
E. Kazemnezhad Leyli ◽  
S. Z. Azimi

Background. Psoriatic arthritis (PsA) results in an increased burden of psoriasis and impairs both quality of life and an individual’s functional capacity. The relationship between nail involvement and PsA in psoriasis is not fully characterized. Aim. To evaluate the frequency and characteristics of nail involvement in psoriatic patients and to assess the relationship with joint involvement. Methods. A total of 197 patients with moderate-to-severe psoriasis were consecutively invited to participate in this cross-sectional study. The patients are divided into two groups: those with and those without psoriatic arthritis. Results. 69.5% of psoriatic (137 out of 197) patients had nail involvement. The most common nail abnormality was onycholysis, followed by pitting and oil droplet changes. Nail involvement was more common in patients with psoriatic arthritis (82.1% versus 57.8%, p=0.001). Conclusion. Nail involvement is commonly associated with PsA. Onycholysis, splinter hemorrhage, and oil drop were significantly more common in the PsA group as opposed to patients with just skin findings. In general, psoriatic patients with arthritis had more severe disease.


2018 ◽  
Vol 71 (6) ◽  
pp. 2899-2906 ◽  
Author(s):  
Claudete Moreschi ◽  
Claudete Rempel ◽  
Daiana Foggiato de Siqueira ◽  
Dirce Stein Backes ◽  
Luis Felipe Pissaia ◽  
...  

ABSTRACT Objective: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. Method: A cross-sectional study carried out with 350 people with diabetes. Results: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases. People with complications from diabetes have a lower quality of life, with a statistically significant difference. Conclusion: Knowledge of the sociodemographic characteristics, clinical evaluation and quality of life of people with diabetes can improve the care process provided to this population.


2011 ◽  
Vol 5 (6) ◽  
pp. 1475
Author(s):  
Marco Aurélio Soares Amorim ◽  
Denismar Borges Miranda ◽  
Renata Campos Simões Cabral ◽  
Ana Verônica Mascarenhas Batista

ABSTRACTObjective: to describe the clinical and epidemiological profile of patients with HIV/AIDS hospitalized at the Hospital for Reference in the state of Bahia, Brazil. Method: a descriptive retrospective cross-sectional study. The sample comprised of patients admitted to the hospital for the treatment of HIV/AIDS in Salvador, Bahia, Brazil, from January to December 2008; the data was obtained from medical records upon approval by the Committee for Ethics in Research of Hospital Couto Maia (protocol 15/2009). Results: for the 194 patients studied, the average age was 37.8 years, ± 10.7 years. The predominant age group was 21 to 50 years old, which represented 87.5% of the all patients. Prior to hospitalization, about 150 patients were already diagnosed with HIV/AIDS and 54 were in regular use of antiretroviral therapy. Diarrhea, toxoplasmosis and esophageal candidiasis were the most common opportunistic diseases encountered. The average CD4 was 82 cells/mm3, ranging from 7 to 1,099. Of the 194 patients studied, 65 (33.5%) died and the highest mortality rates were attributed to Kaposi's sarcoma (75.0%) and toxoplasmosis (42.2%). Conclusions: the clinical and epidemiological profile of the patients with HIV/AIDS analyzed consists of young heterosexuals adult males, who were diagnosed previously to their hospitalization and whose main reason for hospitalization was related to opportunistic diseases. Descriptors: acquired immunodeficiency syndrome; health profile; aids-related opportunistic infections.RESUMOObjetivo: descrever o perfil clínico-epidemiológico dos pacientes internados com HIV/AIDS no Hospital de Referência do Estado da Bahia. Método: estudo descritivo retrospectivo, de corte transversal. A amostra foi composta pelos pacientes internados no hospital de referência no tratamento de HIV/AIDS da cidade de Salvador-Ba, entre janeiro a dezembro de 2008; os dados foram obtidos de prontuários médicos após aprovação do Comitê de Ética em Pesquisa do Hospital Couto Maia com protocolo 15/2009. Resultados: dos 194 pacientes, observou-se média de idade de 37,8 anos ± 10,7 anos. Predominou faixa etária entre 21 e 50 anos somando 87,5% dos pacientes. Cerca de 150 pacientes tinham diagnóstico prévio à internação e 54 estavam em uso regular de TARV na admissão. Diarréia, neurotoxoplasmose e candidíase esofágica foram as doenças oportunistas mais freqüentes. A mediana de CD4 foi de 82 variando de 7-1.099 células/mm3. Observou-se que, 65 (33,5%) foram a óbito e as maiores taxas de letalidade foram atribuídas ao Sarcoma de Kaposi (75,0%) e neurotoxoplasmose (42,2%). Conclusão: o perfil clínico-epidemiológico dos pacientes com HIV/AIDS internados em estudo é composto por adultos jovens, do gênero masculino, heterossexuais que possuíam diagnóstico prévio a internação, cujo principal motivo de internação esteve relacionado à doença oportunista. Descritores: síndrome de imunodeficiência adquirida; perfil de saúde; infecções oportunistas relacionadas com a aids.RESUMENObjetivo: describir las características clínicas y epidemiológicas de los pacientes con VIH/SIDA en el hospital de referencia del estado de Bahía, Brasil. Método: estudio retrospectivo observacional descriptivo de corte transversal. La muestra se compone de los pacientes ingresados en el hospital para el tratamiento del VIH/SIDA, en Salvador, Bahía, Brasil, entre enero y diciembre de 2008; los datos se obtuvieron a partir de los registros médicos seguidamente a la aprobación por el Comité de Ética en Investigación del Hospital Couto Maia (protocolo 15/2009). Resultados: de los 194 pacientes estudiados la edad promedio fue de 37,8 años ± 10,7 años. El grupo de edad predominante fue de 21 a 50 años, lo que representa 87,5% del total de pacientes. Alrededor de 150 pacientes fueron diagnosticados antes de la admisión y 54 hacían uso regular de la terapia antirretroviral cuando del ingreso. Se observó que la diarrea, toxoplasmosis y candidiasis esofágica fueron las enfermedades oportunistas más frecuentes. El promedio de CD4 fue de 82 células/mm3, entre 7 y 1.099. De los 194 pacientes estudiados, 65 (33,5%) fallecieron y las tasas de mortalidad más altas se atribuyen al sarcoma de Kaposi (75,0%) y toxoplasmosis (42,2%). Conclusiones: el perfil clínico y epidemiológico de los pacientes con VIH/SIDA analizados se compone de jóvenes adultos, hombres, heterosexuales, que habían sido diagnosticados previamente a la hospitalización y cuyo principal motivo para el ingreso en el hospital estaba relacionado con enfermedades oportunistas. Descriptores: síndrome de inmunodeficiencia adquirida; perfil de salud; infecciones oportunistas relacionadas con la sida.


2019 ◽  
Vol 13 (3) ◽  
pp. 604
Author(s):  
Isadora Maria Delmiro Silva ◽  
Eliane Maria Medeiros Leal ◽  
Helder Freire Pacheco ◽  
José Gilmar de Souza Junior ◽  
Filipe Santana da Silva

RESUMOObjetivo: descrever o perfil epidemiológico dos casos de Sífilis Congênita (SC) notificados em um município nordestino. Método: trata-se de um estudo do tipo seccional, de caráter descritivo, de todos os casos de sífilis congênita notificados pelo Sistema de Informação de Agravos de Notificação (SINAN) e pelo Sistema de Informações sobre Nascidos Vivos (SINASC). Apresentam-se os resultados em forma de tabelas. Resultados: identificaram-se 57 casos, com taxa anual média de incidência de SC de 6,72 casos por mil nascidos vivos (NV), entre 2011-2015, variando de 11,20/1000 NV em 2012 a 3,77/1000 NV em 2015. Registrou-se no período uma diminuição de 7,4% nos casos, porém, ainda ultrapassando a meta do Ministério da Saúde de incidência menor ou igual a 1/1000 NV. Conclusão: aponta-se, pelo estudo, a necessidade de melhorias na qualidade da assistência pré-natal, pois, mesmo havendo a diminuição na incidência da SC, os indicadores mostram valores distantes da meta. Descritores: Sífilis Congênita; Nascimento Vivo; Nascimento; Gravidez; Perfil de Saúde; Vigilância; Epidemiologia.ABSTRACT Objective: to describe the epidemiological profile of Congenital Syphilis (CS) cases reported in a Northeastern municipality. Method: this is a cross-sectional study of all cases of congenital syphilis reported by the SINAN and the SINASC. The results are presented in the form of tables. Results: 57 cases were identified, with a mean annual incidence rate of SC of 6.72 cases per thousand live births (LB), between 2011-2015, ranging from 11.20 / 1000 LB in 2012 to 3.77 / 1000 LB in 2015. A reduction of 7.4% in cases was recorded in the period, however, still exceeding the target of the Ministry of Health of incidence less than or equal to 1/1000 LB. Conclusion: the study points to the need for improvements in the quality of prenatal care, since even though there is a decrease in the incidence of CS, the indicators show values that are distant from the goal. Descriptors: Congenital syphilis; Live Birth; Birth; Pregnancy; Health Profile; Surveillance; Epidemiology.RESUMENObjetivo: describir el perfil epidemiológico de los casos de Sífilis Congénita (SC) notificados en un municipio nordestino. Método: se trata de un estudio del tipo seccional, de carácter descriptivo, de todos los casos de sífilis congénita notificados por el Sistema de Información de Agravios de Notificación (SINAN) y por el Sistema de Información sobre Nacidos Vivos (SINASC). Se presentan los resultados en forma de tablas. Resultados: se identificaron 57 casos, con una tasa anual media de incidencia de SC de 6,72 casos por mil nacidos vivos (NV), entre 2011-2015, variando de 11,20 / 1000 NV en 2012 a 3,77 / 1000 NV en el año En el período se redujo un 7,4% en los casos, pero superando la meta del Ministerio de Salud de incidencia menor o igual a 1/1000 NV. Conclusión: se señala, por el estudio, la necesidad de mejoras en la calidad de la asistencia prenatal, pues, aun habiendo la disminución en la incidencia de la SC, los indicadores muestran valores distantes de la meta. Descriptores: Sífilis Congénita; Nacimiento Vivo; Nacimiento; Embarazo; Perfil de Salud; Vigilancia; Epidemiología.


Author(s):  
John Verrinder Veasey ◽  
Adriana Bittencourt Campaner

Objetivo: Avaliar o perfil epidemiológico e impacto na qualidade de vida dos pacientes portadores de verrugas anogenitais. Métodos: Trata-se de estudo transversal prospectivo realizado no Ambulatório de Infecções Sexualmente Transmissíveis do Hospital da Santa Casa de São Paulo no período de janeiro de 2015 a dezembro de 2017. Para avaliação do impacto na qualidade de vida foi aplicado um questionário específico para condiloma acuminado, que analisa o impacto na esfera emocional e sexual, e comparou-se seus resultados ao número e tempo de lesões apresentadas pelos pacientes do sexo masculino. Resultados: Foram avaliados o perfil epidemiológico de 48 pacientes, destes 23 pacientes responderam o questionário e demonstraram terem sido afetados na dimensão emocional e/ou sexual pelas suas lesões. Ao se correlacionar o número de lesões de condilomas aos resultados de impacto emocional, impacto sexual e impacto geral não se observou relação estatisticamente significante (p= 0,298, p=0,297 e p=0,230 respectivamente). Ao se correlacionar o tempo de lesão apresentada pelos pacientes ao impacto nas esferas emocional, sexual e geral houve uma relação inversa significativa com p<0,05, apresentando correlação moderada pelo método de análise de Pearson com p=0,039 na esfera emocional, p=0,009 na esfera sexual e p=0,010 na esfera global. Conclusões: A presença de condilomas anogenitais interfere na qualidade de vida de seus portadores, afetando tanto a esfera emocional quanto sexual. Notou-se também que pacientes com impacto na qualidade de vida pela presença de condilomas tendem a buscar auxílio médico mais rapidamente, enquanto pacientes com baixo impacto nas esferas sexual e emocional demoram mais tempo a procurar tratamento médico.Descritores: Papillomaviridae, Condiloma acuminado, Perfil de impacto da doença, Indicadores de qualidade de vida Abstract Objective: To evaluate the epidemiological profile and impact on the quality of life of patients with anogenital warts. Methods: This is a prospective cross-sectional study conducted at the Ambulatory of Sexually Transmitted Infections at Santa Casa de São Paulo Hospital from January 2015 to December 2017. To evaluate the impact on quality of life, a specific questionnaire was used for condyloma acuminata, which analyzes the impact in the emotional and sexual sphere, and compared its results to the number and time of lesions presented by the patients. Results: The epidemiological profile of 48 patients was evaluated; 23 of these patients answered the questionnaire and were affected in the emotional and / or sexual dimension by their lesions. When correlating the number of condyloma lesions to the results of emotional impact, sexual impact and general impact, no statistically significant relationship was observed (p = 0.298, p = 0.297 and p = 0.230, respectively). When correlating the time of condyloma presented by the patients to the impact in the emotional, sexual and general spheres, there was a significant inverse relationship with p <0.05, presenting a moderate correlation with the Pearson analysis method with p = 0.039 in the emotional sphere, p = 0.009 in the sexual sphere and p = 0.010 in the global sphere. Conclusions: The presence of anogenital condylomas interferes in the quality of life of the patients, affecting both the emotional and sexual spheres. It was also noted that patients with impact on quality of life due to the presence of condylomata tend to seek medical help more quickly, while patients with low impact in the sexual and emotional spheres take more time to seek medical treatment.Key Words: Papillomaviridae, Condylomata acuminata, Sickness impact profile, Indicators of quality of life


2020 ◽  
pp. 12-14
Author(s):  
S. Durga Prasad ◽  
K. V. Seshaiah ◽  
P. Praveen Kumar ◽  
A. Sita Kanthima ◽  
K.S.S. Harshitha ◽  
...  

Background: Since the origin of novel corona virus (COVID-19) in December 2019, it engulfed more than 200 countries worldwide within short time and was declared as pandemic by WHO. Even though the overall fatality rate is low in COVID-19, presence of certain risk factors and comorbidities more likely result in severe disease and subsequent mortality. Methodology: Retrospectively we evaluated the details of total 200 COVID-19 patients from the medical records. These 200 patients include two groups. Each group consisted of 100 patients. One group consisted 100 patients who were discharged successfully after recovery from COVID-19. Second group consisted 100 patients who demised during hospital stay with COVID-19. We have studied prevalence of comorbidities and their impact on mortality in these two groups in relation to gender, severity. This was a cross sectional study of COVID-19 patients admitted from 01-04-2020 to 31-05-2020 (period of two months) in our state COVID tertiary care hospital, Vijayawada, Andhra Pradesh. Results: There was no statistically significant association between presence of comorbidities and gender in relation to mortality. There was statistically significant association between presence of comorbidities and severity of disease. The association of comorbidities and mortality was statistically significant. Conclusion: Patients with COVID-19 who have comorbidities are more likely to have severe disease course, rapid progression, increased need for admission in ICU and mortality.


2020 ◽  
Vol 14 (1) ◽  
pp. 36-40
Author(s):  
Eli Ávila Souza Júnior ◽  
Mateus Cardoso Thiers Vieira ◽  
Tiago Soares Baumfeld ◽  
Daniel Soares Baumfeld

Objective: To evaluate patients’ perspectives on the risk factors for hallux valgus, and their quality of life before and after surgery. Methods: This is a cross-sectional, retrospective study, conducted in a tertiary hospital with 50 patients undergoing surgical treatment of hallux valgus. Data were tabulated using three methodological figures: central idea, key expressions and collective subject discourse. Results: Regarding the risk factors, most of the patients demonstrated knowledge, expressed through central ideas such as: heredity, and wearing inappropriate shoes. In relation to quality of life before surgery, impairment was noted, inferred by central ideas such as: pain and discomfort, restriction in the use of shoes, functional limitation and aesthetic impairment; and regarding postoperative quality of life, most patients expressed satisfaction with the results. Conclusion: Authentic discourses in the context of a prevalent pathology have expressed, for the first time, the conceptions of risk factors, quality of life before and after hallux valgus surgery. Level of Evidence V; Therapeutic Study; Expert Opinion.


2021 ◽  
Author(s):  
MHD Bahaa Aldin Alhaffar ◽  
Khattab Mustafa ◽  
Samira Alsabbagh ◽  
Ola Alhaffar ◽  
Ameer Kakaje

Abstract Background:Since 2011, Syria has been facing a conflict that impacted all aspects of life. Haematological malignancies are mainly treated with chemotherapy which can further harm oral health. This study evaluates oral health of children with haematological malignancies and on chemotherapy in Syria.Methods: This is a cross-sectional study of (40) patients from the major paediatric hospital in Damascus. Decayed, Missing, Filled Teeth (DMFT) and Oral Assessment Guide (OAG) indices were used to evaluate oral health. Data about cancer was collected from medical records. Results: Patients aged between 3-14 years. Three types of paediatric cancer were included; acute lymphoblastic leukaemia (ALL) 52.2%, Hodgkin’s Lymphoma (HL) 27.5%, and Burkitt Lymphoma (BL) 20%. Average DMFT was (6.7 ± 3.2) and average OAG index was (10.8 ± 1.7). DMFT was significantly correlated with OAG (r=0.021). In patients undergoing chemotherapy, better DMFT and OAG indices were reported in males who had cancer for shorter periods, had higher frequency of toothbrushing, or/and were helped while toothbrushing. However, age and cancer type did not significantly affect DMFT and OAG.Conclusion: Children undergoing chemotherapy in Syria had worse oral health and pain compared to other children from the same age in similar studies. More attention should be given to these patients in order to improve their overall health and their quality of life especially during the ongoing conflict.


2020 ◽  
Vol 2 (2) ◽  
pp. 541-546
Author(s):  
Motuta Amisi Christian ◽  
Djolu Djoza Ruphin ◽  
Masengo Ashande Colette ◽  
Gbolo Zoawe Benjamin ◽  
Bongo Ngiala Gédéon ◽  
...  

A cross sectional study was carried out on intestinal ascariasis, which is a helminth of fecal peril that colonizes the digestive tract with the possibility of complications in organs such as the intestines, liver, lungs and even the brain. The study was carried out at the General Reference Hospital of Kinshasa where medical records were used to collect data and the study period was from January 2016 and December 2017. The findings show females (61.19%) are predominant than males (38.80%), and the gender sex ratio (M/F) was 0.63. The incidence was high in June 2016 and November 2017 are the most affected months by Ascariasis in our study with 7 cases or 18.98% and 6 cases or 20% for each year. The age group between 31 - 40 years of age predominated by the attack of this parasitic affection with the extreme ages of 8 months and 75 years. The incidence varied with a peak in June with 7 cases or 18.98%. A variable incidence with a peak in November with 6 cases or 20%.


Author(s):  
Helen Kerlen Bastos Fuzari ◽  
Armèle Dornelas de Andrade ◽  
Renata Janaina Pereira de Souza ◽  
Silvya Nery Bernardino ◽  
Fernando Henrique Moraes de Souza ◽  
...  

Abstract Objective To outline the epidemiological profile of surgical patients treated at the peripheral-nerve outpatient clinic of a public hospital in the state of Pernambuco, Brazil, from 2008 (the year this service was implemented in the hospital ) to 2016. Material and Methods A cross-sectional study with data collection from the medical records. A descriptive analysis was performed with the qualitative variables presented as relative and absolute frequencies, and the quantitative variables, as means and standard deviations. The studied variables were gender, age, diagnosis, and surgical techniques. Results In total, 506 medical records were analyzed. Of these, 269 were of male patients (53%), and 238 were of female patients (46%). The age of the sample ranged from 5 to 84 years (41 ± 14 years). The most prevalent diagnoses were: carpal tunnel syndrome (38.9%) followed by traumatic brachial plexus injury (33.2%). The first diagnosis was more frequent among women, while the second, among men. This collaborates with the predominant findings of upper-limb lesions (91%), in which men accounted for 52,75% (244) and women, for 47,25% (217). Conclusion The present study provided relevant information regarding the reality of peripheral-nerve surgeries performed at a public hospital in the state of Pernambuco, Brazil. Public health issues increasingly require the continuity of public policies and government incentive.


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