scholarly journals Fatores de Risco Para o Agravamento da COVID-19 em Indivíduos Jovens

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Katiane Da Silva Mendonça ◽  
Daíse Tavares Da Silva ◽  
Hallana Laisa De Lima Dantas ◽  
Keila Cristina Pereira do Nascimento Oliveira ◽  
Viviane Vanessa Rodrigues da Silva Santana

Objetivos: Descrever as evidências científicas que abordem os fatores de riscos associados à infecção por COVID-19 em indivíduos adultos jovens. Método: Trata-se de uma revisão integrativa da literatura em seis etapas, com uso do método PICO e Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Utilizou-se os níveis de evidência de Oxford para classificação dos artigos. Resultados: Dos 42 artigos encontrados, sete atenderam aos critérios de inclusão e exclusão. Todos os estudos são publicações de 2020. Observou-se que as doenças crônicas são apresentadas como principais fatores de risco para o COVID-19, apenas dois artigos apresentaram características relacionadas aos casos de mortes e apontaram condições subjacentes como agravantes para o novo coronavírus. Os estudos também apontaram a população jovem como a mais acometida pela doença associado a apresentação de sintomas leves como tosse, febre e fadiga, com baixa taxa de mortalidade em comparação ao grupo de risco.  Conclusão: Dentre os fatores de risco mais evidentes neste estudo pode-se ressaltar doenças cardiovasculares como a hipertensão, diabetes e tabagismo, apontandotambém uma maior prevalência de casos em indivíduos de sexo masculino. Descritores: Adulto Jovem; Coronavirus; Fatores de Risco; Morbidade.RISK FACTORS FOR THE WORSENING OF COVID-19 IN YOUNG INDIVIDUALSObjective: To describe the scientific evidence that addresses the risk factors associated with COVID-19 infection in young adult individuals. Method: This is an integrative review of the literature in six steps, using the PICO method and Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. The Oxford levels of evidence were used to classify articles. Results: Of the 42 articles found, seven met the inclusion and exclusion criteria. All studies are publications from 2020. It was observed that chronic diseases are presented as the main risk factors for COVID-19, only two articles presented characteristics related to cases of death and pointed out underlying conditions as aggravating for the new coronavirus. The studies also pointed out the young population as the most affected by the disease associated with the presentation of mild symptoms such as cough, fever and fatigue, with a low mortality rate compared to the risk group. Conclusion: Among the most evident risk factors in this study, cardiovascular diseases such as hypertension, diabetes and smoking can be highlighted, also pointing to a higher prevalence of cases in male individuals.Descriptors: Young Adult; Coronavirus; Risk Factors; Morbidity.FACTORES DE RIESGO PARA EL EMPEORAMIENTO DE COVID-19 EN INDIVIDUOS JÓVENESObjetivos: Describir la evidencia científica que aborda los factores de riesgo asociados con la infección por COVID-19 en individuos adultos jóvenes. Método: Esta es una revisión integradora de la literatura en seis pasos, utilizando el método PICO y los elementos de informes preferidos para revisiones sistemáticas y metaanálisis. Los niveles de evidencia de Oxford se utilizaron para clasificar los artículos. Resultados: De los 42 artículos encontrados, siete cumplieron los criterios de inclusión y exclusión. Todos los estudios son publicaciones de 2020. Se observó que las enfermedades crónicas se presentan como los principales factores de riesgo para COVID-19, solo dos artículos presentaron características relacionadas con casos de muerte y señalaron condiciones subyacentes como agravantes para el nuevo coronavirus. Los estudios también señalaron a la población joven como la más afectada por la enfermedad asociada con la presentación de síntomas leves como tos, fiebre y fatiga, con una baja tasa de mortalidad en comparación con el grupo de riesgo. Conclusión: Entre los factores de riesgo más evidentes en este estudio, se pueden destacar las enfermedades cardiovasculares como la hipertensión, la diabetes y el tabaquismo, lo que también apunta a una mayor prevalencia de casos en hombres.Descriptores: Adulto Joven; Coronavirus; Factores de Riesgo; Morbilidad.

Retos ◽  
2015 ◽  
pp. 10-14
Author(s):  
Josep Vidal Conti ◽  
Pere A. Borràs Rotger ◽  
Xavier Ponseti Verdaguer ◽  
Margalida Gili Planas ◽  
Pere Palou Sampol

El objetivo de esta investigación es estudiar la existencia de dolor de espalda en escolares y determinar los factores de riesgo asociados a un mayor riesgo de padecerlo con el fin de diseñar una intervención. El presente estudio se llevó a cabo en 178 escolares (94 niños y 84 niñas) de 10-12 años, de Mallorca. La selección de los colegios se realizó por aleatorización estratificada, en función de tamaño del centro, tipo y ubicación. El cuestionario y la metodología de recogida de datos fueron previamente validados mediante el método test-retest. Los resultados obtenidos muestran que la existencia de dolor de espalda fue del 61.2% (niños en un 45.7% y niñas en un 78.6%). No existe relación significativa alguna entre el deporte ni las horas de práctica con la existencia o no de síntomas de dolor de espalda en los jóvenes. En cuanto al peso de las mochilas, su peso medio fue 4.99 kg. equivalente al 11.9% del peso corporal de los niños/as. Este estudio sugiere, a partir de los resultados obtenidos, y acorde con la literatura científica revisada que el dolor de espalda es un mal que afecta de manera importante a la población juvenil, y más concretamente entre los 10 y 12 años.Palabra clave: dolor de espalda, escolares, prevención, promoción de la salud.Abstract: The aim of this research study is to explore the existence of back pain in schoolchildren and determine the risk factors associated with a greater possibility of it, to design an intervention. This study was carried out using a sample of 178 schoolchildren (94 boys and 84 girls) aged 10-12, resident in Mallorca. The schools were chosen using stratified random sampling, depending on the size of the centre, type and location. The questionnaire and method for gathering the data were previously validated using the test-rest reliability method. The obtained results show that 61.2% of the schoolchildren (45.7% boys and 78.6% girls) suffer from back pain. There is no significant relationship between sport or the time spent doing sporting activities and the existence or non-existence of symptoms of back pain in the schoolchildren. As for the weight of their schoolbags, they had an average weight of 4.99 kg, equivalent to 11.9% of the children’s body weight. From the results that were obtained, this study suggests that, in keeping with the scientific literature that was reviewed, back pain is a problem that affects the young population (more specifically children aged 10 to 12) to a high degree.Key words: back pain, prevention, promotion of healthcare


2015 ◽  
Vol 41 (1) ◽  
pp. 77-89 ◽  
Author(s):  
Laíse Soares Oliveira Resende ◽  
Edson Theodoro dos Santos-Neto

This review sought to identify the available scientific evidence on risk factors associated with adverse reactions to antituberculosis drugs. We performed a systematic review of studies published in the 1965-2012 period and indexed in the MEDLINE and LILACS databases. A total of 1,389 articles were initially selected. After reading their abstracts, we selected 85 studies. Of those 85 studies, 16 were included in the review. Risk factors for adverse reactions to antituberculosis drugs included age > 60 years, treatment regimens, alcoholism, anemia, and HIV co-infection, as well as sodium, iron, and albumin deficiency. Protective factors against hepatic adverse effects of antituberculosis drugs included being male (combined OR = 0.38; 95% CI: 0.20-0.72) and showing a rapid/intermediate N-acetyltransferase 2 acetylator phenotype (combined OR = 0.41; 95% CI: 0.18-0.90). There is evidence to support the need for management of adverse reactions to antituberculosis drugs at public health care facilities.


2017 ◽  
Vol 11 (12) ◽  
pp. 4999
Author(s):  
Naiany Monise Gomes Ramalho ◽  
Josefa Danielma Lopes Ferreira ◽  
Carla Lidiane Jácome de Lima ◽  
Thalys Maynnard Costa Ferreira ◽  
Sayonara Lays Umbelino Souto ◽  
...  

RESUMOObjetivo: analisar as publicações científicas sobre a violência doméstica contra a mulher gestante. Método: revisão integrativa, com buscas nas bases de dados MEDLINE, SCOPUS, LILACS e BDENF, usando os descritores em português e inglês violência doméstica, mulher grávida e Enfermagem. Foram identificados 536 artigos. Após critérios de inclusão e exclusão, obtiveram-se 16 estudos que compuseram a amostra. A apresentação dos resultados e a discussão final foram feitas de forma descritiva, além de estatística simples por porcentagem e apresentados sob a forma de figuras. Resultados: dos estudos incluídos na revisão, 18,8% foram publicados em 2007. Quanto ao tipo de estudo, 56,3% foram estudos de corte transversal. Os tipos de violência mais retratados foram o sexual, o físico e o psicológico. Todos os estudos relatavam os fatores de risco para a violência contra a mulher gestante. Conclusão: analisando os estudos, foi possível identificar uma ampla gama de fatores de risco encontrados na literatura e a falta de registros sobre a assistência de saúde à mulher grávida em situação de violência. Descritores: Enfermagem; Violência Doméstica; Mulher Grávida; Violência Contra a Mulher; Cuidados De Enfermagem; Fatores de Risco.ABSTRACTObjective: to analyze the scientific publications on domestic violence against pregnant women. Method: integrative review, with searches in the MEDLINE, SCOPUS, LILACS and BDENF databases, using the descriptors in Portuguese and English, domestic violence, pregnant women and Nursing. A total of 536 articles were identified. After inclusion and exclusion criteria, we obtained 16 studies that composed the sample. The presentation of the results and final discussion was done in a descriptive way, in addition to simple statistics by percentage and presented in the form of figures. Results: of the studies included in the review, 18.8% were published in 2007. Regarding the type of study, 56.3% were cross-sectional studies. The types of violence most portrayed were sexual, physical and psychological. All studies reported the risk factors for violence against pregnant women. Conclusion: analyzing the studies, it was possible to identify a wide range of risk factors found in the literature and the lack of records on health care for pregnant women in situations of violence. Descriptors: Nursing; Domestic Violence; Pregnant Woman; Violence Against Women; Nursing Care; Risk Factors.RESUMENObjetivo: analizar las publicaciones científicas sobre la violencia doméstica contra la mujer gestante. Método: revisión integrativa, con búsquedas en las bases de datos MEDLINE, SCOPUS, LILACS y BDENF, usando los descriptores en portugués e inglés violencia doméstica, mujer embarazada y Enfermería. Se identificaron 536 artículos. Después de criterios de inclusión y exclusión, se obtuvieron 16 estudios que compusieron la muestra. La presentación de los resultados y la discusión final fueron hechas de forma descriptiva, además de estadística simple por porcentaje y presentados bajo la forma de figuras. Resultados: de los estudios incluidos en la revisión, el 18,8% fueron publicados en 2007. En cuanto al tipo de estudio, el 56,3%, fueron estudios de corte transversal. Los tipos de violencia más retratados fueron el sexual, el físico y el psicológico. Todos los estudios relataban los factores de riesgo para la violencia contra la mujer embarazada. Conclusión: analizando los estudios, fue posible identificar una amplia gama de factores de riesgo encontrados en la literatura y la falta de registros sobre la asistencia de salud a la mujer embarazada en situación de violencia. Descriptores: Enfermería; La Violencia Doméstica; Mujer Embarazada; Violencia Contra la Mujer; Atención de Enfermería; Factores de Riesgo.


Author(s):  
Olga Katherine Veintimilla Chinga ◽  
María Alicia Fernanda Ledezma Hurtado ◽  
Dadier Marrero González ◽  
Lizeet López ◽  
Hugo Loor Lino

  Las distocias del mecanismo del parto en gestantes pueden generar consecuencias significativas tanto maternas como fetales y neonatales, existiendo diversos factores de riesgo asociados a dicha condición. La prevalencia de las distocias es variable para cada localidad, presentándose en el 0,3 % a de los casos. En este sentido, el objetivo de este trabajo fue determinar los principales factores de riesgo que se asocian a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. Se realizó un estudio descriptivo y retrospectivo, con 250 embarazadas atendidas en el periodo de enero 2018 a diciembre 2019. Las distocias de los mecanismos del parto en primíparas en el Hospital Dr. Verdi Cevallos se presentaron con más frecuencia en las edades entre los 20 y 34 años, con grado de instrucción secundaria, y de zonas rurales. Los principales factores de riesgos modificables asociados a distocias fueron los controles prenatales insuficientes, sobrepeso y obesidad de las gestantes; además de ganancia de peso inadecuada durante el embarazo, bajo peso fetal, duración prolongada de la primera fase del trabajo de parto e inducción del mismo. Los factores de riesgos no modificables identificados fueron la presentación de cara, estrechez pélvica, malformaciones uterinas, hipertensión arterial como enfermedad crónica asociada, talla materna menor a 140 cm y parto prolongado de más de 20 horas. Las complicaciones maternas tuvieron una alta incidencia y dentro de ellas, las cesáreas fueron las más frecuentes, mientras que el distress respiratorio fue la complicación neonatal más presentada.   Palabras clave: Distocia, factores de riesgo, peso elevado, malformaciones uterinas, complicaciones.   Abstract Dystocia of the delivery mechanism in pregnant women can generate significant maternal, fetal and neonatal consequences, with various risk factors associated with this condition. The prevalence of dystocia is variable for each locality, occurring in 0.3% of cases. In this sense, the objective of this study was to determine the main risk factors associated with dystocia in the delivery mechanism in primiparous pregnant women treated at the Dr. Verdi Cevallos Balda Hospital. A descriptive and retrospective study was carried out, with 250 pregnant women seen in the period from January 2018 to December 2019. Dystocia of the labor mechanisms in primiparous women at the Dr. Verdi Cevallos Hospital occurred more frequently in the ages between 20 and 34 years old, with a secondary education degree, and from rural areas. The main modifiable risk factors associated with dystocia were insufficient prenatal care, overweight and obesity in pregnant women; as well as inadequate weight gain during pregnancy, low fetal weight, prolonged duration of the first phase of labor and its induction. The non-modifiable risk factors identified were face presentation, pelvic narrowing, uterine malformations, arterial hypertension as an associated chronic disease, maternal height less than 140 cm and prolonged labor of more than 20 hours. Maternal complications had a high incidence and within them, caesarean sections were the most frequent, while respiratory distress was the most common neonatal complication.   Keywords: Dystocia, risk factors, high weight, uterine malformations, complications.


2019 ◽  
Vol 02 (02) ◽  
pp. 125-125
Author(s):  
Baraja-Vegas L. ◽  
Troyano Ruiz M. ◽  
Martí Rubio E. ◽  
Galvéz García J.

Abstract Background Invasive techniques in physical therapy is a term used to refer to a group of techniques in which the physical agent used for the treatment of different pathologies crosses the skin barrier. The aim of this study was to examine the scientific evidence on the invasive techniques that are most used in physical therapy, by reviewing the literature available on this subject. Material and Methods A literature search was performed on the EBSCOhost, PubMed, Web of Science (WOS), PEDro and TRIP databases. The selected studies were: randomized clinical trials (RCTs), systematic reviews of RCTs and meta-analyses of RCTs. Studies had to be published between 2008 and 2018, conducted on men and women over the age of 18 and in English or Spanish. Results In total, 64 studies were retrieved, which were read and scrutinized to confirm whether they were relevant for the present study. Finally, after the various screening processes, a sample of 21 articles was obtained. The level of evidence was analyzed as well as the level of recommendation according to the Oxford scale, together with an impact index according to the Journal Citation Reports (JCR). Seventeen of the studies were meta-analyses and systematic reviews of RCTs, and one systematic review of cohort studies was included. Conclusion After the analysis of the selected articles and the conclusions, invasive techniques in physical therapy are confirmed to be relatively safe and effective for different pathologies, especially when performed in depth and when the local twitch response (LTR) is sought.


2011 ◽  
Vol 5 (6) ◽  
pp. 1374
Author(s):  
Ana Lucia Becker Vieira Billig ◽  
Maria Claudia Irigoyen ◽  
Silvia Goldmeier

ABSTRACTObjective: to identify the prevalence of hypertension and risk factors (RF) associated in nurses and nursing technicians in a general hospital, combining the results of the professions, shifts and working places. Methodology: this is about a cross-sectional study with two hundred professionals. It was applied a structured questionnaire, measure the stress (ISMA) and the measurements of BP, BMI and WC. Results: the mean age was 32,9 ± 8,9 , females 85.5%, white 91.5% and hypertension of 34%. For the multivariate model, factors associated with hypertension were the night shift, the age, the sex, the obesity, and the nursing profession. Conclusion: a rolling program of health education and a institution’s policy focused on prevention of risk factors should be adopted. For being a young population more sensitive as other measures of HRV measure is needed to refine results to be adopted by the institution because it is a young population and more sensitive measures of HRV as a measure is needed to refine results. Descriptors: hypertension; risk factors; nursing team.RESUMOObjetivo: identificar a prevalência de HAS e fatores de riscos (FR) associados em enfermeiros e técnicos de enfermagem em um Hospital geral, associando os resultados entre as profissões, turnos e locais de trabalho. Metodologia: trata-se de um estudo transversal com duzentos profissionais de enfermagem. Foi aplicado um questionário estruturado além de um inquérito para mensurar o stress (ISMA), a PA, o IMC e a CC. Resultados: a idade foi de 32,9 ± 8,9, do sexo feminino 85,5%, raça branca 91,5% e a HAS foi de 34%. Pelo modelo multivariado, o turno noturno, a idade,o sexo, a obesidade e os enfermeiros estavam associados com hipertensão. Conclusão: um programa continuado de educação em saúde e uma política da instituição enfocando a prevenção aos fatores de risco deverá ser adotada. Por tratar-se de uma população jovem outras medidas mais sensíveis como medida da VFC são necessárias para refinar resultados. Descritores: hipertensão; fatores de risco; equipe de enfermagem.RESUMENObjetivos: determinar la prevalencia de la hipertensión y factores de riesgo (FR) asociados en enfermeros y profesionales de enfermería en un Hospital General, combinando los resultados entre las profesiones, los turnos y lugares de trabajo. Metodología: estudio transversal compuesto de dos centenares de profesionales. Se aplicó un cuestionario estructurado, una encuesta para medir el estrés (ISMA) y la medición de la PA, el IMC y la CC. Resultados: edade 32,9 ± 8,9 mujeres (85,5%), los blancos (91,5%) y la HAS del 34%. Para el modelo multivariado, los factores asociados con la hipertensión fueron el turno de la noche, la edad, el sexo, la obesidad y la profesión de enfermero. Conclusión: un programa permanente de educación para la salud y una política de la institución dirigida a la prevención de factores de riesgo ha de ser adoptada. Por ser una población joven, otras medidas más sensibles de medida como la VFC se necesita para perfeccionar los resultados. Descriptores: hipertensión arterial; factores de riesgo; equipo de enfermería.


2010 ◽  
Vol 21 (1) ◽  
pp. 19-27
Author(s):  
Lissette Messana ◽  
◽  
Ivette Castillo ◽  
Yaite Hernández ◽  
Niurka Manresa ◽  
...  

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Dayami Martínez Sosa ◽  
Oswaldo Vásconez Hatt ◽  
Katherine Rosero Arboleda ◽  
Fabian Zurita Alvarado ◽  
Mónica Hernández Lojano ◽  
...  

By the ending of 2019 a new type of coronavirus was identified named SARS-CoV 2, and now known to be the etiological agent of the acute respiratory syndrome coronavirus (SARS-CoV-2). Known as coronavirus 2019 disease or (COVID-19) constitutes a challenge for the world in many unknown aspects and problems in public health. In Ecuador the first reported of a confirmed appeared on February 29 2020, and in March 12 an emergency health status is declared. Objective: To determine the epidemiological characteristics and factors related to death and survival in patients with COVID-19. Design: The study is of transversal retrospective design, the patients chosen were those seen in the respiratory or suspicious of COVID-19 area of Hospital Vozandes Quito between March 2 and April 30. Demographic data and related risk factors for mortality were obtained using the EPI-1 individual form, epidemiological research files, the VI Epi system and electronic promptuary of patients. Results: 250 patients were obtained for this study, 87 of those were confirmed COVID-19, out those eight died and 79 were alive at the ending of the follow up. Regarding the severity of illness, 61% of the patients were classified as mild and 6 % critical (p =<0.001). Elevated values of CRP (OR 1 IC 95% 1.000 – 1.024), age about 55 years old to diagnosis (OR 42,040 IC 95% 36,320 – 47,760) and the presence of hiporexia (OR 24 IC 95% 1.183 – 504.413) were associated with higher mortality levels amongst COVID-19 positive patients. Conclusions The majority of COVID-19 cases showed no serious manifestations, were treated symptomatically and home isolation. Elevated values of CRP and the presence of hiporexia at the diagnosis are factors consistently with death. Future investigations are required to determine the risk factors associated with worst clinical course and prognosis.


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