scholarly journals Estudo descritivo sobre o financiamento da assistência à saúde frente ao tratamento cirúrgico de fratura do tornozelo e retirada de placas/parafuso em Belo Horizonte, Minas Gerais, Brasil, 2014–2019

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Pedro Sebastião De Oliveira Lazaroni ◽  
Luciana Alves Silveira Monteiro ◽  
Alesson Filipi Bernini ◽  
Gustavo Damazio Heluy
Keyword(s):  
Health Care ◽  
Surgical Treatment ◽  
Ankle Fracture ◽  
Health Care Financing ◽  
Descriptive Study ◽  
Minas Gerais ◽  
Ankle Fractures ◽  
Ankle Injuries ◽  
Belo Horizonte ◽  
Ankle Dislocation

Objetivo: descrever as internações e os custos hospitalares por tratamento cirúrgico de fratura do tornozelo unimaleolar; por tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura luxação do tornozelo; e por retirada de placa e/ou parafusos, no período de 2014 a 2019, no município de Belo Horizonte, Minas Gerais. Métodos: estudo retrospectivo descritivo realizado entre 2014 a 2019 com dados epidemiológicos obtidos no banco de dados do Departamento de Informática do Sistema Único de Saúde, oriundos do cadastro da Autorização de Internação Hospitalar e dos valores, total e por serviços hospitalares, despendidos com o tratamento cirúrgico de fratura do tornozelo unimaleolar; o tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura de luxação do tornozelo; e o procedimento de retirada de placa e/ou parafusos. Resultados: entre 2014 e 2019 foram registrados 13.721 procedimentos cirúrgicos em região de tornozelo, sendo gastos R$ 7.889.737,75 com as intervenções invasivas. Conclusão: sugere-se a partir dos resultados desta pesquisa a necessidade de reforçar políticas públicas voltadas para a implementação de ações concretas, para à busca de melhor eficácia no processo de seleção de materiais, revisão de protocolos clínicos e cirúrgicos.Palavra-chave: fraturas do tornozelo; fixação interna de fraturas; traumatismos do tornozelo; financiamento da assistência à saúde; ortopedia. Descriptive study on health care financing for surgical treatment of ankle fractures and removal of plates / screws in Belo Horizonte, Minas Gerais, Brazil, 2014-2019 ABSTRACTObjective: to describe hospitalizations and hospital costs for surgical treatment of unimaleolar ankle fractures; by surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and by removing the plate and / or screws, from 2014 to 2019, in the city of Belo Horizonte, Minas Gerais. Methods: retrospective descriptive study carried out between 2014 and 2019 with epidemiological data obtained in the database of the Department of Informatics of the Unified Health System, from the Hospitalization Authorization record and the values, total and for hospital services, spent on treatment surgical fracture of the unimaleolar ankle; surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and the procedure for removing the plate and / or screws. Results: between 2014 and 2019, 13,721 surgical procedures were recorded in the ankle region, with R$ 7,889,737.75 being spent on invasive interventions. Conclusion: it is suggested from the results of this research the need to reinforce public policies aimed at implementing concrete actions, in order to seek better efficiency in the process of selecting materials, reviewing clinical and surgical protocols.Keywords: ankle fractures; internal fracture fixation; ankle injuries; health care financing; orthopedics.

Rastreamento do câncer de colo de útero em mulheres mineiras de 2012 –2015

Bionorte ◽  
2021 ◽  
pp. 160-167
Author(s):  
Maria Vitória Souza Pereira ◽  
Renata Souza Leite Vieira
Keyword(s):  
Data Collection ◽  
Secondary Data ◽  
Descriptive Study ◽  
Minas Gerais ◽  
Age Group ◽  
High Involvement ◽  
Belo Horizonte

Objective: to analyze the results of the LSIL and HSIL screening from July 2012 to July 2015. Materials and Methods: descriptive study based on secondary data from SISCOLO.Results: In the period from June 2012 to July 2015, 2,451,607 cytopathological exams were performed in Minas Gerais, with 743,276, 2013 1,099,876 and 2014 608,455 in women aged 10 to over 64 years. Where, there is a deficit in data collection. The main cities that had the highest number of positive cases for LSIL and HSIL, we have Belo Horizonte, Juiz de Fora, Montes Claros and Uberlândia, in both injuries, Belo Horizonte has the highest number of positive cases. Conclusion: there is a common age group between 25 and 34 years old with a high involvement of LSIL and HSIL

scholarly journals Initial Evaluation by a Nonoperative Provider Does Not Delay the Surgical Care of Operative Ankle Fractures in a Walk-in Orthopaedic Clinic

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0017
Author(s):  
Matthew N Fournier ◽  
Joseph T Cline ◽  
Adam Seal ◽  
Richard A Smith ◽  
Clayton C Bettin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Ankle Fracture ◽  
Initial Evaluation ◽  
Orthopaedic Surgeon ◽  
Ankle Fractures ◽  
Definitive Treatment ◽  
Foot And Ankle ◽  
Orthopaedic Clinic ◽  
Orthopaedic Surgeons ◽  
Clinic Visits

Category: Ankle, Trauma Introduction/Purpose: Walk-in and “afterhours” clinics are a common setting in which patients may seek care for musculoskeletal complaints. These clinics may be staffed by orthopaedic surgeons, nonsurgical physicians, advanced practice nurses, or physician assistants. If orthopaedic surgeons are more efficient than nonoperative providers at facilitating the care of operative injuries in this setting is unknown. This study assesses whether evaluation by a nonoperative provider delays the care of patients with operative ankle fractures compared to those seen by an orthopaedic surgeon in an orthopaedic walk-in clinic. Methods: Following IRB approval, a cohort of patients who were seen in a walk-in setting and who subsequently underwent surgical treatment for an isolated ankle fracture were retrospectively identified. The cohort was divided based on whether the initial clinic visit had been conducted by an operative or nonoperative provider. A second cohort of patients who were evaluated and subsequently treated by a fellowship-trained foot and ankle surgeon in their private practice was used as a control group. Outcome measures included total number of clinic visits before surgery, total number of providers seen, days until evaluation by treating surgeon, and days until definitive surgical management. Results: 138 patients were seen in a walk-in setting and subsequently underwent fixation of an ankle fracture. 61 were seen by an orthopaedic surgeon, and 77 were seen by a nonoperative provider. No significant differences were found between the operative and nonoperative groups when comparing days to evaluation by treating surgeon (4.1 vs 4.5, p=.31), or days until definitive surgical treatment (8.4 vs 8.8, p=.58). 62 patients who were seen and treated solely in a single surgeon’s practice had significantly fewer clinic visits (1.11 vs 2.03 and 2.09, p<.05), as well as days between evaluation and surgery compared to the walk-in groups (5.44 vs 8.44 and 8.78, p<.05). Conclusion: Initial evaluation in a walk-in orthopaedic clinic setting is associated with a longer duration between initial evaluation and treatment compared to a conventional foot and ankle surgeon’s clinic, but this difference may not be clinically significant. Evaluation by a nonoperative provider is not associated with an increased duration to definitive treatment compared to an operative provider.

scholarly journals Predictors of early complications following surgical treatment of geriatric ankle fracture

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Seung-Myung Choi ◽  
Byung-Ki Cho
Keyword(s):  
Surgical Treatment ◽  
Glycemic Control ◽  
Wound Infection ◽  
Ankle Fracture ◽  
Chronic Renal Disease ◽  
Multiple Logistic Regression Analysis ◽  
Serum Glucose ◽  
Ankle Fractures ◽  
Major Complications ◽  
Geriatric Ankle Fracture

Category: Ankle, Diabetes, Trauma Introduction/Purpose: Factors predicting complications after surgical treatment of geriatric ankle fractures include presence of various comorbidities such as diabetes, chronic renal disease. However, beyond the binary definition of presence or absence, further speci? c information of these comorbidities such as their chronicity, severity and/or perioperative laboratories have not been studied as risk factors for postoperative complications. The purpose of this study is to investigate the association between the measurements of comorbidities and complications within the? rst 30 days following surgical treatment of geriatric ankle fracture. Methods: A retrospective cohort study. From 2000 to 2015, we collected patient demographics, comorbidities-related data including laboratory values and complications within 30 days following open reduction and internal fixation of low energy ankle fractures in patients older than 65 years. Multiple logistic regression analysis was performed to determine factors affecting minor (super? cial wound infection, delayed wound healing, urinary tract infection, pneumonia), major complications (deep wound infection, loss of? xation, deep venous thrombosis, organ/space failure). Results: In total, 1,358 patients were included for analysis. The average age was 70.54 years (SD, 7.40). There were 895 (66%) females and 463 (34%) males. Baseline glucose concentrations >200 mg/dL (p < 0.001) and the mean 48 hour postoperative serum glucose concentrations >150 mg/dL (p < 0.001), history of taking wound compromising medications (p = 0.003) were signi? cantly associated with minor complications. Preoperative glycated hemoglobin (HbA1c) >6.5% (p < 0.001), estimated glomerular? ltration rate (eGFR) <45 mL/min/1.73 m2 (p < 0.001), dependent functional status and presence of two or comorbidities (p < 0.001) were statistically associated with major complications. Conclusion: poor glycemic control in the perioperative period, wound-compromising medications were associated with increased rates of minor complications, whereas poor chronic glycemic control (HbA1c), decreased renal function and vulnerability with multiple comorbid conditions were associated with major complications. Perioperative blood glucose management may prevent minor complications, whereas and mean serum glucose concentrations of 150 mg/dL and higher during this time period

scholarly journals Does Patient Self-Awareness Predict Ankle Fractures?

2021 ◽  
Vol 8 ◽  
Author(s):  
Shaza Aouthmany ◽  
Tymon Horn ◽  
Michelle Howe ◽  
Edward Kakish ◽  
Alana Kakish ◽  
...  
Keyword(s):  
Ankle Fracture ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The United States ◽  
Ankle Fractures ◽  
Ankle Injuries ◽  
Self Awareness ◽  
Self Assessment ◽  
X Ray ◽  
Decision Making Processes

Introduction: Ankle injuries represent one of the most common sports and extremity related complaints presented in emergency departments (ED) with over five million ankle injuries annually arising in the United States. The 2007 US National Health Statistics Report stated that lower limb and ankle complaints accounted for 4.1% of all reported body sites undergoing injury in the ED. The purpose of this study was to examine how frequently a sample of ED patients’ perception of having a possible ankle fracture was predictively associated with results of their X-ray evaluation results. Methods: After 2017 IRB approval, a sample of consented adult patients receiving care at the authors’ two Ohio and Michigan ED were asked, “Do you think you broke your ankle?” Regardless of each patient’s answer, they received an X-ray to evaluate for an ankle fracture that was interpreted by a radiologist. Results: A total of 69 eligible patients received an ankle X-ray. The total number of ankle fractures confirmed by X-ray was 20 (29.4% of sample) while 48 (70.5%) of ankles that were X-rayed were not fractured. Six (28.5%) out of 21 males and 14 (30.4%) out of 46 females were found to have a confirmed ankle fracture. The sensitivity of the perceived ankle fracture question was at or below 50% in all sample subgroups except for smokers at 67%. Conclusion: These findings support the importance of an ED clinician’s intuition when considering a patient’s own self-assessment during their clinical decision-making processes

Postoperative Outcomes for Plate-Screw Fixation in Adolescent Patients with Ankle Fracture

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Mehmet Ali Talmaç ◽  
Mehmet Akif Görgel ◽  
Yusuf Yahşi ◽  
Muharrem Kanar ◽  
Ali Seker ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Ankle Fracture ◽  
Screw Fixation ◽  
High Energy ◽  
Low Energy ◽  
Ankle Fractures ◽  
Postoperative Outcomes ◽  
Trauma Patients ◽  
High Energy Trauma ◽  
Adolescent Patients

Backround We compared postoperative outcomes in adolescent patients who did and did not undergo plate-screw fixation of at least one of the lateral, medial, or posterior malleoli in ankle fractures. It was hypothesized that using plate-screw fixation would not negatively affect postoperative outcomes. Methods All of the preoperative data and postoperative outcomes for 56 patients with ankle fractures aged 12 to 15 years who underwent surgical treatment between January 1, 2007, and December 31, 2017, were reviewed retrospectively. Patients were grouped into plate-screw fixation (n = 15) and non–plate-screw fixation (n = 41) groups and as high- and low-energy trauma patients. Results There were no significant differences in postoperative outcomes between the plate-screw fixation and non–plate-screw fixation groups. The mean American Orthopaedic Foot & Ankle Society score of high-energy trauma patients was significantly lower than that of low-energy trauma patients (P &lt; .001), and the rate of degenerative change in high-energy trauma patients was significantly higher than that in low-energy trauma patients (P = .008). There were no significant differences between high- and low-energy trauma patients with respect to other postoperative outcomes. Conclusions If anatomical reduction is performed without damaging the growth plate, postoperative clinical outcomes may be near perfect regardless of screw-plate fixation use. Postoperative outcomes of adolescent ankle fracture after high-energy trauma, independent of Salter-Harris classification and surgical treatment methods, were negative.

Quality of life of three health care workers categories in a hospital in Minas Gerais, Brazil

2010 ◽  
Vol 4 (3) ◽  
pp. 1365
Author(s):  
Josiane Costa Sales ◽  
Carolina Marques Borges ◽  
Odete Vicente Moreira Alves ◽  
Lívia Wagner Paes ◽  
Ana Cristina Viana Campos
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Workers ◽  
Descriptive Study ◽  
Minas Gerais ◽  
World Health ◽  
World Health Organization Quality ◽  
Calidad De Vida ◽  
Care Workers

ABSTRACTObjective: investigate the quality of life of three health care workers in a philanthropic Hospital in Minas Gerais. Method: this is about a descriptive study, from transversal design (n=27) with nurses, doctors and physiotherapists whom work in a philanthropic Hospital in Minas Gerais. The valid and reliable Portuguese WHOQOL-bref version was used as a tool to measure quality of life. The study was approved by the Research Ethics Committee of the Pontifícia Universidade Católica de Minas Gerais, Brazil with protocol number 1662.0.000.213-0. Results: dichotomization of all WHOQoL scores based on respective medians showed that most of professionals had partial scores under it: Physic (55.6%), Psychology (63.0%), Social (74.1%) and Environmental (70.4%). Conclusions: measurement of health care workers’ quality of life suggests low quality of life among them, however due descriptive study design it was not possible to consider none comparison among the three health care worker’s categories. Descriptors: quality if life; professional practice; intensive care units.RESUMOObjetivo: investigar a qualidade de vida de três categorias profissionais da saúde de um hospital filantrópico de Minas Gerais, Belo Horizonte, Brasil. Método: trata-se de estudo transversal descritivo (n=27) com enfermeiros, médicos e fisioterapeutas de um Hospital Filantrópico no interior de Minas Gerais. O instrumento utilizado para mensurar a qualidade de vida foi o World Health Organization Quality Of Life na sua versão abreviada traduzida e validada para o português, mediante a aprovação do Comitê de Ética em Pesquisa da Pontifícia Universidade Católica de Minas Gerais sob o Certificado de Apresentação para Apreciação Ética (CAAE) – 1662.0.000.213-0. Resultados: a dicotomização dos escores do WHOQoL feitas pelas respectivas medianas mostrou que a maioria dos profissionais apresentou escore parcial abaixo da mediana, Físico (55,6%), Psicológico (63,0%), Social (74,1%) e Ambiental (70,4%). Conclusão: a mensuração da qualidade de vida dos profissionais de saúde entrevistados sugere uma baixa qualidade de vida dos mesmos, no entanto devido ao caráter descritivo do estudo nao foi possivel realizar nenhum tipo de comparação entre as três categorias profissionais. Descritores: qualidade de vida; pratica profissional; unidades de terapia intensiva.RESUMENObjetivo: investigar la calidad de vida de las tres categorías de profesionales de la salud de un hospital filantrópico de Minas Gerais. Método: estudio descriptivo transversal (n=27) con las enfermeras, médicos y terapeutas en un hospital de beneficencia en el estado de Minas Gerais. El instrumento utilizado para medir la calidad de vida era la de la Organización Mundial de la Salud la calidad de vida en su versión abreviada traducido y validado por los portugueses. El estudio fue aprobado por el Comité de Ética de la Pontifícia Universidade Católica de Minas Gerais con el numero de protocolo 1662.0.000.213-0. Resultados: La dicotomía de la WHOQOL realizados por sus medianas mostraron que la mayoría de los profesionales tenían una puntuación parcial por debajo de la mediana, físico (55,6%), psicológico (63,0%), sociales (74,1%) y Medio Ambiente (70,4%). Conclusión: La medición de la calidad de vida de los profesionales de la salud sugiere una menor calidad de vida para nosotros mismos, sin embargo debido a la naturaleza descriptiva de este estudio no fue posible hacer una comparación entre las tres categorías profesionales. Descriptores: calidad de vida, práctica profesional; unidades de terapia intensiva. 

scholarly journals As Práticas Integrativas e Complementares (PICS) como Ações de Promoção da Saúde na Atenção Primária à Saúde de Belo Horizonte: Lian Gong em 18 Terapias / Health Promotion Actions in Primary Health Care: Lian Gong in 18 therapies Program at Belo Horizonte, Minas Gerais, Brazil

2020 ◽  
Vol 3 (6) ◽  
pp. 16310-16325
Author(s):  
Raquel Randow ◽  
Kátia Ferreira Costa Campos ◽  
Luzia Toyoko Hanashiro e Silva ◽  
Vânia Elizabeth Simões Duarte ◽  
Bárbara Aguiar Silva Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Minas Gerais ◽  
Primary Health ◽  
Belo Horizonte

scholarly journals Analysis of the referral system to the public endodontics service in a city within the metropolitan area of Belo Horizonte, Minas Gerais, Brazil

2019 ◽  
Vol 67 ◽  
Author(s):  
Valéria Maria Barbosa Moreira de MELLO ◽  
Marcos de OLIVEIRA JÚNIOR ◽  
Marcos Azeredo Furquim WERNECK ◽  
Flávio de Freitas MATTOS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Evaluation Research ◽  
Secondary Data ◽  
Minas Gerais ◽  
Referral System ◽  
Data Systems ◽  
Objective Health ◽  
Primary Health ◽  
Belo Horizonte

ABSTRACT Objective: Health services evaluation uses both general service monitoring indicators and evaluation research, with the aims of studying service performance and its enhancement through problem solving. This study aimed at analyzing the referral system between primary health care and the secondary level care in endodontics of the Dental Specialties Center in the city of Contagem, Minas Gerais, to seek enhancement of the existing referral protocol. Methods: Secondary data were collected from the municipal data systems as well as from services files, regarding all patients who were attended between 2009 and 2014. Results: Mean time between first appointment and treatment conclusion was 3.12 months. There was higher frequency of individuals from the administrative regions of cities with higher populations and more availability of primary health care units. Similar proportions of single and non-single rooted teeth were treated. High proportions of teeth reached the endodontics service of Dental Specialties Center without possible treatment. Conclusion: Data were generated to provide renovation of the service referral protocol.

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