scholarly journals Clinical-epidemiological profile of patients with pressure injuries in the hospital context

2020 ◽  
Author(s):  
Lidiane Souza Lima ◽  
Neylor Rodrigo Oliveira Aragão ◽  
Gleyce Kelly de Brito Brasileiro Santos ◽  
Eduesley Santana Santos ◽  
Cátia Suely Palmeira
Keyword(s):  
The Elderly ◽  
Nutritional Therapy ◽  
University Hospital ◽  
Smoking History ◽  
The People ◽  
Sacrococcygeal Region ◽  
Pressure Injury ◽  
Assistance Service ◽  
Care Assistance ◽  
Epidemiological Profile

Objective: describe the clinical-epidemiological profile of patients with pressure injuries admitted to a university hospital. Method: descriptive study with 122 patients with pressure injuries admitted to a university hospital between January 2018 and December 2019. Data were collected from patients’ medical records and from the Serviço Assistencial de Cuidados com a Pele (Skin Care Assistance Service) database. Descriptive statistics were used for data analysis. Results: pressure injuries predominated among adults and the elderly, browns, who studied up to elementary school and had no partner. There was a similarity between the sexes. The patients had, mainly, infectious disease, one or more comorbidities, nutritional alteration, mixed incontinence and used nutritional therapy, but did not present dermatitis associated with incontinence and smoking history. Most patients were classified as high risk of pressure injury. The study totaled 237 lesions, most of which were acquired before admission, not classifiable, located in the sacrococcygeal region, treated topically with hydrogel with alginate and hydrocolloid, and not healed at the time of hospital discharge. Conclusion: the studydescribed important aspects of the characterization of pressure injuries, as well as the people affected by this serious health problem, which can optimize prevention and treatment actions.

scholarly journals CLINICAL AND EPIDEMIOLOGICAL PROFILE OF ELDERLY PATIENTS WITH CHAGAS DISEASE FOLLOWED BETWEEN 2005-2013 BY PHARMACEUTICAL CARE SERVICE IN CEARÁ STATE, NORTHEASTERN BRAZIL

2015 ◽  
Vol 57 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Laíse dos Santos PEREIRA ◽  
Erlane Chaves FREITAS ◽  
Arduína Sofia Ortet de Barros Vasconcelos FIDALGO ◽  
Mônica Coelho ANDRADE ◽  
Darlan da Silva CÂNDIDO ◽  
...  
Keyword(s):  
Pharmaceutical Care ◽  
Chagas Disease ◽  
Family Income ◽  
Care Service ◽  
The Elderly ◽  
University Hospital ◽  
Northeastern Brazil ◽  
Bundle Branch Block ◽  
Epidemiological Profile ◽  
Pharmaceutical Care Service

By controlling the transmission of Chagas disease, the challenge of providing assistance to millions of infected patients that reach old age arises. In this study, the socioeconomic, demographic and comorbidity records of all elderly chagasic patients followed at the Pharmaceutical Care Service of the Chagas Disease Research Laboratory were assessed. The information related to the clinical form of the disease was obtained from medical records provided by the Walter Cantídio University Hospital. The profile of the studied population was: women (50.5%); mean age of 67 years; retired (54.6%); married (51.6 %); high illiteracy rate (40.2%); and family income equal to the minimum wage (51.5%). The predominant clinical forms of Chagas disease were cardiac (65.3%) and indeterminate (14.7%). The main electrocardiographic changes were the right bundle branch block (41.0%), associated or not with the anterosuperior left bundle branch block (27.4%). The average number of comorbidities per patient was 2.23 ± 1.54, with systemic arterial hypertension being the main one found (67.0%). It was found that the elderly comprise a vulnerable group of patients that associate aging with cardiac and/or digestive disorders resulting from the evolution of Chagas disease and other comorbidities, which requires special attention from health services to ensure more appropriate medical and social care.

scholarly journals Perfil epidemiológico das lesões por pressão em um hospital escola no Oeste do Paraná

2019 ◽  
Vol 19 (77) ◽  
Author(s):  
Josni Tauffer ◽  
Débora Cristina Ignásio Alves ◽  
Bruna Tais Zack ◽  
Manoela Cristina Berticelli ◽  
Maria Julia Navarro Kássim ◽  
...  
Keyword(s):  
Infection Control ◽  
Teaching Hospital ◽  
Scientific Basis ◽  
Good Prognosis ◽  
University Hospital ◽  
Cross Sectional ◽  
Average Hospital ◽  
Pressure Injury ◽  
Epidemiological Profile ◽  
Stage 1

RESUMOObjetivo: Descrever o perfil epidemiológico das lesões por pressão em um hospital escola de alta complexidade. Métodos: O presente estudo foi desenvolvido no Setor de Controle de Infecção do Hospital Universitário do Oeste do Paraná, pelo programa de Residência em Vigilância em Saúde e Controle de Infecção, caracterizado por estudo transversal, quantitativo, o qual ocorreu entre maio de 2016 a maio de 2018 através de tabelas de controle das lesões por pressão, relatórios em prontuário eletrônico e fichas de avalição pela comissão de curativos. Resultados: A amostra foi de 227 fichas de notificações de lesões por pressão, 161 (71%) eram do sexo masculino, 195 (85,9%) eram pacientes da cor branca. Com relação a idade, variou-se entre 23 dias a 93 anos com média de 54,8 anos (DP ± 21,6) entre ambos os sexos. A média de dias de internação foi de 45 dias (DP ± 42), e o tempo médio de surgimento da lesão foi de 18 dias (DP ± 21) após a admissão. Um total de 206 pacientes (91%) possuía algum tipo de comorbidade. Entre as clínicas/diagnóstico observou-se que houve predominância entre trauma, patologias neurológicas e patologias pulmonares, com 27,30%, 26,00% e 23,80% respectivamente. A variação de número de lesões por paciente foi de 1 a 5 lesões com média de 1,19. Dessas lesões cerca de 47,14% eram em região sacral e 32,60% de todas as lesões eram descritas como estágio 1. Em relação ao desfecho dos casos 89 pacientes (39%) evoluíram a óbito. Conclusão: O conhecimento da realidade institucional proporciona ao profissional base cientifica para tomada de decisões. As práticas baseadas em evidência vêm cada vez mais tomando os espaços de prestação de assistência, contribuindo para aprimoramento das técnicas aos quais refletem diretamente no bom prognóstico dos pacientes aos quais são aplicados.Palavras-chave: Lesão por Pressão; Epidemiologia; Enfermagem Epidemiological profile of pressure injuries in a teaching hospital in Paraná West RegionABSTRACTObjective: To describe the epidemiological profile of pressure injuries in a high-complexity teaching hospital. Methods: The present study was developed in the Infection Control Sector of the University Hospital of Western Paraná by the Residency Program in Health Surveillance and Infection Control, characterized by a cross-sectional quantitative study, which took place from May 2016 to May 2018 through pressure injury control tables, electronic medical record reports and assessment sheets by the dressing committee. Results: The sample consisted of 227 reports of pressure injury reports, 161 (71%) were male, 195 (85.9%) were white. Regarding age, it ranged from 23 days to 93 years with an average of 54.8 years (SD ± 21.6) between both sexes. The average hospital stay is 45 days (SD ± 42), and the average time of onset of the lesion was 18 days (SD ± 21) after admission. A total of 206 patients (91%) had some kind of comorbidity. Among the clinics / diagnosis it was observed that there was a predominance between trauma, neurological and pulmonary pathologies, with 27.30%, 26.00% and 23.80% respectively. The number of lesions per patient ranged from 1 to 5 lesions with a mean of 1.19. About 47.14% of these lesions were in the sacral region and 32.60% of all lesions were described as stage 1. Regarding the outcome of the cases, 89 patients (39%) died. Conclusion: Knowledge of the institutional reality provides the professional with scientific basis for decision making. Evidence-based practices are increasingly taking over care spaces, contributing to the improvement of techniques that directly reflect the good prognosis of the patients to whom they are applied.Keywords: Pressure Injury; Epidemiology; Nursing

scholarly journals Building the Universidad Nacional de Colombia Hospital: Reconciling social and academic aspects

2015 ◽  
Vol 62 (4) ◽  
pp. 641-646 ◽  
Author(s):  
Juan Carlos García-Ubaque
Keyword(s):  
Quality Care ◽  
The Elderly ◽  
Chronic Illnesses ◽  
University Hospital ◽  
Academic Needs ◽  
Care Needs ◽  
National University ◽  
Epidemiological Profile ◽  
The University ◽  
The City

<p>In the process of building the National University Hospital, an<br />analysis of the changing epidemiological profile of the population of Bogotá was undertaken, which examined the health care needs of the city, the academic needs of the university and institutional possibilities. It was made an analysis of the demographic and epidemiological profile of the population of Bogotá.</p><p><br />It was concluded that there were factors associated with the<br />epidemiological transition of aging, such as a low availability<br />of health services for the elderly and diseases related to that<br />care. Just as in the university, the hospital needs to develop<br />all aspects of patient care to be able to adequately respond<br />to the needs of this demographic from an interdisciplinary<br />perspective, ensuring quality care based on the criteria of<br />timeliness, accessibility, relevance, sufficiency, and continuity.</p><p>A proposal is outlined concluding that the first phase of the<br />portfolio of services that the University Hospital offers must<br />be geared towards geriatric care and chronic illnesses, due to<br />the aging of the general population as a result of a decline in<br />fertility and mortality. This care would cater towards so-called<br />permanent conditions that result in disability, or not easily<br />reversible physiopathological conditions that require longterm<br />care, as well as special training in secondary prevention<br />and rehabilitation for the patient and the family.</p>

Economic Value of Pavement for the Elderly: Case Study of Bangkok, Thailand

2018 ◽  
Vol 9 (11) ◽  
pp. 927-937
Author(s):  
Somskaow Bejranonda ◽  
◽  
Aekkapat Laksanacom ◽  
Waranan Tantiwat ◽  
◽  
...  
Keyword(s):  
Contingent Valuation Method ◽  
Economic Value ◽  
The Elderly ◽  
Pavement Management ◽  
Sustainable Urban Development ◽  
Public Facility ◽  
Average Value ◽  
Valuation Method ◽  
The People ◽  
The City

Based on the concept of a livable and global age-friendly city, pavements are a public facility that the city should provide to the people. Appropriate pavements will be beneficial for the people, particularly for good quality of life for the elderly to move around in the city. This study explored the behaviour of the elderly in the use of pavements and the problems confronted. The study also evaluated the value of the pavement walking area as it reflected the benefits of pavements to the elderly by applying the Contingent Valuation Method (CVM). During March-May 2017, data were collected using interviews with 601 elderly living in Bangkok. The study indicated that the main problem for senior citizens regarding their use of pavements was from being disturbed by motorbikes riding on the pavements. The average value of pavement for the elderly was about THB 160 (USD 5.30) per person per year. Thus, the benefits of pavements to the elderly in Bangkok was approximately THB 158 million (USD 5.2 million) per year. Thus, policy makers should make proper budget allocations for elderly-friendly pavement management and seriously address the problems confronting the elderly in using pavements, to maximize the usefulness of pavements not only for the elderly but also for the public and to support a sustainable urban development.

scholarly journals AnkFall—Falls, Falling Risks and Daily-Life Activities Dataset with an Ankle-Placed Accelerometer and Training Using Recurrent Neural Networks

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1889
Author(s):  
Francisco Luna-Perejón ◽  
Luis Muñoz-Saavedra ◽  
Javier Civit-Masot ◽  
Anton Civit ◽  
Manuel Domínguez-Morales
Keyword(s):  
Elderly Person ◽  
Fall Detection ◽  
The Elderly ◽  
Daily Life Activities ◽  
Learning Classifier ◽  
The People ◽  
Activity Types ◽  
Remote Monitoring Systems ◽  
Secondary Study

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility.

Low frequency of request for liaison psychiatry: A difficulty in the early detection of mental disorders by medical assistants?

2017 ◽  
Vol 41 (S1) ◽  
pp. S487-S487
Author(s):  
M. Aguiar Machado ◽  
J. Gonçalves Oliveira ◽  
E. Oliveira Cunha ◽  
E. Vieira de Melo ◽  
E. Oliva-Costa
Keyword(s):  
Depressive Symptoms ◽  
Mental Disorders ◽  
Early Detection ◽  
Clinical Medicine ◽  
Demographic Data ◽  
Low Frequency ◽  
Hospitalized Patients ◽  
University Hospital ◽  
Liaison Psychiatry ◽  
Epidemiological Profile

IntroductionThe liaison psychiatry (LP) is a feature used by the psychiatrist in order to improve the management of patients with mental suffering and/or mental disorder admitted to general hospital.ObjectivesTo characterize the epidemiological profile of hospitalized patients at the university hospital of the federal university of Sergipe (HU-UFS) submitted to LP.Methodsretrospective and observational study, through analysis of medical records of patients admitted in the wards of clinical medicine and surgery from the HU-UFS, in the period from January to December 2015, submitted to LP. The information collected fed a specific questionnaire developed by the authors, intended for research of socio-demographic data and clinical profile.Resultsthe frequency of request for IP was of 3.5%, with the majority of applications was performed by clinical medicine (71.2%), while the surgical clinic was responsible for 28.8%. The main reason for the request of LP was the presence of depressive symptoms (49.1%). There was a predominance of females (52.5%) and the mean age was 45.9 ± 14.6 years.ConclusionsThe frequency of request for LP was very low, suggesting a difficulty in the early detection of mental disorders by physicians. This finding points to an underreporting of cases, since the prevalence of depressive symptoms in hospitalized patients is over 50% in this institution.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical diagnosis of 80 cases of dementia in a university hospital

2013 ◽  
Vol 62 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Renata Teles Vieira ◽  
Norami de Moura Barros ◽  
Leonardo Caixeta ◽  
Sergio Machado ◽  
Adriana Cardoso Silva ◽  
...  
Keyword(s):  
Demographic Data ◽  
Lewy Body Dementia ◽  
The Elderly ◽  
Healthcare Services ◽  
Epidemiological Studies ◽  
University Hospital ◽  
Functional Activities ◽  
Considerable Impact ◽  
The City ◽  
State Examination

OBJECTIVE: This study aims to estimate the prevalence of dementia subtypes and to assess the socio-demographic data of patients attending the outpatient clinic of dementia at Hospital das Clínicas from January 2008 to December 2009, in the city of Goiânia-GO, Brazil. METHODS: Procedures provided for diagnosis included physical and neurological examination, laboratory tests, neuroimaging and DSM-IV. The functional capacity and level of cognitive deficit were assessed by Pfeffer Functional Activities Questionnaire (Pfeffer-FAQ) and Mini-Mental State Examination (MMSE), respectively. RESULTS: Eighty patients met the criteria for dementia. The mean age was 63.48 (± 16.85) years old, the schooling was 3.30 (± 3.59) years old, the MMSE was 13.89 (± 7.79) and Pfeffer 17.73 (± 9.76). The Vascular Dementia (VD; 17.5%) was the most frequent cause of dementia, followed by Lewy body dementia (LBD) and Alzheimer's disease (AD) (12.25%). CONCLUSION: Considering entire sample and only the elderly over 60 years, VD, AD and LBD are the most common subtypes observed at both groups. Further epidemiological studies are necessary to confirm such rates, which may have a considerable impact on the organization and planning of healthcare services in our country.

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