scholarly journals Epidemiological profile analysis of patients hospitalized for stroke between 2015 and 2019 in Brazil

2021 ◽  
Author(s):  
Matheus Mendonça Vieira Cipriano ◽  
Thyago Trisotto Freire ◽  
Eduardo Jose Silva Gomes de Oliveira ◽  
Caio Marcio Barros de Oliveira

Background: Stroke is the second leading cause of death in Brazil and can lead to significant losses that impact patients’ quality of life and the Brazilian Health System. Objectives: To evaluate the epidemiological profile (EP) in 5 years (2015- 2019) of patients hospitalized for stroke in the Sistema Único de Saúde (SUS). Methods: Cross-sectional study on stroke data in Brazil, from January 2015 to December 2019, collected from SIH/DATASUS, based on the analysis of hospital admission authorizations (HAA), related to gender, age group (AG) and mortality rate (MR). Results: In this period, there were 768,181 HAA approved, 42.04% in the Southeast, followed by the Northeast, with 28.90%. In relation to the years of this period, 2015 had fewer hospitalizations (145,980) and 2019 had the highest number (163,247). In relation to AG, 70 to 79 years was the most affected (26.19%) of total hospitalizations in the period, followed by 60 to 69 years (24.97%). The majority of hospitalizations were male (52.10%). MR of the disease was also analyzed, which was 15.57% in Brazil in the period, being higher in North (18.38%) and lower in South (12.3%). Conclusion:Stroke significantly affected all Brazilian regions in the period. It is noteworthy that the regions with the lowest HDI (North and Northeast) had the highest MR due to the disease. The traced EP showed a higher prevalence in males and individuals aged 70 to 79 years, which is an important public health data.

1970 ◽  
Vol 4 (4) ◽  
pp. 49-60
Author(s):  
Camila Dorilêo Negretti ◽  
Pablo Girardeli Mendonça Mesquita ◽  
Nilo César do Vale Baracho

Objetivo: Determinar o perfil epidemiológico dos pacientes com Doença Renal Crônica em tratamento conservador no ambulatório do Hospital Escola de Itajubá. Materiais e Métodos: Estudo descritivo, de corte transversal, de abordagem quantitativa. Realizado com 171 pacientes atendidos em tratamento conservador no ambulatório de nefrologia no período de janeiro de 2012 a dezembro de 2013. A coleta objetivou caracterizar idade, sexo, raça, estado civil e procedência. Também foram avaliados dados do primeiro atendimento como: valores de ureia e creatinina, o grau de DRC, a etiologia e o número de retorno. Resultados: Dos doentes renais crônicos avaliados, 50,3% eram do sexo masculino, 88% da raça branca, 54,4% casados e a maioria (70,8%) possuía faixa etária prevalente >60 anos. A maioria dos atendidos, 98,5% pertence a microrregião de referência. Quanto a dados de primeira consulta, o diabetes mellitus foi a principal etiologia (38%). Os valores de ureia e creatinina acima da referência preconizada foi observado na maioria dos pacientes e o grau III de DRC em 31% dos casos. O número médio de retornos após a primeira consulta foi de três retornos em 25,13% dos pacientes. Conclusão: A pesquisa permitiu o conhecimento do perfil epidemiológico dos portadores de DRC em tratamento conservador. Os achados reforçam a necessidade de implementação de políticas voltadas para promoção e prevenção à saúde com divulgação de mais programas de controle para minimizar o surgimento de novos casos da DRC. Palavras-chave: Epidemiologia. Doença Renal Crônica. Tratamento. ABSTRACT.Objective: Determine the epidemiological profile of patients with Chronic Kidney Disease (CKD) on conservative treatment at the Hospital Escola de Itajubá. Materials and Methods: A retrospective, descriptive, cross-sectional study of quantitative approach. It was conducted with 171 patients who were treated in conservative treatment at the nephrology clinic from January 2012 to December 2013. The collection aimed to characterize age, sex, race, marital status and origin. We also evaluated data from the first service as: urea and creatinine values, the degree of CKD the etiology and the number of return. Results: Among the chronic renal patients evaluated, 50.3% were male, 88% Caucasian, 54.4% were married and the majority (70.8%) was the most prevalent age group> 60 years. Most of the patients 98.5% belong to micro region of reference. As the first appointment data, diabetes mellitus was the major cause (38%). The urea and creatinine values above the recommended reference was observed in the majority of patients and the DRC grade III in 31% of cases. The average number of returns after the fisrt visit was three return in 25.13% of patients. Conclusion: The research gave us the knowledge of the epidemiological profile of patients with CKD on dialysis. The findings reinforce the need to implement policies for health promotion and prevention with more disclosure of control programs to minimize the appearance of new cases of CKD. Keywords: Epidemiology. Chronic Kidney Disease.Treatment.


2021 ◽  
Vol 10 (2) ◽  
pp. 14-18
Author(s):  
Mehreen Zahid

BACKGROUND AND AIM Smartphones have become an essential tool now days that impact psychologically as well as physically to the user. This study rules out smartphone excess usage and its addiction amongst pupil from Colleges of Rehabilitation Sciences METHODOLOGY A cross-sectional study was conducted on 260 medical students out of which 50 dropped out later. Smartphone Addiction Scale (SAS) was used to assess the level of smartphone addiction amongst these individuals. RESULTS The statistical value of mean is 1.48 for both the genders whereas the statistical value of mean for age ranging from 20-25 years is 21.7 and the standard deviation is 0.50 for gender and 1.38 for the included age group. Only 7 participants (3.3%) were found to have low smartphone addiction level, 108 participants (51.4%) to be moderately addicted and 95 participants (45.2%) to have higher addiction. CONCLUSION The excessive use of smartphone was significant among the individuals aged 22 years and more specifically the more males than the females were found to be more addicted by smartphone. Our findings may help in the development of policies and guidelines which should be followed by the students to improve their quality of life and mental health issues such as depression and anxiety.


2021 ◽  
Vol 8 (30) ◽  
pp. 2763-2767
Author(s):  
Pratibharani Reddy ◽  
Ramesh K ◽  
Anju Mariam Jacob ◽  
Gangadhara Goud T

BACKGROUND India is doubly burdened with communicable and non-communicable diseases (NCD). Knowledge regarding morbidity profile is important for timely intervention so as to improve the quality of life. For effective health strategies, it is important to know the disease burden of a community. As for the effective preventive strategies, it’s important to know the information regarding disease burden and changing trends of diseases in the locality. Hence this study was done to find the morbidity pattern of urban population in Bellary district, Karnataka. METHODS A cross sectional study was carried out in Millerpet, urban health training centre (UHTC), Bellary, Karnataka. The respective UHTC covers 69195 populations, which has eight wards. Simple random sampling technique was adopted to select the ward. The study was carried out in the selected ward and the study duration was for a period of 3 months. Based on the estimated sample size, 416 houses were selected using random number method. Statistical package for social sciences (SPSS) software version 26 was used for analysing data. Descriptive statistics were used to describe socio demographic and morbidity conditions. RESULTS The most common morbidity among 416 houses were found to be diabetes (22.8 %) followed by hypertension (20 %) and musculoskeletal problems (9 %). Majority of the houses were of nuclear type and the most common age group was 31 - 60 (91.8 %) years followed by 13 - 30 years (80.8 %). 167 (40.1 %) houses had at least one morbidity and 451 (41.4) subjects had at least one morbidity. Socio-demographic variables like age group, family size, monthly income, occupation of head of the family and type of the family were found to be statistically significant. CONCLUSIONS The study revealed that non communicable are the most common diseases present and there is a need to further evaluate the factors responsible so that preventive measures can be taken at the earliest so as to improve the quality of life. KEYWORDS Morbidity Pattern, Urban, Bellary


2017 ◽  
Vol 11 (3) ◽  
pp. 748-756 ◽  
Author(s):  
Sigrid Tibaek ◽  
Gunvor Gard ◽  
Christian Dehlendorff ◽  
Helle K. Iversen ◽  
Fin Biering-Soerensen ◽  
...  

The aim of the current study was to compare lower urinary tract symptoms (LUTS), erectile dysfunction (ED), and quality of life (QoL) in poststroke and healthy men. Thirty poststroke men with stroke-related LUTS, and as controls, 96 healthy men participated in this controlled, cross-sectional study. Participants filled in the Danish Prostate Symptom Score (DAN-PSS-1) Questionnaire, the International Index of Erectile Function (IIEF-5), the 36-Item Short Form (SF-36), the Nocturia Quality-of-Life (N-QoL) Questionnaire. In the age group ≤55 years, comparing poststroke men with healthy controls both with LUTS, the results indicated DAN-PSS-1, total score median 13 (4-17) versus 3 (2-6), p = .05; IIEF-5 25 (14-25) versus 24 (23-25), p = .06; SF-12, total score 499 (360-679) versus 695 (644-734), p = .02; and N-QoL 98 (70-100) versus 96 (90-100), p = .65. In the age group >55 years, comparing poststroke men with healthy controls both with LUTS, the results indicated DAN-PSS-1, total score 13 (8-24) versus 5 (2-7), p < .01; IIEF-5 13 (5-20) versus 25 (24-25), p < .01; SF-36, total score 585 (456-718) versus 742 (687-772), p < .01; and N-QoL, total score 81 (66-95) versus 98 (80-100), p < .01. The results demonstrated that in age group above, but not below 55 years, poststroke men with LUTS had significantly higher frequency of severe and bothersome LUTS and ED than the healthy controls with LUTS, while QoL and N-QoL were significantly lower in comparison. It is recommended to identify and assess older poststroke men for LUTS, ED, and QoL.


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.


2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Luciana Martins da Rosa ◽  
Maria Eduarda Hames ◽  
Mirella Dias ◽  
Gisele Martins Miranda ◽  
Camila Beltrame Bagio ◽  
...  

ABSTRACT Objective: to analyze the sociodemographic and clinical profile of women with gynecological cancer in brachytherapy. Method: a cross-sectional study including records of 1,930 visits of women in brachytherapy assisted between 2006-2016 in Santa Catarina (Brazil). Collection was performed in 2019, in an institutional bank, submitted to frequency measurements, chi-square test, 95% confidence intervals, significance level of 0.05. Results: women aged 40-59 years (47.2%), white (93.3%); with elementary school (65%); cervical cancer (78.5%); stages II-III (73.3%) figured prominently. In the comparison of staging proportions in the topography variable, a higher proportion of malignant neoplasm of cervix uteri unspecified in the grouped III-IV staging (84.6%). Conclusion: the profile analysis shows the need for screening and health education for prevention and/or early detection of gynecological cancers and training of nurses specialized in radiotherapy to care for women’s health.


2017 ◽  
pp. 12-18 ◽  
Author(s):  
Darío Fernando Gaitán López ◽  
Jorge Enrique Correa Bautista ◽  
Stefano Vinaccia ◽  
Robinson Ramírez Vélez

Objective: To describe by self-report the HRQoL among schoolchildren from Bogotá, Colombia belonging to the FUPRECOL study. Methods: A cross-sectional study in 3,245 children and 3,354 adolescents, between 9 and 17.9 years old, participated in the study. Spanish version of the EQ-5D-Y was self-assessment. Percentages of missing values and reported problems were calculated. The data was analyzed by measurement of central tendency stratified by age group, and to compare them to international references. Results: A total of 58.3%, (n= 3,848) were women. In all ages, the HRQoL was higher in boys than in girls. To compare by sex, the dimensions of the EQ-5D-Y "feeling worried, sad or unhappy" and "having pain or discomfort", showed the highest frequency among women. Overall, our HRQoL were higher than South Africa, Germany and Italy references. Conclusion: The HRQoL was higher in boys than in girls The HRQoL. The dimensions of the EQ-5D-Y "feeling worried, sad or unhappy" and "having pain or discomfort", showed the highest frequency. The HRQoL by age and sex may be used in the evaluation of the health perceived among schoolchildren from Bogotá.


Author(s):  

Objective: To trace the epidemiological profile and evaluate the quality of life of patients undergoing replacement therapies, and whether there is a difference between these groups. Materials and Methods: This is a cross-sectional, descriptive, quantitative study conducted with 75 patients submitted to renal replacement therapies in a university hospital in the metropolitan region of Recife, of whom 42 were hemodialysis, 22 were peritoneal dialysis and 12 were transplanted, who agreed to participate in the research. Results: Regarding the profile of the modalities, the patients presented similarity only in terms of gender, income and place of residence, and the results obtained were female, income of one minimum wage and most lived in the metropolitan region of Recife/PE, respectively. Conclusion: In the comparison of quality of life with the therapies, in general, the transplanted ones obtained the best score; however, there was a significant influence on sociodemographic and clinical data on quality of life in various aspects, in the three modalities, evidencing that substitute therapies interfere in the quality of life of patients, causing difficulties in their daily lives regarding their family, social, mental, professional and leisure life.


Author(s):  
Saumya Jaiswal ◽  
Navpreet Kaur ◽  
Manish Bhalla ◽  
Vivek Sharma ◽  
Roopali Gupta ◽  
...  

Background: Oral health is recognized as an important aspect of an individual’s general health and quality of life. Impairment of oral health diminishes the quality of life. The aim of the study was to assess the oral health (the number of natural teeth, pain or discomfort on teeth, having dentures), oral health behaviors (e.g., using toothbrush, dental flossing, and toothpaste containing fluoride) and lifestyle behaviors (e.g., sugar consumed, tobacco, alcohol) of people living in Mathura city, Uttar Pradesh.Methods: This study was cross-sectional study conducted at K. D. Dental College and Hospital, Mathura. Pre-validated WHO oral health questionnaire was used to assess oral health, lifestyle and oral health behaviors of the study participants. Face to face interview sessions were conducted with consenting individual participants to ensure transparency and consistency, to reduce interviewer and misclassification bias.  Results: Total 550 participants were participated, in which 272 (100%) participants of 18-35 years of age group had 20 teeth or more. Majority of the participants had reported average status of teeth and gums. More than half of the participants were unaware of fluoride containing tooth paste i.e.; 122 (89.1%) participants of 36-50 years age group and 107 (75.9%) participants of 51-65 years age group.Conclusions: Although majority of the Mathura adults considered their oral health status good, only a small population considered their oral health status poor. Use of oral hygiene aids such as toothpick, dental floss etc., was limited in participants.


2017 ◽  
Vol 4 (5) ◽  
pp. 1620
Author(s):  
V. Manikandasamy ◽  
Shanmugam Arumugasamy ◽  
G. Mathevan

Background: Hemophilia can have a huge negative impact not only on the physical health but also on the psychological, economic and social well-being of the affected children and their family. Documentation of this negative impact on quality of life is vital in drawing the attention of relevant stakeholders to design and implement appropriate interventions.Methods: This was a cross sectional study, Children with hemophilia aged 4 to 12 years, and their parents who were attending the Pediatric Hematology Clinic of the Advanced Pediatric Centre, PGIMER, Chandigarh, between July 2009 and June 2010 were included in the study. The Hemo-QoL questionnaire was used to assess the quality of life after translation into local language and validation.Results: The study included 51 children with 10 children in 4-7 years age group and 41 children in 8-12 years age group and their parents. Perceived impact on family (77.3±14.7), poor physical health (62.9±29.8), sports and school (53.8±22.8) had the highest negative impact on QoL. Support from friends, family, and other persons seemed to have contributed positively towards the quality of life. Parents of older children had higher mean subscale scores in View of yourself subscale as compared to parents of younger children (40.8±14.2 vs 23.7±33.0, p value 0.018). Under Sports and school subscale also similar pattern was observed (48.2±20.7 Vs 34.1±13.8, P value 0.045).Conclusions: The Quality of life was poor both among children affected with hemophilia and their parents. Perceived impact on family, poor physical health and inability to participate in school/sports activities are the major contributors to poor QoL. Support from family, friends, and others is vital in maintaining QoL. The QOL worsens with increasing age of the child in both children and their parents.


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