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O papel do treinamento físico resistido durante o periodo de hospitalização na melhora clínica, funcional e da qualidade de vida em pacientes com doença pulmonar obstrutiva crônica; The role of resistive physical training during the hospitalization in clinical, functional and quality of life improvement in patients with chronic obstructive pulmonary disease

Borges, Rodrigo Cerqueira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 30/01/2012 PT
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INTRODUÇÃO: As exacerbações da doença pulmonar obstrutiva crônica (DPOC) afetam profundamente a força muscular periférica e a capacidade funcional destes pacientes, entretanto, intervenções para prevenir estas perdas funcionais e sistêmicas são pobremente compreendidas. OBJETIVOS: Avaliar os efeitos do treinamento resistido sobre a força muscular periférica, capacidade funcional e a qualidade de vida em pacientes com DPOC durante a hospitalização. Além disso, avaliar a resposta desta intervenção sobre a inflamação sistêmica e a atividade física de vida diária. MÉTODOS: Vinte e nove pacientes hospitalizados na enfermaria de um Hospital Universitário por exacerbação da DPOC foram randomizados em dois grupos: controle (GC) e treinamento (GT). Eles foram avaliados no 2° dia de internação, na alta hospitalar e após 30 dias. Nestas avaliações foram verificadas a força muscular periférica dos membros inferiores e superiores, a distância percorrida no teste de caminha de 6 minutos (TC6min), a inflamação sistêmica (TNF-, PCR, IL1, IL-12p70, IL-6, IL-8, IL10), a saúde relacionada a qualidade de vida e a atividade física de vida diária. RESULTADOS: Nossos resultados demonstram que durante a hospitalização todos os pacientes...

Poluição, internação e renda: uma abordagem  espacial no município de São José dos Campos; Pollution, hospitalization and income: a spatial approach in São José dos Campos

Mauro, Antonio Carlos Cortez
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 15/12/2014 PT
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Introdução - São José dos Campos é um importante centro econômico e polo industrial, situado em uma região de vale e baixa dispersão atmosférica. Essas características são sugestivas de importante poluição do ar local, a qual pode afetar a saúde de populações mais vulneráveis, como a de idosos. Considerando que hospitalização de idosos pode estar relacionada também a fatores de risco, como a exposição à poluição em decorrência do local de moradia e à renda familiar, este trabalho propõe um estudo da distribuição espacial dos locais de habitação de idosos internados por doenças respiratórias e cardiovasculares, que podem ser associadas a processos da poluição do ar, verificando a existência de distribuição aleatória ou formação de agrupamentos e a correlação com a renda familiar predominante nos setores socioeconômicos do Município. Casuística e Métodos - Foi elaborado um banco de dados registrando os endereços, com coordenadas geográficas, de pacientes idosos internados por doenças cardiovasculares e respiratórias no Hospital Municipal de São José dos Campos, no ano de 2010. Foi realizada a espacialização desses endereços sobre o mapa da área urbana, bem como a espacialização da Taxa de Internação desses idosos sobre o mapa dos setores socioeconômicos do Município. Analisou-se a distribuição espacial da Taxa de Internação...

Avaliação da retirada de medicamentos aerossóis para asma e internação hospitalar relacionada a problemas respiratórios em pacientes pediátricos; Evaluation of prescription refill of aerosol medications for asthma and hospitalization related to respiratory problems in pediatric patients

Goulart, Karlize Padilha
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Trabalho de Conclusão de Curso Formato: application/pdf
POR
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Introdução: A asma é uma doença crônica de alta prevalência mundial sendo uma das patologias mais comuns da infância e umas das principais causas de internação hospitalar do SUS no Brasil. A não retirada regular dos medicamentos para o tratamento pode refletir no aumento às idas a emergências ou internações. O objetivo desse trabalho foi verificar a retirada de medicamentos aerossóis para asma e analisar se houve internação hospitalar ou idas à emergência no Hospital de Clínicas dos pacientes cadastrados no Programa da Asma de uma Unidade de Saúde (UBS) de Porto Alegre. Métodos: Estudo transversal retrospectivo descritivo que avaliou o cadastro de pacientes entre 0 e 18. As seguintes variáveis foram analisadas: sexo, idade, ocorrência de internação ou ida à emergência, motivo e data da internação, medicamentos utilizados e retirada regular dos medicamentos entre Abril de 2012 e Abril de 2013. Resultados: Dos 98 pacientes analisados, 30 estiveram em emergências ou internaram, sendo 19 destes por problemas respiratórios. Do total da amostra, 26 pacientes retiraram regularmente seus medicamentos para asma e dentre estes, somente 3 representam os que internaram ou foram a emergências. As características prevalentes dos internados são meninos com idade igual a 4 anos. Conclusão: O índice de retirada de medicamentos entre os pacientes asmáticos foi baixo...

The lived experience of long-term psychiatric hospitalization of four women in Brazil

Pereira, MAO; Furegato, ARF; Pereira, A.
Fonte: Blackwell Publishing Publicador: Blackwell Publishing
Tipo: Artigo de Revista Científica Formato: 124-132
ENG
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PROBLEM: What is the experience from long-term psychiatric hospitalization? How can psychiatric nursing contribute to reduce the emotional suffering and the feeling of social exclusion related to this process?METHODS: This study was conducted on four women committed to long periods of psychiatric hospitalization in Brazil. Data were collected through open interviews and drawings made by the patients, and interpreted according to the theory of social representations.FINDINGS: Reports on the patients refer to a process of social exclusion, emotional suffering, and inadequate treatment in the hospital, leading to no other option but recurrent hospitalization.CONCLUSION: Negative experiences related to long-term hospitalization could possibly be minimized through adequate assistance provided by psychiatric nursing in open services, as proposed in the recent Brazilian psychiatric reform.

Biomedical factors associated with hospitalization of older adults: The Bambuí Health and Aging Study (BHAS)

Guerra,Henrique L.; Vidigall,Pedro G.; Lima-Costa,Maria Fernanda
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2003 EN
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The objective of this study was to identify biomedical factors (body mass index, blood pressure, blood glucose, total cholesterol and fractions, triglycerides, and albumin) associated with hospitalization of older adults. All residents of the town of Bambuí, Minas Gerais State, ages ³ 60 years (n = 1,742) were selected for the study, of whom 1,494 (85.2%) participated. None of the biomedical factors studied was independently associated with occurrence of 1 hospitalization during the previous 12 months. Body mass index < 20Kg/m² and total cholesterol = 200-263mg/dl and ³ 264mg/dl were independently associated with ³ 2 hospitalizations. The introduction of biomedical factors did not modify the previously identified associations between hospitalization and indicators constructed from information obtained in a questionnaire survey. The results show that data easily obtained through interviews can be useful both for identifying older adults at risk of hospitalization and thus for assisting in prevention.

Analysis of fall risk factors in adults within the first 48 hours of hospitalization

Remor,Carine Peres; Cruz,Carla Barroca; Urbanetto,Janete de Souza
Fonte: Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Publicador: Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
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Objective: To analyze fall risk factors in the first 48 hours of hospitalization and to associate them with the occurrence of falls. Method: Cohort study conducted at a hospital in Porto Alegre/RS, Brazil. A sample of 556 patients from an adult in-patient study population were evaluated within the first 48 hours of hospitalization for factors associated with falls, based on the Morse Fall Scale (MFS) and muscle strength, among others. Results: Evidence showed that the classification of high-risk according to the MFS and, more specifically, the items history of falls, ambulatory aid, impaired gait and overestimation of walking ability, were associated with falls during hospitalization (p≤0.005). In addition to these risk factors, reduced muscle strength and visual deficit also contributed to the occurrence of this safety incident. Conclusion: The analysis of fall risk factors in patients evaluated within 48 hours of hospitalization may contribute to minimizing these occurrences and preventing injury.

Quantifying spatiotemporal heterogeneity in influenza and RSV viral activity and hospitalization burden in US states

Ringholz, Corinne Michael ; Fernandez, Diana ; Viboud, Cecile
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Tese de Doutorado Formato: Number of Pages:xix, 323 leaves
ENG
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Thesis (Ph. D.)--University of Rochester. School of Medicine and Dentistry. Dept. of Community and Preventive Medicine, 2008.; Purpose: The main purpose of this study was to quantify the effect of spatiotemporal heterogeneity in influenza and respiratory syncytial virus (RSV) viral activity and hospitalization burden across US states, and to control for this variability when estimating national rates of hospitalization associated with these viruses. A secondary goal of this study was to use the age- and state-specific hospitalization burden estimates to predict the effect of population aging and increasing severity of circulating influenza viruses on these estimates. Methods: This was a mixed, partially ecologic study that integrated viral and hospitalization datasets from independent sources, some of which were not in the public domain. Hospitalization data were obtained from the Agency for Healthcare Research and Quality’s (AHRQ) Healthcare Cost and Utilization Project (HCUP) for 9 US states representing ~30% of the US population. Specifically, weekly counts of hospitalization with any-listed diagnoses of pneumonia, influenza, or RSV (International Classification of Diseases (ICD-9) codes: 480.0 and 480.2-486, 487, and 079.6...

Hospitalization Risks in Nursing Homes: Does Payer Source Matter?

Cai, Shubing ; Temkin-Greener, Helena
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Tese de Doutorado
ENG
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Thesis (Ph.D.)--University of Rochester. School of Medicine and Dentistry. Dept. of Community and Preventive Medicine, 2009.; Nursing home residents in the United States are frequently hospitalized. Such hospitalizations are costly, many are considered unnecessary and lead to further health deterioration. Controlling for health status, Medicaid residents have been found to have a higher risk of hospitalization than private-pay residents, but the reasons for this difference are not clear. The higher rate of hospitalization may be caused by within-facility disparities between Medicaid and private-pay residents. Alternatively, it may also be caused by across-facility variations, whereby facilities with a higher proportion of Medicaid residents may be more likely to hospitalize their residents than facilities with lower proportion of Medicaid residents. This dissertation aims to disentangle the within-facility disparities from the across-facility variations in hospitalization risks between Medicaid and private-pay residents, and to investigate the impact of financial incentives. Multiple datasets from four states (California, New York, Ohio, and Texas) for calendar year 2003 are employed in this study. The study sample includes all eligible long-term care residents with either Medicaid or private payer status. The unit of analysis is the individual resident with hospitalization as the dependent variable (dichotomous). Individual payer status and facility payer-mix are the main variables of interests. Additional covariates include individual risk factors...

A multicenter study on the appropriateness of hospitalization in obstetric wards:

MANNOCCI, ALICE
Fonte: La Sapienza Universidade de Roma Publicador: La Sapienza Universidade de Roma
Tipo: Tese de Doutorado
EN
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Objectives This study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol in 7 Italian hospitals to determine inappropriate hospital admissions and days of stay. Design A cross-sectional study. Methods The outcomes examined were: appropriateness/inappropriateness of admission and "percentage of inappropriateness". Results A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for a hospitalization was 22%. The percentage of inappropriateness for the first ten days of hospitalization peaked in correspondence of the 4th and 5th (42%). The emergency admission was a protective factor of inappropriated admission, OR= 0.23 95%CI (0.16-0.35). To be hospitalized in a Teaching Hospital, in a hospital with ≥30 beds and to be admitted during the Winter/Autumn and in the workweek were risk factors of inappropriateness, respectively with OR=3.50 95%CI(2.30-5.34), OR=2.04 95%CI(1.41-2.97), OR=2.14 95%CI(1.41-2.97), OR=1.85 95%CI(1.12-3.04). The linear regression model underlined that the "percentage of inappropriateness" significantly increased in inappropriate admission and in obstetric wards with ≥30 beds; the admission in a Teaching Hospital and the hospitalization in South Italy was inversely associated to the percentage of inappropriateness. The R2 model was 0.367. Conclusions The present study suggests that the percentage of inappropriate admission depends especially on the inappropriate admission and the large number of beds in obstetric wards. This suggests that the management of big hospitals...

Impact of inhaled antiinflammatory therapy on hospitalization and emergency department visits for children with asthma

Adams, R.; Fuhlbrigge, A.; Finkelstein, J.; Lozano, P.; Livingston, J.; Weiss, K.; Weiss, S.
Fonte: Amer Acad Pediatrics Publicador: Amer Acad Pediatrics
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
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OBJECTIVE: Although the efficacy of inhaled antiinflammatory therapy in improving symptoms and lung function in childhood asthma has been shown in clinical trials, the effectiveness of these medications in real-world practice settings in reducing acute health care use has not been well-evaluated. This study examined the effect of inhaled antiinflammatory therapy on hospitalizations and emergency department (ED) visits by children for asthma. DESIGN: Defined population cohort study over 1 year. SETTING: Three managed care organizations (MCOs) in Seattle, Boston, and Chicago participating in the Pediatric Asthma Care-Patient Outcome Research and Treatment II trial. PARTICIPANTS: All 11 195 children, between 3 to 15 years old, with a diagnosis of asthma who were enrolled in the 3 MCOs between July 1996 and June 1997. OUTCOME MEASURES: We identified children with 1 or more asthma diagnoses using automated encounter data. Medication dispensings were identified from automated pharmacy data. Multivariate logistic regression analysis was used to calculate effects of inhaled antiinflammatory therapy on the adjusted relative risk (RR) for hospitalization and ED visits for asthma. RESULTS: Over 12 months, 217 (1.9%) of children had an asthma hospitalization...

Differential impact of NSAIDs on rate of adverse events that require hospitalization in high-risk and general veteran populations: A retrospective cohort study

Pratt, N.; Roughead, E.; Ryan, P.; Gilbert, A.
Fonte: Adis International Ltd Publicador: Adis International Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
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BACKGROUND: Many observational studies in the general population have demonstrated an increased risk of adverse events associated with NSAIDs, including gastrointestinal bleeds, congestive heart failure, acute renal failure, hypertension and acute myocardial infarction. Few studies, however, have explored outcomes in populations considered to be more vulnerable to their effects. OBJECTIVE: To determine the rate of adverse events requiring hospitalization that are associated with NSAIDs in two high-risk veteran populations and the general veteran population. METHODS: In this retrospective cohort study, we identified veterans being dispensed medicines for diabetes mellitus (diabetes cohort), those receiving renin-angiotensin system medicines and frusemide (furosemide) concurrently (ACE inhibitors/angiotensin II type 1 receptor antagonists [angiotensin receptor blockers; ARBs] and frusemide cohort), or at least one other medicine (general population/reference cohort). The primary endpoint was hospitalization with a primary diagnosis of congestive heart failure, gastrointestinal ulcer, acute renal failure, acute myocardial infarction or hypertension. Hospitalization rates during the period of non-exposure and the 30-day period after a subject was first dispensed an NSAID were compared using Poisson regression. RESULTS: There was a significant increase in risk of all hospitalizations of interest in the exposed period compared with the unexposed period in the diabetes cohort (incidence rate ratio [IRR] 1.31; 95% CI 1.08...

Trends in hospitalization due to cardiovascular conditions sensitive to primary health care

Lentsck,Maicon Henrique; Latorre,Maria do Rosário Dias de Oliveira; Mathias,Thais Aidar de Freitas
Fonte: Associação Brasileira de Saúde Coletiva Publicador: Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2015 EN
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OBJECTIVE: To analyze the trend in hospitalizations for primary care-sensitive cardiovascular conditions for residents of the state of Paraná, Brazil, from 2000 to 2011. METHODS: Ecological, time series study of the rates of hospitalization for cardiovascular diseases in residents aged 35-74 years old by sex, age and main diagnosis for hospitalization. Data from the Hospital Information System of the Unified Health System (SIH-SUS) and polynomial regression models for trend analyses were used. RESULTS: Hospitalization rates for cardiovascular conditions decreased during the period (r2 = 0.96; p < 0.001), with similar decreasing patterns for males and females, in all age ranges, although always higher for males. Although hospitalization trends for hypertension, heart failure and cerebrovascular disease decreased, angina remained stable for males and females. CONCLUSION: A downward trend in hospital admissions due to primary care-sensitive cardiovascular conditions in the state of Paraná between 2000 and 2011 may have resulted from the expansion of the health network of and the access to primary health attention, as well as other factors that influence this set of diseases, such as improved socioeconomic conditions of the population...

Risk of hospitalization for stroke associated with antipsychotic use in the elderly: A self-controlled case series

Pratt, N.; Roughead, E.; Ramsay, E.; Salter, A.; Ryan, P.
Fonte: Adis International Ltd Publicador: Adis International Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
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Background: Antipsychotics are commonly used in the elderly despite a lack of safety data from randomized trials, particularly for the typical antipsychotics. Observational studies have investigated the association between antipsychotics and stroke but results vary, which may be due to lack of control for unmeasured confounding. Objective: To estimate the risk of hospitalization for stroke in elderly users of antipsychotics. Study Design and Setting: Using the Australian Government Department of Veterans' Affairs administrative claims dataset we utilized a self-controlled case series design to risk-adjust for potential unmeasured confounding. Risk periods prior to antipsychotic initiation were also included to search for evidence of confounding by indication. Unexposed patients were included to adjust for the increasing incidence of hospitalization for stroke with age. Results: There were 10638 patients aged ≥65 years with at least one hospitalization for stroke identified during the 4-year period from 1 January 2003 to 31 December 2006. Of these, 514 patients were initiated on typical anti-psychotics and 564 patients were initiated on atypical antipsychotics. Hospitalization for stroke was increased in the first week after initiation of a typical antipsychotic (incidence rate ratio [IRR] 2.3; 95% CI 1.3...

A single center 14 years study of infectious complications leading to hospitalization of patients with primary antibody deficiencies

Mamishi,Setareh; Eghbali,Aiden Nasiri; Rezaei,Nima; Abolhassani,Hassan; Parvaneh,Nima; Aghamohammadi,Asghar
Fonte: Brazilian Society of Infectious Diseases Publicador: Brazilian Society of Infectious Diseases
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
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Primary antibody deficiencies (PADs) are a heterogeneous group of disorders, characterized by hypogammaglobulinemia and increased susceptibility to bacterial infections, leading to hospitalizations. This study was performed to determine the main infectious causes of hospital admissions in selective Iranian patients with PADs. Forty patients with PADs, who were admitted to the Infectious Ward of Children's Medical Center Hospital during a 14-year period, were reviewed in this study. There were 115 documented episodes of hospital admission during a 14-year period. The average length of hospital stay was 33.30 ± 25.72 days. Pneumonia was the most prominent infection leading to hospitalization among these patients (n = 48), followed by gastroenteritis (n = 23). Other less frequent causes of hospitalization were fever and neutropenia, septic arthritis, encephalitis, orbital cellulitis, sepsis, urinary tract infection, meningitis, oral ulcer, and lung abscess. The most common causative organisms of diarrhea were: Giardia lamblia, followed by Candida albicans, and Salmonella sp. Many patients with PADs suffer from repeated infections leading to hospitalization, in spite of immunoglobulin replacement therapy. Respiratory tract infections were the prominent cause of hospitalization among studied patients...

Relief and Recurrence of Congestion During and After Hospitalization for Acute Heart Failure: Insights From Diuretic Optimization Strategy Evaluation in Acute Decompensated Heart Failure (DOSE-AHF) and Cardiorenal Rescue Study in Acute Decompensated Heart Failure (CARESS-HF).

Lala, A; McNulty, SE; Mentz, RJ; Dunlay, SM; Vader, JM; AbouEzzeddine, OF; DeVore, AD; Khazanie, P; Redfield, MM; Goldsmith, SR; Bart, BA; Anstrom, KJ; Felker, GM; Hernandez, AF; Stevenson, LW
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Artigo de Revista Científica Formato: 741 - 748
Publicado em /07/2015 ENG
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BACKGROUND: Congestion is the most frequent cause for hospitalization in acute decompensated heart failure. Although decongestion is a major goal of acute therapy, it is unclear how the clinical components of congestion (eg, peripheral edema, orthopnea) contribute to outcomes after discharge or how well decongestion is maintained. METHODS AND RESULTS: A post hoc analysis was performed of 496 patients enrolled in the Diuretic Optimization Strategy Evaluation in Acute Decompensated Heart Failure (DOSE-AHF) and Cardiorenal Rescue Study in Acute Decompensated Heart Failure (CARRESS-HF) trials during hospitalization with acute decompensated heart failure and clinical congestion. A simple orthodema congestion score was generated based on symptoms of orthopnea (≥2 pillows=2 points, <2 pillows=0 points) and peripheral edema (trace=0 points, moderate=1 point, severe=2 points) at baseline, discharge, and 60-day follow-up. Orthodema scores were classified as absent (score of 0), low-grade (score of 1-2), and high-grade (score of 3-4), and the association with death, rehospitalization, or unscheduled medical visits through 60 days was assessed. At baseline, 65% of patients had high-grade orthodema and 35% had low-grade orthodema. At discharge...

Prevalência de internação hospitalar e fatores associados em Pelotas, RS; Prevalencia de internación hospitalaria y factores asociados en Pelotas, Sur de Brasil; Prevalence of hospitalization and associated factors in Pelotas, Southern Brazil

Costa, Juvenal Soares Dias da; Reis, Mauri Caldeira; Silveira Filho, Claudio Viana; Linhares, Rogério da Silva; Piccinini, Fábio; Fantinel, Everton
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/10/2010 POR; ENG
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OBJETIVO: Estimar la prevalencia de hospitalizaciones e identificar características asociadas a la internación hospitalaria. MÉTODOS: Estudio transversal de base poblacional realizado con individuos de ambos sexos, de 20 a 69 años, residentes en la zona urbana de Pelotas, Sur de Brasil, entre 1999 y 2000. Fue utilizado cuestionario estandarizado y pre-codificado. Se realizó análisis estratificado entre los sexos y control de factores de confusión por medio de Regresión de Poisson. Fueron incluidas en el análisis las variables socioeconómicas, demográficas, hábitos de vida, morbilidades y consulta con médico en el último año. RESULTADOS: De los 1916 individuos, 146 (7,6%, IC 95%: 6,4;8,8) habían sido hospitalizados en el último año desde la entrevista. Entre los hombres, las características que mostraron mayor internación fueron: edad de 50 años o más, entre cinco y siete años de escolaridad, ex fumadores, disturbios psiquiátricos menores y consulta con médico en el último año. Entre las mujeres con edad entre 60 y 69 años, entre cinco y siete años de escolaridad y consulta médica en el período de un año antes de la entrevista ocurrieron mayores prevalencias de hospitalización. Las mujeres que consumían menos de 30g/día de alcohol mostraron menor frecuencia de hospitalización. La prevalencia de internación por causas sensibles a la atención primaria fue de 13...

Factors associated to hospitalization of children under five years of age, Brazil; Fatores associados à internação hospitalar de crianças menores de cinco anos, São Paulo, SP

Caetano, Jozana do Rosário de Moura; Bordin, Isabel Altenfelder Santos; Puccini, Rosana Fiorini; Peres, Clóvis de Araújo
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/06/2002 POR
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OBJETIVO: Nos países em desenvolvimento, a infecção respiratória aguda é a principal causa de internação hospitalar de crianças menores de cinco anos, sendo as precárias condições de vida e a falta de acesso a serviços de saúde fatores importantes na determinação dessa ocorrência. O estudo realizado teve por objetivo caracterizar a morbidade hospitalar e identificar os fatores associados à hospitalização de crianças menores de cinco anos. MÉTODOS: Utilizou-se o banco de dados de um estudo transversal sobre condições de vida e saúde de crianças menores de cinco anos do município de Embu, localizado na região metropolitana de São Paulo. O critério de inclusão foi de uma criança por família, por sorteio; o de exclusão foi a falta de dados em qualquer das variáveis incluídas no estudo, cuja amostra estudada totalizou 893 crianças. A coleta de dados foi feita mediante entrevistas domiciliares com a mãe ou o responsável pela criança. Foram usados modelos de regressão logística para identificar fatores associados à hospitalização. RESULTADOS/CONCLUSÕES: Da amostra, 65 (7,3%) crianças foram hospitalizadas; 41,5% das crianças internadas apresentavam doenças do aparelho respiratório -- com especial ênfase para a infecção respiratória aguda (27...

Anos potenciais de vida perdidos e custos hospitalares da leptospirose no Brasil; Años potenciales de vida perdidos y costos hospitalarios de la leptospirosis en Brasil; Years of potential life lost and hospitalization costs associated with leptospirosis in Brazil

Souza, Verena Maria Mendes de; Arsky, Maria de Lourdes Nobre Simões; Castro, André Peres Barbosa de; Araujo, Wildo Navegantes de
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/12/2011 POR; ENG
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OBJETIVO: Estimar os custos associados à hospitalização e os anos potenciais de vida perdidos devido à leptospirose. MÉTODOS: Foram utilizados os bancos de dados de sistemas de informação em saúde do Ministério da Saúde para o relacionamento probabilístico dos casos e internações que evoluíram a óbito por leptospirose em 2007. No Sistema de Informação de Agravos de Notificação os casos confirmados foram subdivididos em internação e óbito, que foram relacionados às seguintes bases: Sistema de Informações Hospitalares (registros com diagnóstico principal) e Sistema de Informações sobre Mortalidade (causa básica do óbito, A27.0, A27.8 e A27.9). Foram estimados os custos parciais de internação, os óbitos pela doença, os anos potenciais de vida e de trabalho perdidos. RESULTADOS: As características da maioria das internações que evoluíram para óbito eram: sexo masculino, entre 18 e 49 anos, raça branca, zona urbana e ensino fundamental incompleto. Foram 6.490 anos potenciais de vida perdidos, sendo 75% da faixa etária de 20 a 49 anos. Quando ajustada pela população, a perda foi de 15 dias de vida/1.000 habitantes. A proporção de anos potenciais de vida perdidos pelo número de óbitos foi em média de 30 anos perdidos para cada óbito. O impacto financeiro estimado foi equivalente a R$ 22...

Internações por condições sensíveis à atenção primária nas coordenadorias de saúde no RS; Internaciones por condiciones sensibles a la atención primaria en las coordinaciones de salud, Sur de Brasil; Hospitalization for primary care-sensitive conditions in regional health districts in Southern Brazil

Souza, Leonardo Lemos de; Costa, Juvenal Soares Dias da
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/08/2011 POR; ENG
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OBJETIVO: Comparar taxas de internações por condições sensíveis em municípios-sede de coordenadorias de saúde. MÉTODOS: Estudo ecológico com indivíduos de ambos os sexos de 20 a 59 anos nos municípios-sede das coordenadorias regionais de saúde do Rio Grande do Sul de 1995 a 2007. Os dados sobre internações foram obtidos do Datasus. Foram analisadas as taxas mediante regressão de Poisson com variação robusta. As taxas dos municípios foram comparadas com as do restante do estado do Rio Grande do Sul, excluídos os municípios-sede. RESULTADOS: Os municípios, exceto Porto Alegre (1,01) e Osório (1,02), apresentaram redução das taxas de internações por condições sensíveis. Entre os municípios grandes, as maiores quedas foram observadas em Santa Maria (0,92) e Pelotas (0,93). Os municípios médios apresentaram taxas inferiores no final do período. Nos pequenos, apenas Lajeado e Frederico Westphalen apresentaram taxas inferiores às do estado em 2007. As maiores taxas foram observadas nos municípios pequenos. CONCLUSÕES: Houve tendência de diminuição das internações em quase todos os municípios, possivelmente pela ampliação da atenção primária antes mesmo do Programa Saúde da Família e das modificações de gestão. As elevadas taxas de hospitalizações em municípios pequenos sugerem ocupação de leitos por condições sensíveis para justificar oferta ociosa.; OBJETIVO: Comparar tasas de internaciones por condiciones sensibles en municipios-sede de coordinaciones de salud. MÉTODOS: Estudio ecológico con individuos de ambos sexos de 20 a 59 años en los municipios-sede de las coordinaciones regionales de salud de Rio Grande do Sul...

Post-operative hospitalization in retinal detachment correlation to recurrences

Vingolo,Enzo Maria; Nebbioso,Marcella; Domanico,Daniela; Valente,Stefano; Frati,Paola
Fonte: Istituto Superiore di Sanità Publicador: Istituto Superiore di Sanità
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2013 EN
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PURPOSE: To evaluate relationships between the incidence of re-detachment and postoperative days of hospitalization in patients with diagnosis of retinal detachment (RD) who underwent surgery either through ab-externo approach (scleral buckling and encircling) or ab-interno approach (vitrectomy and oil-gas tamponade). METHODS: This retrospective study included 268 patients (268 eyes) with diagnosis of primary RD: 127 males (47%) and 141 (53%) females, mean age of 64.1 ± 17.3 years. 46 patients (17%) underwent a surgical ab-externo approach (group A), while 222 patients (83%) underwent an ab-interno surgical approach. Each RD was graded according to the "Retinal detachment grading system of Royal College of Ophthalmologists" and treated within 5 days after diagnosis. The redetachment (RT) related to a surgical failure was considered within 30 days after first operation. RESULTS: In the group 1 without night hospitalization (day surgery) global RT rate was 3.5% (4.17% for ab-interno technique and 0% for ab-externo techniques). In the group 2 with one day of hospitalization global RT rate was 1.33% (1.49% for ab-interno technique and 0% for ab-externo techniques). In the group 3 with 2 days of hospitalization global RT rate was 3.80% (4.62% for ab-interno techniques and 0% for ab-externo techniques). In the group 4 with 3 or more days of hospitalization global RT rate was 12.28% (14.29% for ab-interno techniques for 6.67% ab-externo techniques). The incidence of RT in group 1...