Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021 |
Resumo: | This paper describes the clinical and epidemiological profile of patients with Chagas disease treated in outpatient and inpatient departments at the Maringá University Hospital (UHM) in Paraná State, Brazil, from May 1998 to May 2003. Mean age was higher among hospitalized patients (p < 0.000). Hospitalized patients were predominantly males, as opposed to inpatients who were mostly females (p = 0.0033). Of the 95 patients, 60% were born in the States of Minas Gerais and São Paulo and 25.3% in Paraná. Family history for Chagas was positive in 68.9%, while 53.3% reported the presence of triatomine vectors in the household. In decreasing order, the most common clinical forms were cardiac, digestive, indeterminate, and cardiodigestive. The indeterminate form predominated among outpatients, as opposed to the cardiac and digestive forms among inpatients. Chronic cardiac and digestive complications were the principal complaints at hospital admission. This study showed particularly high percentages of cardiac (38.9%) and digestive disease (26.3%) as compared to other geographic areas. The Maringá University Hospital provides symptomatic care for these complications and does not prioritize etiological treatment, even for patients in the indeterminate phase. |
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Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, BrasilDoença de ChagasPerfis EpidemiológicosHospitais UniversitáriosThis paper describes the clinical and epidemiological profile of patients with Chagas disease treated in outpatient and inpatient departments at the Maringá University Hospital (UHM) in Paraná State, Brazil, from May 1998 to May 2003. Mean age was higher among hospitalized patients (p < 0.000). Hospitalized patients were predominantly males, as opposed to inpatients who were mostly females (p = 0.0033). Of the 95 patients, 60% were born in the States of Minas Gerais and São Paulo and 25.3% in Paraná. Family history for Chagas was positive in 68.9%, while 53.3% reported the presence of triatomine vectors in the household. In decreasing order, the most common clinical forms were cardiac, digestive, indeterminate, and cardiodigestive. The indeterminate form predominated among outpatients, as opposed to the cardiac and digestive forms among inpatients. Chronic cardiac and digestive complications were the principal complaints at hospital admission. This study showed particularly high percentages of cardiac (38.9%) and digestive disease (26.3%) as compared to other geographic areas. The Maringá University Hospital provides symptomatic care for these complications and does not prioritize etiological treatment, even for patients in the indeterminate phase.Este trabalho descreveu o perfil clínico-epidemiológico de pacientes com doença de Chagas atendidos no ambulatório e na internação do Hospital Universitário de Maringá (HUM), Paraná, Brasil, entre maio de 1998 a maio de 2003. A média de idade foi maior no serviço de internação (p < 0,000). O sexo masculino predominou entre os internados e o feminino entre os ambulatoriais (p = 0,0033). De 95 pacientes, 60% nasceram em Minas Gerais e São Paulo e 25,3% no Paraná. A história familiar para doença de Chagas foi positiva em 68,9% deles e 53,3% relataram a presença de triatomíneos no domicílio. Em ordem decrescente ocorreram as formas clínicas cardíaca, digestiva, indeterminada e cardiodigestiva. A forma indeterminada prevaleceu entre os ambulatoriais e as formas cardíaca e digestiva entre os internados. As complicações crônicas cardíacas e digestivas foram as principais queixas para a internação. Destacam-se os altos percentuais de doença cardíaca (38,9%) e digestiva (26,3%) encontrados neste estudo, de forma distinta ao que acontece em outras regiões geográficas. O HUM disponibiliza o tratamento sintomático dessas complicações e não prioriza o tratamento etiológico mesmo para pacientes em fase indeterminada.Reports in Public HealthCadernos de Saúde Pública2006-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021Reports in Public Health; Vol. 22 No. 5 (2006): MayCadernos de Saúde Pública; v. 22 n. 5 (2006): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021/6094https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021/6095Bozelli, Carlos EduardoAraújo, Silvana Marques deGuilherme, Ana Lúcia FalavignaGomes, Mônica Lúciainfo:eu-repo/semantics/openAccess2024-03-06T15:27:22Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3021Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:31.167119Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
title |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
spellingShingle |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil Bozelli, Carlos Eduardo Doença de Chagas Perfis Epidemiológicos Hospitais Universitários |
title_short |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
title_full |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
title_fullStr |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
title_full_unstemmed |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
title_sort |
Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil |
author |
Bozelli, Carlos Eduardo |
author_facet |
Bozelli, Carlos Eduardo Araújo, Silvana Marques de Guilherme, Ana Lúcia Falavigna Gomes, Mônica Lúcia |
author_role |
author |
author2 |
Araújo, Silvana Marques de Guilherme, Ana Lúcia Falavigna Gomes, Mônica Lúcia |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Bozelli, Carlos Eduardo Araújo, Silvana Marques de Guilherme, Ana Lúcia Falavigna Gomes, Mônica Lúcia |
dc.subject.por.fl_str_mv |
Doença de Chagas Perfis Epidemiológicos Hospitais Universitários |
topic |
Doença de Chagas Perfis Epidemiológicos Hospitais Universitários |
description |
This paper describes the clinical and epidemiological profile of patients with Chagas disease treated in outpatient and inpatient departments at the Maringá University Hospital (UHM) in Paraná State, Brazil, from May 1998 to May 2003. Mean age was higher among hospitalized patients (p < 0.000). Hospitalized patients were predominantly males, as opposed to inpatients who were mostly females (p = 0.0033). Of the 95 patients, 60% were born in the States of Minas Gerais and São Paulo and 25.3% in Paraná. Family history for Chagas was positive in 68.9%, while 53.3% reported the presence of triatomine vectors in the household. In decreasing order, the most common clinical forms were cardiac, digestive, indeterminate, and cardiodigestive. The indeterminate form predominated among outpatients, as opposed to the cardiac and digestive forms among inpatients. Chronic cardiac and digestive complications were the principal complaints at hospital admission. This study showed particularly high percentages of cardiac (38.9%) and digestive disease (26.3%) as compared to other geographic areas. The Maringá University Hospital provides symptomatic care for these complications and does not prioritize etiological treatment, even for patients in the indeterminate phase. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021/6094 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3021/6095 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 22 No. 5 (2006): May Cadernos de Saúde Pública; v. 22 n. 5 (2006): Maio 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943358856462336 |