Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/30667 |
Resumo: | A total of 868 (84.89%) patients diagnosed with tetanus were studied, out of the 1,024 tetanus patients hospitalized at Couto Maia Hospital (Salvador, Bahia, Brazil), during the period between 1986 and 1997. Of this group (n = 868), 63.5% (n = 551) were discharged, 35.4% (n = 307) died, and 1.1% (n = 10) were transferred. The average age of the deceased patients (38.73 ± 23.31 years) was significantly greater (p < 0.0001) than the age of those who survived (29.21 ± 20.05 years). Analyzing the variables of the logistic regression model with statistic significance (p ;£; 0.25) for univariate analysis, we observed a greater association of risk for worst prognosis (death) in patients aged ;³; 51 years; time of illness < 48 hours; time of incubation < 168 hours; neck rigidity; spasms; opisthotonos; body temperature ;³; 37.7 ºC; heart beat ;³; 111 beats/minute; sympathetic hyperactivity and association with pneumonia. Among the group of those who survived, patients with 1 to 5 of those variables (n = 398; 76.8%) were more frequent, while among patients of the group of the deceased, 70.3% (n = 206) presented 6 to 10 of those variables, with a highly significant difference (p < 10-8). In conclusion, the indicators described provide early information that may guide the prognosis and medical and nurse care. |
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Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil Accidental tetanus: prognosis evaluation in a historical series at a hospital in Salvador, Bahia, Brazil TetanusClinicPrognosis indicators A total of 868 (84.89%) patients diagnosed with tetanus were studied, out of the 1,024 tetanus patients hospitalized at Couto Maia Hospital (Salvador, Bahia, Brazil), during the period between 1986 and 1997. Of this group (n = 868), 63.5% (n = 551) were discharged, 35.4% (n = 307) died, and 1.1% (n = 10) were transferred. The average age of the deceased patients (38.73 ± 23.31 years) was significantly greater (p < 0.0001) than the age of those who survived (29.21 ± 20.05 years). Analyzing the variables of the logistic regression model with statistic significance (p ;£; 0.25) for univariate analysis, we observed a greater association of risk for worst prognosis (death) in patients aged ;³; 51 years; time of illness < 48 hours; time of incubation < 168 hours; neck rigidity; spasms; opisthotonos; body temperature ;³; 37.7 ºC; heart beat ;³; 111 beats/minute; sympathetic hyperactivity and association with pneumonia. Among the group of those who survived, patients with 1 to 5 of those variables (n = 398; 76.8%) were more frequent, while among patients of the group of the deceased, 70.3% (n = 206) presented 6 to 10 of those variables, with a highly significant difference (p < 10-8). In conclusion, the indicators described provide early information that may guide the prognosis and medical and nurse care. Foram estudados 868 (84,8%) pacientes com diagnóstico de tétano acidental, entre aqueles 1.024 com diagnóstico de tétano internados no Hospital Couto Maia (Salvador, Bahia, Brasil), do período de 1986 a 1997. Neste grupo, saíram de alta 63,5% (n = 551) pessoas, outras 35,4% (n = 307) foram a óbito e 1,1% (n = 10) transferidas. A média da idade dos casos de óbito (38,73 ± 23,31 anos) foi maior (p < 0,0001), quando comparada a dos saídos-vivos (29,21 ± 20,05 anos). Analisadas as variáveis no modelo de regressão logística, entre aquelas com significado estatístico na análise univariada (p ;£; 0,25), foi observado maior risco de pior prognóstico (óbito) com: idade ;³; 51 anos; tempo de doença < 48 horas; período de incubação < 168 horas; rigidez de nuca; espasmos; opistótono; temperatura corporal ;³; 37,7 ºC; freqüência cardíaca ;³; 111 bat./minuto; hiperatividade simpática e a associação com pneumonia. No grupo de saídos-vivos, foram mais freqüentes os pacientes com até 5 daquelas variáveis (398/518; 76,8%), enquanto os pacientes do grupo óbito, 70,3% (n = 206) tiveram a presença de 6 a 10 daquelas variáveis, sendo a diferença estatisticamente significante (p < 10-8). Em conclusão, os indicadores descritos oferecem, mais precocemente, informações que podem orientar o prognóstico e os cuidados médicos e de enfermagem. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2003-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/30667Revista do Instituto de Medicina Tropical de São Paulo; Vol. 45 No. 1 (2003); 35-40 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 45 Núm. 1 (2003); 35-40 Revista do Instituto de Medicina Tropical de São Paulo; v. 45 n. 1 (2003); 35-40 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/30667/32551Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessGreco, Jiuseppe B.Tavares-Neto, JoséGreco Júnior, Jiuseppe B.2012-07-07T18:00:21Zoai:revistas.usp.br:article/30667Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:26.330726Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil Accidental tetanus: prognosis evaluation in a historical series at a hospital in Salvador, Bahia, Brazil |
title |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
spellingShingle |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil Greco, Jiuseppe B. Tetanus Clinic Prognosis indicators |
title_short |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
title_full |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
title_fullStr |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
title_full_unstemmed |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
title_sort |
Tétano acidental: avaliação do prognóstico em uma série histórica de hospital de Salvador, Bahia, Brasil |
author |
Greco, Jiuseppe B. |
author_facet |
Greco, Jiuseppe B. Tavares-Neto, José Greco Júnior, Jiuseppe B. |
author_role |
author |
author2 |
Tavares-Neto, José Greco Júnior, Jiuseppe B. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Greco, Jiuseppe B. Tavares-Neto, José Greco Júnior, Jiuseppe B. |
dc.subject.por.fl_str_mv |
Tetanus Clinic Prognosis indicators |
topic |
Tetanus Clinic Prognosis indicators |
description |
A total of 868 (84.89%) patients diagnosed with tetanus were studied, out of the 1,024 tetanus patients hospitalized at Couto Maia Hospital (Salvador, Bahia, Brazil), during the period between 1986 and 1997. Of this group (n = 868), 63.5% (n = 551) were discharged, 35.4% (n = 307) died, and 1.1% (n = 10) were transferred. The average age of the deceased patients (38.73 ± 23.31 years) was significantly greater (p < 0.0001) than the age of those who survived (29.21 ± 20.05 years). Analyzing the variables of the logistic regression model with statistic significance (p ;£; 0.25) for univariate analysis, we observed a greater association of risk for worst prognosis (death) in patients aged ;³; 51 years; time of illness < 48 hours; time of incubation < 168 hours; neck rigidity; spasms; opisthotonos; body temperature ;³; 37.7 ºC; heart beat ;³; 111 beats/minute; sympathetic hyperactivity and association with pneumonia. Among the group of those who survived, patients with 1 to 5 of those variables (n = 398; 76.8%) were more frequent, while among patients of the group of the deceased, 70.3% (n = 206) presented 6 to 10 of those variables, with a highly significant difference (p < 10-8). In conclusion, the indicators described provide early information that may guide the prognosis and medical and nurse care. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-01-01 |
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://www.revistas.usp.br/rimtsp/article/view/30667 |
url |
https://www.revistas.usp.br/rimtsp/article/view/30667 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30667/32551 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 45 No. 1 (2003); 35-40 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 45 Núm. 1 (2003); 35-40 Revista do Instituto de Medicina Tropical de São Paulo; v. 45 n. 1 (2003); 35-40 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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1798951643907096576 |