Is ist possible to lower the lethality rate of tetanus?

Detalhes bibliográficos
Autor(a) principal: da Costa, R. B.
Data de Publicação: 1980
Outros Autores: Maul, E. R., Pimentel, J., D'Oliveira, L. Cardoso, Gomes, J. David
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3931
Resumo: The lethality rate of tetanus in Portugal is 55 %, and about 165 cases are notified yearly. In the last ten years, 1968-77, 299 cases of tetanus were treated in the ICU of the Coimbra University Hospital, with a lethality rate of 28,4 %. However, in the last 2 years (53 cases) the lethality rate was 20,8%. This difference is not significant (c2 = 1,4). A shift towards the older age groups is now accepted. Of the 299 tetanus cases 113 were aged 60 or more (37,7%). The lethality rates in this age group were: 60-69……………………….71 cases 29,6 % 70-74……………………… 27 cases 40,7 % ≥   75……………………….15 cases 66,7% Of the 53 cases treated in the last 2 years, 27 were over 60 years (50,9%). The patients aged between 60 and 69 hardly affect the overall lethality. The increase is more evident in the age groups above 70. The tendency for the disease to occur in patients over 60, associated invariably with chronic disease, poor cardiovascular or pulmonary status, diminished defenses, etc., favours the occurrence of the serious complications of the process as well as those derived from intensive care management. We therefore do not feel that there will be a reduction in the lethality rate with the present therapeutic possibilities.
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spelling Is ist possible to lower the lethality rate of tetanus?The lethality rate of tetanus in Portugal is 55 %, and about 165 cases are notified yearly. In the last ten years, 1968-77, 299 cases of tetanus were treated in the ICU of the Coimbra University Hospital, with a lethality rate of 28,4 %. However, in the last 2 years (53 cases) the lethality rate was 20,8%. This difference is not significant (c2 = 1,4). A shift towards the older age groups is now accepted. Of the 299 tetanus cases 113 were aged 60 or more (37,7%). The lethality rates in this age group were: 60-69……………………….71 cases 29,6 % 70-74……………………… 27 cases 40,7 % ≥   75……………………….15 cases 66,7% Of the 53 cases treated in the last 2 years, 27 were over 60 years (50,9%). The patients aged between 60 and 69 hardly affect the overall lethality. The increase is more evident in the age groups above 70. The tendency for the disease to occur in patients over 60, associated invariably with chronic disease, poor cardiovascular or pulmonary status, diminished defenses, etc., favours the occurrence of the serious complications of the process as well as those derived from intensive care management. We therefore do not feel that there will be a reduction in the lethality rate with the present therapeutic possibilities.Ordem dos Médicos1980-04-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3931oai:ojs.www.actamedicaportuguesa.com:article/3931Acta Médica Portuguesa; Vol. 2 No. 2 (1980): Março-Abril; 113-118Acta Médica Portuguesa; Vol. 2 N.º 2 (1980): Março-Abril; 113-1181646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3931https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3931/3184da Costa, R. B.Maul, E. R.Pimentel, J.D'Oliveira, L. CardosoGomes, J. Davidinfo:eu-repo/semantics/openAccess2022-12-20T11:03:07Zoai:ojs.www.actamedicaportuguesa.com:article/3931Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:39.092638Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Is ist possible to lower the lethality rate of tetanus?
title Is ist possible to lower the lethality rate of tetanus?
spellingShingle Is ist possible to lower the lethality rate of tetanus?
da Costa, R. B.
title_short Is ist possible to lower the lethality rate of tetanus?
title_full Is ist possible to lower the lethality rate of tetanus?
title_fullStr Is ist possible to lower the lethality rate of tetanus?
title_full_unstemmed Is ist possible to lower the lethality rate of tetanus?
title_sort Is ist possible to lower the lethality rate of tetanus?
author da Costa, R. B.
author_facet da Costa, R. B.
Maul, E. R.
Pimentel, J.
D'Oliveira, L. Cardoso
Gomes, J. David
author_role author
author2 Maul, E. R.
Pimentel, J.
D'Oliveira, L. Cardoso
Gomes, J. David
author2_role author
author
author
author
dc.contributor.author.fl_str_mv da Costa, R. B.
Maul, E. R.
Pimentel, J.
D'Oliveira, L. Cardoso
Gomes, J. David
description The lethality rate of tetanus in Portugal is 55 %, and about 165 cases are notified yearly. In the last ten years, 1968-77, 299 cases of tetanus were treated in the ICU of the Coimbra University Hospital, with a lethality rate of 28,4 %. However, in the last 2 years (53 cases) the lethality rate was 20,8%. This difference is not significant (c2 = 1,4). A shift towards the older age groups is now accepted. Of the 299 tetanus cases 113 were aged 60 or more (37,7%). The lethality rates in this age group were: 60-69……………………….71 cases 29,6 % 70-74……………………… 27 cases 40,7 % ≥   75……………………….15 cases 66,7% Of the 53 cases treated in the last 2 years, 27 were over 60 years (50,9%). The patients aged between 60 and 69 hardly affect the overall lethality. The increase is more evident in the age groups above 70. The tendency for the disease to occur in patients over 60, associated invariably with chronic disease, poor cardiovascular or pulmonary status, diminished defenses, etc., favours the occurrence of the serious complications of the process as well as those derived from intensive care management. We therefore do not feel that there will be a reduction in the lethality rate with the present therapeutic possibilities.
publishDate 1980
dc.date.none.fl_str_mv 1980-04-30
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 2 No. 2 (1980): Março-Abril; 113-118
Acta Médica Portuguesa; Vol. 2 N.º 2 (1980): Março-Abril; 113-118
1646-0758
0870-399X
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