TREATMENTS AND OUTCOMES IN INDIVIDUALS HOSPITALIZED AT JUQUERY HOSPITAL: DAILY LIFE IN THE VARGAS ERA

• Autor(a) principal: Escobar, Sergio Roberto Holloway
• Data de Publicação: 2023
• Outros Autores: Marcolan, João Fernando
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Pesquisa: Cuidado é Fundamental Online
• Texto Completo: https://seer.unirio.br/cuidadofundamental/article/view/12819
• topic: Saúde mental; História da saúde; Assistência psiquiátrica; Instituições psiquiátricas.; Mental health; History of healthcare; Psychiatric care; Psychiatric institutions.; Salud mental; Historia de la salud; Atención psiquiátrica; Instituciones psiquiátricas.

Objective: To analyze the treatments and outcomes of patients hospitalized at Juquery Hospital from 1930 to 1945. Methods: Quanti-qualitative, exploratory-descriptive study, data analysis based on the documentary analysis framework. Data collection was carried out at the Historical and Cultural Heritage Collection of Juquery Hospital Complex, between March and July 2022. Data analysis also relied on historical documents in accordance with the social, political, ideological, economic, and cultural context in which the documents were produced and the authors were situated. Results: 2,166 medical records were analyzed; 920 (42.47%) records had no treatment data; 213 (9.83%) had no defined treatments. Main types of treatment: 494 (22.81%) monotherapy, with 196 (9.05%) using fever therapy, 157 (7.25%) using convulsive therapy, and 57 (2.63%) for general progressive paralysis/neurosyphilis. 235 (10.85%) underwent combination therapy, with 111 (5.12%) using fever therapy + anti-syphilis treatment and 73 (3.37%) using fever therapy + shock therapy. 2,005 (92.57%) medical records had no data on treatment effects. As for outcomes: 106 (4.89%) remained unchanged/did not improve, 21 (0.97%) improved, 18 (0.97%) worsened, and 16 (0.74%) experienced sudden death. There were 366 (16.90%) outcomes with no data, 868 (40.07%) deaths, of which 496 (57.15%) were unspecified, 263 (12.14%) discharges without clearance, 365 (16.85%) discharges with clearance, 36 (1.66%) evasions, and 252 (11.63%) transfers to other psychiatric institutions. Main causes of death: dysentery, malnutrition, anemia and cachexia, pneumonia/tuberculosis, cerebral hemorrhage/stroke. Conclusion: Treatments were mostly organic and did not yield effective results; outcomes indicate inadequacy and inefficiency in psychiatric care and hospitalization.