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Search Results: 1 - 10 of 12033 matches for " indicators of hospital morbidity and mortality. "
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Indicadores de morbimortalidade hospitalar de tuberculose no Município de S?o Paulo
Galesi, Vera Maria Neder;Almeida, Margarida Maria Mattos Brito de;
Revista Brasileira de Epidemiologia , 2007, DOI: 10.1590/S1415-790X2007000100006
Abstract: introduction: the treatment of tuberculosis is currently carried out in outpatient health services and hospitalization is only recommended for the more severe cases or for those facing social problems. in s?o paulo, however, a considerable number of tuberculosis patients are still hospitalized. objective: to study the socio-demographic and clinical-epidemiological characteristics of hospitalized tuberculosis patients in the city of s?o paulo in 2001. specific objective: to calculate tuberculosis morbimortality indicators for inpatients. methods: indicators of morbimortality of inpatients were calculated taking as sources, data from the s?o paulo state tuberculosis information system - (epitb) registration program, and the follow-up and analysis of reports and population data from deinfo/ sempla and fipe. results: a total of 2,473 tuberculosis patients were hospitalized in the city of s?o paulo in 2001. the hospitalization rate for these patients was 23.5 per 100,000 inhabitants, and the mortality rate found was 4.1 per 100,000 inhabitants with 485 deaths, yielding a fatality rate of 17.4%. discussion: the tb/hiv co-infection rate was of 32.7% among inpatients and 12.5% among those not hospitalized, showing that the aids epidemic has caused a considerable impact both in the magnitude and in the severity of the situation of hospitalized tuberculosis patients. the higher fatality rate (48.4%) is of disseminated / miliary tuberculosis, of which the majority occurs in hiv-positive patients. if, however, known hiv-positive cases are excluded, the fatality rate still remains high, i.e. 15%, showing that the severity of cases is not only due to co-infection. conclusions: taking all points into consideration, the indicators showed an alarming situation. recommendation: it is recommended that the epidemiological surveillance of municipalities establish flows and follow_up strategies for tuberculosis patients who have been hospitalized, mainly those in large urban centers, in
Violência e mortes por causas externas
Vieira, Graciete Oliveira;Assis, Marluce Maria Araújo;Nascimento, Maria Angela Alves do;Vieira, Tatiana de Oliveira;Vieira-Santana Netto, Pedro;
Revista Brasileira de Enfermagem , 2003, DOI: 10.1590/S0034-71672003000100010
Abstract: an ecological study highlighted violence and death by external causes in salvador and in bahia through data furnished by the funda??o nacional de saúde (health national foundation) at the ministério da saúde (ministry of health), based on mortality records and population estimates by ibge. the risk of death by homicide in brazil is three times greater than in the united states, and up to forty times higher than in japan. homicide was the primary cause of loss of potential years of life (13.4%) in brazil (1997), followed by traffic deaths (10.6%). external causes were the second cause of death in salvador and bahia (1996). violence has cultural-social and political-ideological roots and it can be prevented by intersectional, multidisciplinary actions.
Embarazos múltiples y su influencia en los principales indicadores perinatales
Hernández Cabrera,Jesús; Hernández Hernández,Danilec; Rendón García,Silvia; Dávila Albuerne,Bárbaro; Suárez Ojeda,Roberto;
Revista Cubana de Obstetricia y Ginecolog?-a , 2003,
Abstract: a descriptive and prospective study on the multiple pregnancies occurred at "julio alfonso medina" gynecoobstetric hospital, in matanzas, in 2000, was conducted. the sample was composed of all the pregnancies of this type with more than 28 weeks and delivery occurred in the above mentioned hospital. the influence of these pregnancies on the main indicators of morbidity and perinatal mortality was studied. of a total of 3 022 births, for an incidence of 1.12 %, 34 were multiple pregnancy, 33 were twins and one was triplets. 91.1 % of the pregnant women had obstetric diseases, such as arterial hypertension, early rupture membrane and anemia. there was predisposition to cesarean section when the presentations were not cephalic, or cephalic-pelvic. the second twin had low birth weight more frequently. the results were expressed by percentage and the average values were calculated. the x2 test with a 3 0,05 was also applied.
Interna??o hospitalar e mortalidade por esquistossomose mans?nica no Estado de Pernambuco, Brasil, 1992/2000
Resendes, Ana Paula da Costa;Souza-Santos, Reinaldo;Barbosa, Constan?a Sim?es;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000500011
Abstract: in order to investigate the historical trends, epidemiological profile, and spatial distribution of hospital admissions and deaths from schistosomiasis in the state of pernambuco, brazil, an analysis was conducted of data from the hospital information system and mortality information system from 1992 to 2000. the results showed a reduction in hospital admissions and mortality, while identifying more admissions and deaths among males. there was a lower percentage of deaths and admissions from schistosomiasis in individuals under 30 years of age. however, schistosomiasis is still of relevant magnitude, as evidenced by the number of deaths from this cause and the number of patients admitted to the hospital system in pernambuco. a spatial analysis of the endemic's distribution in the state showed that although from 1995 to 1999 there was a greater spread of admissions due to schistosomiasis in the municipalities (counties) of the sert?o (backlands) and s?o francisco river valley, the number of municipalities with hospitalizations due to schistosomiasis decreased from 1995 to 1998, followed by an increase in 1999 and 2000.
The use of database linkage technique for the improvement of information on mother-infant deaths in Ceara, 2006
Lindélia Sobreira Coriolano,José Gomes Bezerra Filho,Luciano Pamplona de Góes Cavalcanti,Nádia Maria Gir?o Saraiva de Almeida
Revista Brasileira em Promo??o da Saúde , 2009,
Abstract: Objective: To assess the use of database linkage technique on the improvement of information on mother-infant deaths by recovering not registered and/or ignored variables from the deaths of children under one year old, in the city of Fortaleza, in 2006. Methods: The linkage of database SIM (Mortality Information System) and SINASC (Live births Information System) was done by selecting common variables of the two systems. Using the Reclink III software there were identified the perfect pairs “Death certificate/Birth certificate” (DO/DN) by means of the variables of DO: sex, race / color, birth weight, mother’s age, gestational age, type of pregnancy, type of birth, mother’s occupation and mother’s schooling. Results: There were registered 40,391 live births and 706 deaths of children under one year old. There were identified 516 (73.1%) DO with their respective DN. The variables occupation and mother’sm schooling increased from 31.4% and 35.8% to 64.6% and 72.8% of filling, respectively. Regarding the mother’s age, the increase of information was 45.2%. Conclusion: The use of Reclink III software in the routine of health services enabled a large recovery of information that had not been fulfilled in the Death certificate (DO), and therefore, may promote a better understanding of infant mortality in studied populations.
Perfil epidemiológico e morbimortalidade dos pacientes submetidos à reconstru??o de transito intestinal: experiência de um centro secundário do Nordeste Brasileiro
Silva, Jeany Borges e;Costa, Djalma Ribeiro;Menezes, Francisco Julimar Correia de;Tavares, José Marconi;Marques, Adryano Gon?alves;Escalante, Rodrigo Dornfeld;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2010, DOI: 10.1590/S0102-67202010000300004
Abstract: background: the reconstruction of the intestinal tract is not surgical complications risk-free and is associated to postoperative complications high rates; furthermore, infection remains the hardest challenge in this procedure. aim: epidemiological profile and mortality and morbidity in patients undergoing reconstruction of intestinal transit. methods: retrospectively, 86 patients with intestinal stomas were analyzed through factors that impact on the morbimortality afterwards intestinal transit reconstruction, since january 2003 to april 2009. results: loop colostomy (n=34) and abdominal trauma implicating 38.2% of indications to colostomy or ileostomy, were the most frequent conditions. the mean interval between stoma confection and intestinal transit reconstruction was 15.7 months. the morbidity frequency was 56.8% and incisional infection was its commonest complication (27.47%). the mean inpatient length of stay was 7.6 days. there was positive linear regression between post-operative inpatient length of stay and inpatient's age. inpatient length of stay prolongation is associated to occurrence of complications (p<0,001). conclusion: it can be inferred that the occurrence of postoperative complications and age were associated with prolonged hospital stay.
Mortalidad oculta por infarto agudo del miocardio
Pi?ón Pérez,Jorge; Sandrino Sánchez,Maribel; García Portela,Rafael A.; Delgado Rodríguez,Ariel E.; Fernández González,José L.; León Pimentel,Oleg A.;
Revista Cubana de Medicina , 2003,
Abstract: a retrospective and descriptive study was conducted among those dead patients with acute myocardial infarction detected during the necropsy studies. they were divided into 2 groups. the first one was composed of the patients that being alive were diagnosed ami (169 patients). they were compared with a second group that was made up of the patients that were diagnosed ami on necropsy (65 %). this group was the fundamental objective of the research. the following variables were studied in both groups: age, sex, topographical localization of the injury, complications and associated diseases. the disease proved to be more common among males over 60. on comparing, the infarctions of the inner face were more significant in the group of occult mortality from ami, but those of mixed localization predominated in both groups. the main complications in the group of occult mortlity from ami were heart failure and acute lung edema, whereas the associated diseases were bronchopneumonia, ischemic cerebrovascular disease, chronic kidney failure and chronic obstructive lung disease. all this influenced the non-diagnosis of ami during their lifetime. in the group of infarctions diagnosed during their lifetime, the most frequent complications were the cardiogenic shock and the heart arrhytmias. there were a few associated diseases with no significant results
Morbilidad y mortalidad de la apendicitis aguda en los pacientes geriátricos, 1990-1999
Morales González,Raúl A; Ordinales Nú?ez,Juan; Salcedo Frómeta,Leandra O; Lahaba Liqui,Natividad; Fernández Torres,Salomón;
Revista Cubana de Cirug?-a , 2002,
Abstract: a descriptive and retrospective study of all the patients aged 60 and over with the clinical and anatomopathologic diagnosis of acute appendicitis that were attended at "celia sánchez manduley" provincial clinical and surgical teaching hospital, in manzanillo, during the last decade, was conducted. aspects such as age, sex, characteristics of pain, results of the white blood cell count, time of evolution up to the diagnosis, anatomopathologic state of the appendix and complications were analyzed. the disease was more frequent in men. the atypic pain predominated and the white blood cell count had a poor diagnostic value. the disease was treated late and an important number of complications were observed
Ospina Juan,Manrique Fred,Ariza Nelly,Pinzon Maria Teresa
Investigaciones Andina , 2009,
Abstract: Objective: determine the volume, structure, main causes of admission, hospital length of stay and mortality in patients admitted to the Internal Medicine service of the Hospital San Rafael in Tunja, during the months of August 2006 and July 2007. Methods: descriptive study of a transversal style. An exhaustive revision of the admission registration records was conducted. The sample is made up of the admissions to internal medicine. The variables were evaluated: gender, age, base illness, admission diagnosis, days stayed at the hospital and condition upon release. Results: average length of stay is 6.29 days (SD= 5.38); 35.1% of the patients remain hospitalized for more than 6 days; average age is 61.57 years old (SD= 20.28); 62.8% of the patients are more than 60 years old; 36.2% of the patients are cared for by subspecialties of pneumology and cardiology, followed by the service of neurology (18.3%); 7.1% of the patients admitted died while the service was provided. The main causes of death were neurologic (27.5%) followed by cardiovascular and respiratory disease (24.6%) Conclusions: in the short term, it is recommended to organize and update guiding protocols for a complete service for patients with cardiac failure and respiratory failure. It is useful to become familiar with the occurrence of morbidity when administering the service, because it will allow the development of prevention programs and reduce the number of hospitalization as well as hospital length of stay. A constant update of the total health team in attention to the geronte, is an indication of management that contributes to guarantee the quality of service, an aspect which is evaluated for the accreditation of the institution.
Diabetes mellitus na popula??o idosa em município da Regi?o Sul do Brasil: um estudo da mortalidade e morbidade hospitalar
Mathias, Thais A. Freitas;Jorge, Maria Helena P. M.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2004, DOI: 10.1590/S0004-27302004000400011
Abstract: this study aimed to investigate the mortality trend and hospital morbidity from diabetes mellitus (dm) in an elderly population from maringá, pr. the death information was obtained from the brazilian official mortality information system and hospitalization data from the official hospital information of the national health system. mortality data were analyzed from 1979 to 1998 and morbidity data from 1996 to 1998, both for people 60 years old and over. population data were estimated from the national demographic census. from 1979 to 1998, the proportional mortality and mortality rate for dm in the elderly have increased 16% and 91.1%, respectively, for both sexes. the mortality rate increased from 72 to 137.6 per 100.000 inhabitants, an increase of 147.8% for men and 61.9% for women, more importantly after 80 years old. from the hospital admissions for endocrine, nutritional and metabolic diseases, nearly 60% were for dm and among those, 30% for men and 70% for women. during the study period, hospitalization rates have decreased in all age groups. it is important for the municipality to recognize and improve the health promotion services specifically those addressed to the risk factors for dm in the community.
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