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Risk factors for physical disability at diagnosis of 19.283 new cases of leprosy / Fatores de risco para incapacidade física no momento do diagnóstico de 19.283 casos novos de hanseníase
Moschioni, Cristiane; Antunes, Carlos Maurício de Figueiredo; Grossi, Maria Aparecida Faria; Lambertucci, José Roberto.
  • Moschioni, Cristiane; Federal University of Minas Gerais. Infectious Diseases Branch, School of Medicine. BR
  • Antunes, Carlos Maurício de Figueiredo; Federal University of Minas Gerais. Infectious Diseases Branch, School of Medicine. BR
  • Grossi, Maria Aparecida Faria; Secretary of Health of the Minas Gerais State. Belo Horizonte. BR
  • Lambertucci, José Roberto; Federal University of Minas Gerais. Infectious Diseases Branch, School of Medicine. BR
Rev. Soc. Bras. Med. Trop ; 43(1): 19-22, Jan.-Feb. 2010. tab
Article Dans Anglais | LILACS | ID: lil-540506
ABSTRACT

INTRODUCTION:

The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis.

METHODS:

This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005.

RESULTS:

The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively.

CONCLUSIONS:

These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.
RESUMO

INTRODUÇÃO:

O objetivo deste estudo foi o de avaliar os fatores de risco para incapacidade física no momento do diagnóstico.

MÉTODOS:

Trata-se de estudo retrospectivo, descritivo e exploratório de 19.283 pacientes com hanseníase, notificados entre 2000 e 2005, no estado de Minas Gerais, Brasil.

RESULTADOS:

O risco para desenvolver grau 2 de incapacidade física foi 16,5 vezes maior no paciente com hanseníase virchowiana e 12,8 vezes maior no paciente com a forma dimorfa, quando comparados aos pacientes com a forma indeterminada. A presença de mais de um nervo acometido aumentou o risco de desenvolver grau 2 de incapacidade em 8,4 vezes. A idade inferior a 15 anos, os pacientes multibacilares e a falta de escolaridade aumentaram a chance de deformidades em 7,0, 5,7 e 5,6, respectivamente.

CONCLUSÕES:

Estes fatores devem ser considerados indicadores importantes do prognóstico para incapacidade física no momento do diagnóstico.
Sujets)

Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Neuropathies périphériques / Évaluation de l&apos;invalidité / Lèpre Type d'étude: Etude diagnostique / Etude d'étiologie / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Femelle / Humains / Mâle langue: Anglais Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: Médecine tropicale Année: 2010 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Federal University of Minas Gerais/BR / Secretary of Health of the Minas Gerais State/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Neuropathies périphériques / Évaluation de l&apos;invalidité / Lèpre Type d'étude: Etude diagnostique / Etude d'étiologie / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Femelle / Humains / Mâle langue: Anglais Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: Médecine tropicale Année: 2010 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Federal University of Minas Gerais/BR / Secretary of Health of the Minas Gerais State/BR