Accidental tetanus: prognosis evaluation in a historical series at a hospital in Salvador, Bahia, Brazil
Rev. Inst. Med. Trop. Säo Paulo
;
45(1): 35-40, Jan.- Feb. 2003. tab
Artigo
em Inglês
| LILACS
| ID: lil-330510
RESUMO
A total of 868 (84.89 percent) 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 percent (n = 551) were discharged, 35.4 percent (n = 307) died, and 1.1 percent (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 FACE="Symbol">ú 0.25) for univariate analysis, we observed a greater association of risk for worst prognosis (death) in patients aged FACE="Symbol"> 51 years; time of illness < 48 hours; time of incubation < 168 hours; neck rigidity; spasms; opisthotonos; body temperature FACE="Symbol"> 37.7 ºC; heart beat FACE="Symbol"> 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 percent) were more frequent, while among patients of the group of the deceased, 70.3 percent (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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Tétano
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Lactente
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Rev. Inst. Med. Trop. Säo Paulo
Assunto da revista:
Medicina Tropical
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Escola Bahiana de Medicina e Saúde Pública/BR
/
Universidade Federal da Bahia/BR
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