Epidemiological profile of patients with multiple sclerosis hospitalized in public hospitals in Pará from January 2008 to December 2018
DOI:
https://doi.org/10.33233/fb.v22i6.4907Keywords:
central nervous system; multiple sclerosis; hospitalizationAbstract
Introduction: Multiple sclerosis is an inflammatory, demyelinating, progressive and incurable disease that affects the central nervous system and generates physical and cognitive deficits. It is usually in the severe phase of the disease that the individual seeks medical assistance due to the severity of the symptoms. Objective: To characterize the epidemiological profile of patients with multiple sclerosis admitted to public hospitals in Pará from 2008 to 2018. Methods: This study was carried out using secondary information stored in the online platform SIS/DATASUS. Results: The number of admissions for multiple sclerosis in public hospitals in Pará was 96 cases, the regions with the most admissions were the locations outside the metropolitan area (73.96%), with higher prevalence in females (55.21% ), in the age group from 30 to 39 years old (32.29%), in the brown race (48.96%). Most admissions were urgent (95,83%), the average period of stay was 10,5 days and the mortality rate was 2.08%. Conclusion: This study has limitations because it is secondary data and because of the limited number of epidemiological studies for discussion.
References
Gonçalves MVM, Fábio S, Flavio DR, Alexandre LL, Claduio HA, Edila MC, et al. Prevalence of multiple sclerosis in key cities of Brazil. A study in Joinville, Southern Brazil. Arq Neuropsiquiatr 2021;79(2):122-6. doi: 10.1590/0004-282X-anp-2020-0101
Kara F, Mehmet FG, Cavit B. Determinantes do desenvolvimento de deficiência em pacientes com esclerose múltipla. Arq Neuropsiquiatr 2021;79:489-96. doi: 10.1590/0004-282X-ANP-2020-0338
Papais A, Regina M, Alvarenga, Hélcio. Esclerose múltipla: manifestações clínicas, aspectos epidemiológicos e critérios diagnósticos. Rev Bras Neurol [Internet]. 1995 [cited 2021 Dec 2];61-70. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/car-869
Barbosa JPC, Carneiro RJO. Perfil clínico e epidemiológico dos pacientes submetidos a pulsoterapia com metilprednisolona no serviço de clínica médica do Hospital Geral de Fortaleza [Trabalho de Conclusão de Residência Médica] [Internet]. 2017. [cited 2021 Dec 2]. Available from: http://hdl.handle.net/123456789/213
Cavenaghi VB, Dobrianskyj FM, Olival GS, Carneiro FPCD, Tilbery CP. Characterization of the first symptoms of multiple sclerosis in a Brazilian center: cross-sectional study. Sao Paulo Med J 2017;135(3):222-5. doi: 10.1590/1516-3180.2016.0200270117
Frois HFDC, Assis VB, Sant’Ana YFSA, Palangani EA. Internações por esclerose múltipla no estado de São Paulo [Internet]. Simpósio de Neurociência Clínica e Experimental: Neuroinflamação e Neuroinfecção. 2020. [cited 2021 Dec 2]. Available from: https://portaleventos.uffs.edu.br/index.php/SIMPNEURO/article/view/14423
Ribeiro KMC, Ribeiro KMC, Neto AS, Carvalho ISS, Cajaíba MM, Nascimento MMG. Perfil epidemiológico das internações de pacientes com esclerose múltipla no Brasil [Internet]. Semana de Pesquisa do Centro Universitário Tiradentes-SEMPESq-Alagoas. 2020. [cited 2021 Dec 2]. Available from: https://eventos.set.edu.br/al_sempesq/article/view/13898
Silva MCN, Cavalcanti DBA. Evaluación de la calidad de vida en portadores de esclerosis múltiple: impacto de la fatiga, ansiedad y depresión. Fisioter Pesqui 2019;26:339-45. doi: 10.1590/1809-2950/17005426042019
Cassiano DP, Santos AHR, Esteves DC, Araujo GN, Cavalcanti IC, Rossi M, et al. Estudo epidemiológico sobre internações por esclerose múltipla no Brasil comparando sexo, faixa etária e região entre janeiro de 2008 a junho de 2019. Braz J Health Review [Internet]. 2020 [cited 2021 Dec 2];3(6):19850-61. Available from: https://www.brazilianjournals.com/index.php/BJHR/article/view/22370/17904
Oliveira LC. Análise espaço-temporal da mortalidade por esclerose múltipla no Brasil [Monografia] [Internet]. Vitória: Universidade Federal do Espírito Santo; 2016. [cited 2021 Dec 2]. http://repositorio.ufes.br/handle/10/10131
Jelinek GA, Marck CH, Weiland TJ, Pereira N, Meer DM, Hadgkiss EL. Latitude, sun exposure and vitamin D supplementation: associations with quality of life and disease outcomes in a large international cohort of people with multiple sclerosis. BMC Neurology [Internet] 2015 [cited 2021 Dec 2];15:1-6. Available from: https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-015-0394-1
Finkelsztejn A. Esclerose múltipla no Brasil: estudo de custo da doença e de custo-efetividade dos tratamentos disponíveis no país [Monografia] [Internet]. Porto Alegre: Universidade do Rio Grande do Sul, 2013. [cited 2021 Dec 2]. Available from: http://hdl.handle.net/10183/88318
Souza LM, Oliveira ES, Sousa NAC, Arêas GPT, Arêas FZS. Perfil epidemiológico e funcional de pacientes com diagnóstico de esclerose múltipla em Manaus, Amazonas. Rev Acta Fisiátrica 2018;25(4):174-8. doi: 10.11606/issn.2317-0190.v25i4a163863
Neves CFS. Rente JAPS, Ferreira ACS, Garrett ACM. Qualidade de vida da pessoa com esclerose múltipla e dos seus cuidadores. Rev Enf Ref Coimbra 2017;12:85-96. doi: 10.12707/RIV16081
Marrie RA, Bernstein CN, Peschken CA, Hitchon CA, Chen H, Fransoo R, et al. Intensive care unit admission in multiple sclerosis: Increased incidence and increased mortality. Neurology 2014;10(82):2112-19. doi: 10.1212/WNL.0000000000000495
Scalfari A, Knappertz V,Cutter G, Goodin DS, Ashton R, Ebers GC. Mortality in patients with multiple sclerosis. Neurology 2013;81(2):184-92. doi: 10.1212/WNL.0b013e31829a3388
Goodin DS. Survival in MS: a randomized cohort study 21 years after the start of the pivotal IFNβ-1b trial. Neurology 2012;24(78):1315-22. doi: 10.1212/WNL.0b013e3182535cf6
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