Caracterização, confirmação diagnóstica e avaliação da gravidade dos pacientes com DPOC internados em hospital geral com recursos adequados para o geenciamneto da doença
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Data
2013-11-27
Autores
Merli, Ana Paula Delgallo [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
De acordo com a Organização Mundial da Saúde (OMS), a Doença Pulmonar Obstrutiva Crônica (DPOC) é uma das doenças crônicas mais prevalentes, que afeta 210 milhões de pessoas em todo o mundo, sendo a quinta causa mais comum de morte e a décima doença mais onerosa. Estudo realizado em países latino-americanos estimou que a prevalência da DPOC é maior que 10% entre adultos com 40 anos ou mais, e a mortalidade associada a essa doença deve aumentar e será a terceira causa de morte no ano de 2030. Dados do DATASUS mostram que, no Brasil, a DPOC foi responsável por 107.154 admissões no SUS em 2012, com permanência média de internação de seis dias. O número de óbitos, em 2012, por DPOC foi em torno de 7.801, resultando em uma taxa de mortalidade de 6,14%. O custo estimado por paciente por ano com DPOC é de R$ 757,00, sendo que o valor total gasto no ano de 2012 foi de R$ 96.222.080,03. Diretrizes da prática clínica baseadas em evidências para o diagnóstico e gerenciamento da DPOC têm sido desenvolvidas e publicadas, inclusive no Brasil. Existe concordância entre as diretrizes nacionais e internacionais com relação à eficácia da cessação do tabagismo, da reabilitação pulmonar, da vacinação contra a gripe, do uso de medicamentos e da oxigenoterapia domiciliar prolongada para pacientes com hipoxêmia. Entretanto, existem dados que mostram lacunas no gerenciamento da DPOC. Portanto, novos estudos são necessários para melhor compreender os aspectos que possam contribuir para uma melhor gestão dessa doença tão altamente prevalente. Verificar se as questões fundamentais para estabelecer o diagnóstico e avaliar a gravidade da doença estão presentes nos dados clínicos dos pacientes internados com diagnóstico de Doença Pulmonar Obstrutiva Crônica em um Hospital Geral, no período de Abril de 2011 a Março de 2012. Estudo quantitativo do tipo documental retrospectivo. Foram...
According to the World Health Organization (WHO), Chronic Obstructive Pulmonary Disease (COPD) is one of the most prevalent chronic diseases, affecting 210 million individuals worldwide and is the 5th most common cause of death among chronic diseases and 10th most costly disease. A Latin-American study has estimated the prevalence of COPD as more than 10% in adults with more than 40 years, and states that mortality rates will rise and it will become the third most common cause of death in 2030. According to DATASUS, COPD was responsible for 107.154 public hospital admissions in 2012, with a median stay of 6 days. In the same year, COPD was responsible for 7.801 deaths with a mortality rate of 6,14%. In one year, it is estimated that COPD costs R$ 757,00 per patient, and costs in 2012 resulted in R$ 96.22.080,03. Evidence based clinical guidelines are being developed and published also in Brazil. National and international guidelines agree on the efficacy of tobacco use cessation, pulmonary rehabilitation, influenza vaccination, use of medication and prolonged domiciliary oxygen therapy for patients with hipoxemia. However there are some gaps in COPD management, and new studies are necessary to better understand the factors that may improve the management of such a prevalent disease. Verify if fundamental questions to establish and evaluate severity of the disease are present in clinical data from patients admitted because of COPD in a brazilian general hospital between april 2011 and march 2012. Retrospective quantitative study. 236 patients admitted in the Bauru State Hospital with COPD diagnosis were evaluated, in 402 admissions. It has been observed that 50% of them were male, the majority of them between 66-90 years old with a median age of 68 + 11,2 years and 86,9% of the patients had less then 5 years of education. Hospital stay was 13,4 days + 17,1 day with a median of 8 days. 57,1% of the ...
According to the World Health Organization (WHO), Chronic Obstructive Pulmonary Disease (COPD) is one of the most prevalent chronic diseases, affecting 210 million individuals worldwide and is the 5th most common cause of death among chronic diseases and 10th most costly disease. A Latin-American study has estimated the prevalence of COPD as more than 10% in adults with more than 40 years, and states that mortality rates will rise and it will become the third most common cause of death in 2030. According to DATASUS, COPD was responsible for 107.154 public hospital admissions in 2012, with a median stay of 6 days. In the same year, COPD was responsible for 7.801 deaths with a mortality rate of 6,14%. In one year, it is estimated that COPD costs R$ 757,00 per patient, and costs in 2012 resulted in R$ 96.22.080,03. Evidence based clinical guidelines are being developed and published also in Brazil. National and international guidelines agree on the efficacy of tobacco use cessation, pulmonary rehabilitation, influenza vaccination, use of medication and prolonged domiciliary oxygen therapy for patients with hipoxemia. However there are some gaps in COPD management, and new studies are necessary to better understand the factors that may improve the management of such a prevalent disease. Verify if fundamental questions to establish and evaluate severity of the disease are present in clinical data from patients admitted because of COPD in a brazilian general hospital between april 2011 and march 2012. Retrospective quantitative study. 236 patients admitted in the Bauru State Hospital with COPD diagnosis were evaluated, in 402 admissions. It has been observed that 50% of them were male, the majority of them between 66-90 years old with a median age of 68 + 11,2 years and 86,9% of the patients had less then 5 years of education. Hospital stay was 13,4 days + 17,1 day with a median of 8 days. 57,1% of the ...
Descrição
Palavras-chave
Pulmões - Doenças, Doentes hospitalizados, Pessoal da area médica, Educação permanente, Lungs Diseases
Como citar
MERLI, Ana Paula Delgallo. Caracterização, confirmação diagnóstica e avaliação da gravidade dos pacientes com DPOC internados em hospital geral com recursos adequados para o geenciamneto da doença. 2013. 78 f. Tese (doutorado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2013.