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Characterization of cases and epidemiological and operational indicators of leprosy: analysis of time series and spatial distribution, Piauí state, Brazil, 2007-2021 leprosy distribution state Brazil 20072021 2007 2021 2007-202 2007202 200 202 2007-20 200720 20 2007-2 20072 2 2007-
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Barros, Ian da Costa Araújo

; Sousa, Carliane da Conceição Machado

; Silva, Neylany Raquel Ferreira da

; Mascarenhas, Márcio Dênis Medeiros

Epidemiologia e Serviços de Saúde

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 33 elocation e2023090

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

RESUMEN Objetivo Analizar características epidemiológicas, tendencias temporales, distribución espacial de casos y indicadores de lepra en el estado de Piauí, 2007-2021. Métodos Estudio ecológico de series temporales con datos del Sistema de Información de Enfermedades de Notificación que describen la distribución espacial y la tendencia temporal de la lepra mediante la regresión de Prais-Winsten. Resultados Se notificaron 17.075 nuevos casos de lepra. Hubo tendencia decreciente en las tasas de detección general [variación porcentual anual (VPA) = -6,3; IC95% -8,1; -4,5], detección en menores de 15 años (VPA = -8,6; IC95% -12,7; -4,3), y detección de casos con discapacidad física grado 2 (VPA = -4,4; IC95%-7,0; -1,8). Hubo una tendencia creciente en la proporción de casos multibacilares. La distribución espacial de la tasa promedio de detección identificó áreas hiperendémicas en las regiones de Carnaubais, Entre Rios, Vale dos Rios Piauí y Itaueiras. Conclusión Se observaron altas tasas de detección de lepra, a pesar de la tendencia decreciente de los indicadores, excepto la proporción de casos multibacilares epidemiológicas 20072021. 20072021 2007 2021. 2021 2007-2021 PraisWinsten. PraisWinsten Prais Winsten. Winsten Prais-Winsten 17075 17 075 17.07 variación VPA 6,3 63 6 3 -6,3 IC95 IC 8,1 81 8 1 -8,1 4,5, 45 4,5 , 4 5 -4,5] 8,6 86 -8,6 12,7 127 12 7 -12,7 4,3, 43 4,3 -4,3) 4,4 44 -4,4 IC95%7,0 IC9570 7,0 0 IC95%-7,0 1,8. 18 1,8 . -1,8) Carnaubais Itaueiras 2007202 200 202 2007-202 1707 07 17.0 6, -6, IC9 8, -8, 4, -4,5 12, -12, -4,3 -4, IC95%7, IC957 70 7, IC95%-7, 1, -1,8 200720 20 2007-20 170 17. -6 -8 -12 -4 IC95%7 IC95%-7 -1, 20072 2007-2 - -1 IC95%- 2007-

ABSTRACT Objective To analyze epidemiological characteristics, temporal trends and spatial distribution of leprosy cases and indicators in the state of Piauí, 2007-2021. Methods This was an ecological time-series study using data from the Notifiable Health Conditions Information System, describing the spatial distribution and the temporal trend of leprosy using Prais-Winsten regression. Results A total of 17,075 new cases of leprosy were reported. There was a falling trend in the overall detection rate [annual percentage change (APC) = -6.3; 95%CI -8.1;-4.5)], detection in children under 15 years of age (APC = -8,6; 95%CI -12,7;-4,3) and detection of cases with grade 2 physical disability (APC = -4,4; 95%CI -7,0;-1,8). There was a rising trend in the proportion of multibacillary cases. Spatial distribution of the average detection rate identified hyperendemic areas in the Carnaubais, Entre Rios, Vale dos Rios Piauí e Itaueiras regions. Conclusion High leprosy detection rates were found, despite the falling trend of indicators, except the proportion of multibacillary cases. characteristics 20072021. 20072021 2007 2021. 2021 2007-2021 timeseries time series System PraisWinsten Prais Winsten regression 17075 17 075 17,07 reported annual APC 6.3 63 6 3 -6.3 95CI CI 95 8.14.5, 8145 8.1 4.5 , 8 1 4 5 -8.1;-4.5)] 8,6 86 -8,6 12,74,3 12743 12,7 4,3 12 7 -12,7;-4,3 4,4 44 -4,4 7,01,8. 7018 7,0 1,8 . 0 -7,0;-1,8) Carnaubais regions found 2007202 200 202 2007-202 1707 07 17,0 6. -6. 9 14 8.14.5 814 81 8. 45 4. -8.1;-4.5) 8, -8, 74 12,74, 1274 127 12, 43 4, -12,7;-4, -4, 01 7,01,8 701 70 7, 18 1, -7,0;-1,8 200720 20 2007-20 170 17, -6 8.14. -8.1;-4.5 -8 12,74 -12,7;-4 -4 7,01, -7,0;-1, 20072 2007-2 - 8.14 -8.1;-4. -12,7;- 7,01 -7,0;-1 2007- -8.1;-4 -12,7; -7,0;- -8.1;- -12,7 -7,0; -8.1; -12, -7,0 -8.1 -12 -7, -8. -1 -7

RESUMO Objetivo Analisar características epidemiológicas, tendência temporal, distribuição espacial de casos e indicadores da hanseníase no estado do Piauí, 2007-2021. Métodos Estudo ecológico de séries temporais com dados do Sistema de Informação de Agravos de Notificação, descrevendo a distribuição espacial e a tendência temporal da hanseníase pela regressão de Prais-Winsten. Resultados Foram notificados 17.075 novos casos de hanseníase. A distribuição espacial da taxa média de detecção identificou áreas hiperendêmicas nas regiões Carnaubais, Entre Rios, Vale dos Rios Piauí e Itaueiras. Verificou-se tendência decrescente nas taxas de detecção geral [variação percentual anual (VPA) = -6,3; IC95% -8,1;-4,5], de detecção em menores de 15 anos (VPA = -8,6; IC95%12,7;-4,3) e de detecção de casos com grau 2 de incapacidade física (VPA = -4,4; IC95%-7,0;1,8), e tendência crescente na proporção de casos multibacilares. Conclusão Observaram-se elevadas taxas de detecção de hanseníase, apesar da tendência decrescente dos indicadores, exceto a proporção de casos multibacilares. epidemiológicas 20072021. 20072021 2007 2021. 2021 2007-2021 Notificação PraisWinsten. PraisWinsten Prais Winsten. Winsten Prais-Winsten 17075 17 075 17.07 Carnaubais Itaueiras Verificouse Verificou se variação VPA 6,3 63 6 3 -6,3 IC95 IC 8,14,5, 8145 8,1 4,5 , 8 1 4 5 -8,1;-4,5] 8,6 86 -8,6 IC95%12,74,3 IC9512743 IC95%12,7 4,3 12 7 IC95%12,7;-4,3 4,4 44 -4,4 IC95%7,01,8, IC957018 7,0 1,8 0 IC95%-7,0;1,8) multibacilares Observaramse Observaram 2007202 200 202 2007-202 1707 07 17.0 6, -6, IC9 14 8,14,5 814 81 8, 45 4, -8,1;-4,5 -8, 74 IC95%12,74, IC951274 IC95127 IC95%12, 43 IC95%12,7;-4, -4, 01 IC95%7,01,8 IC95701 70 7, 18 1, IC95%-7,0;1,8 200720 20 2007-20 170 17. -6 8,14, -8,1;-4, -8 IC95%12,74 IC9512 IC95%12 IC95%12,7;-4 -4 IC95%7,01, IC9570 IC95%-7,0;1, 20072 2007-2 - 8,14 -8,1;-4 IC951 IC95%1 IC95%12,7;- IC95%7,01 IC957 IC95%-7,0;1 2007- -8,1;- IC95%12,7; IC95%7,0 IC95%-7,0; -8,1; IC95%7, IC95%-7,0 -8,1 IC95%7 IC95%-7, IC95%-7 IC95%-

https://doi.org/10.1590/s2237-96222024v33e2023090.en

Construção e validação de conteúdo de instrumento de autoavaliação da qualidade do cuidado em instituição de longa permanência para pessoas idosas
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Vieira, Bruno Luís de Carvalho

; Martins, Arianne Correa

; Ferreira, Raquel Conceição

; Vargas, Andréa Maria Duarte

Revista Brasileira de Geriatria e Gerontologia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 27 elocation e230173

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Objective To develop and validate the content of a self-assessment instrument for the quality of care in Long-Term Care Facilities for Older Adults (Instituições de Longa Permanência para Idosos - ILPIs), named QualificaILPI. Method A methodological study conducted between March and December 2021. The instrument was developed based on a multidimensional quality model, Brazilian legislation, and literature research. It contains quality standards for self-assessment of ILPIs in the dimensions of environment, home, care, family and community involvement, work team, and management. Each standard is described and followed by a scale with parameters to classify the level of ILPI quality as incipient, intermediate, or consolidated. The modified Delphi Technique was employed for validation by a committee of 10 experts regarding the relevance of the standard for ILPI quality assessment, the appropriateness of objectives, the evaluation scale, and clarity, allowing for comments. The standard was retained when there was 75% agreement among the experts. The instrument was also evaluated by the target audience, consisting of coordinators from 10 ILPIs selected for convenience. Results In the first assessment cycle, three standards were excluded, and two new ones were created. In the second cycle, the dimension of one standard was changed, and two standards were combined. In the end, 29 standards remained, divided into six dimensions. The target audience, ILPI managers, suggested changes in the wording of some standards. There was a consensus of 80% or higher for all standards. Conclusion QualificaILPI has the potential to contribute to monitoring ILPIs, promoting the improvement of care offered to residents. selfassessment self LongTerm Long Term Instituições , ILPIs) 2021 model legislation research environment home involvement team management incipient intermediate consolidated 1 objectives clarity comments 75 audience convenience cycle excluded created changed combined end 2 remained managers 80 residents 202 7 8 20

Resumo Objetivo Desenvolver e realizar a validação de conteúdo de um instrumento de autoavaliação da qualidade do cuidado em Instituições de Longa Permanência para Idosos (ILPI), denominado QualificaILPI. Método Estudo metodológico realizado entre março e dezembro de 2021. O instrumento foi desenvolvido com base em modelo multidimensional de qualidade, legislação brasileira e pesquisa bibliográfica e contém padrões de qualidade para autoavaliação das ILPI nas dimensões: ambiente, lar, cuidado, envolvimento familiar e da comunidade, equipe de trabalho e gestão. Cada padrão é descrito e seguido por uma escala, com parâmetros para classificar o nível de qualidade da ILPI em incipiente, intermediário, consolidado. A Técnica Delphi modificada foi empregada para validação por um comitê de 10 especialistas quanto a pertinência do padrão para avaliação da qualidade da ILPI, da adequação dos objetivos e da escala de avaliação, clareza, podendo fazer comentários. O padrão foi mantido quando houve 75% de concordância entre os especialistas. O instrumento foi também avaliado pelo público-alvo, constituído por coordenadores de 10 ILPI, selecionadas por conveniência. Resultados No primeiro ciclo de avaliação, foram excluídos três padrões e dois novos foram criados. No segundo, alterou-se a dimensão de um padrão e dois padrões foram unidos. Ao final, permaneceram 29 padrões divididos em seis dimensões. O público-alvo, gestores de ILPI, sugeriu alterações na redação de alguns padrões. Houve consenso de 80% ou superior em todos os padrões. Conclusão O QualificaILPI poderá contribuir para o monitoramento das ILPI favorecendo a melhoria do cuidado ofertado aos residentes. , (ILPI) 2021 dimensões ambiente lar comunidade gestão incipiente intermediário consolidado 1 clareza comentários 75 públicoalvo, públicoalvo público alvo, alvo público-alvo conveniência criados segundo alterouse alterou se unidos final 2 80 residentes (ILPI 202 7 8 20

https://doi.org/10.1590/1981-22562024027.230173.pt

Disparities in the protagonism of oral health teams in the work process of Primary Healthcare
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Silva, Érika Talita

; Ferreira, Raquel Conceição

; Diniz, Fabiano Costa

; Gomes, Milena Ribeiro

; Martins, Andréa Maria Eleutério de Barros Lima

; Chalub, Loliza Luiz Figueiredo Houri

; Senna, Maria Inês Barreiros

Revista de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 58 elocation 14

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT OBJECTIVE Evaluate and compare the protagonism of Oral Health teams (OHt) in the teamwork process in Primary Healthcare (PHC) over five years and estimate the magnitude of disparities between Brazilian macro-regions. METHODS Ecological study that used secondary data extracted from the Sistema de Informação em Saúde para a Atenção Básica (SISAB – Health Information System for Primary Healthcare) from 2018 to 2022. Indicators were selected from a previously validated evaluative matrix, calculated from records in the Collective Activity Form on the degree of OHt’s protagonism in team meetings and its degree of organization concerning the meeting agendas. A descriptive and amplitude analysis of the indicators’ variation over time was carried out, and the disparity index was also calculated to estimate and compare the magnitude of differences between macro-regions in 2022. RESULTS In Brazil, between 3.06% and 4.04% of team meetings were led by OHt professionals. The Northeast and South regions had the highest (3.71% to 4.88%) and lowest proportions (1.21% to 2.48%), respectively. From 2018 to 2022, there was a reduction in the indicator of the “degree of protagonism of the OHt” in Brazil and macro-regions. The most frequent topics in meetings under OHt’s responsibility were the work process (54.71% to 70.64%) and diagnosis and monitoring of the territory (33.49% to 54.48%). The most significant disparities between regions were observed for the indicator “degree of organization of the OHt concerning case discussion and singular therapeutic projects”. CONCLUSIONS The protagonism of the OHt in the teamwork process in PHC is incipient and presents regional disparities, which challenges managers and OHt to break isolation and lack of integration, aiming to offer comprehensive and quality healthcare to the user of the Unified Health System (SUS). (OHt (PHC macroregions. macroregions macro regions. SISAB 201 2022 matrix OHts s agendas indicators out 306 3 06 3.06 404 4 04 4.04 professionals 3.71% 371 71 (3.71 4.88% 488 88 1.21% 121 1 21 (1.21 2.48%, 248 2.48% , 2 48 2.48%) respectively 54.71% 5471 54 (54.71 70.64% 7064 70 64 33.49% 3349 33 49 (33.49 54.48%. 5448 54.48% . 54.48%) projects. projects projects” integration SUS. SUS (SUS) 20 202 30 0 3.0 40 4.0 3.71 37 7 (3.7 4.88 8 1.21 12 (1.2 24 2.48 54.71 547 5 (54.7 70.64 706 6 33.49 334 (33.4 544 54.48 (SUS 3. 4. 3.7 (3. 4.8 1.2 (1. 2.4 54.7 (54. 70.6 33.4 (33. 54.4 (3 1. (1 2. 54. (54 70. 33. (33 ( (5

RESUMO OBJETIVO Avaliar e comparar o protagonismo das equipes de Saúde Bucal (eSB) no processo de trabalho em equipe na Atenção Primária à Saúde (APS) ao longo de cinco anos, e estimar a magnitude das disparidades entre as macrorregiões brasileiras. MÉTODOS Estudo ecológico que utilizou dados secundários extraídos do Sistema de Informação em Saúde para a Atenção Básica (SISAB), de 2018 a 2022. Foram selecionados indicadores de matriz avaliativa previamente validada, calculados a partir dos registros na Ficha de Atividade Coletiva do grau de protagonismo das eSB nas reuniões de equipe, bem como do seu grau de organização em relação às pautas dos encontros. Foi realizada análise descritiva e da amplitude da variação dos indicadores ao longo do tempo, e também foi calculado o índice de disparidade para estimar e comparar a magnitude das diferenças entre as macrorregiões no ano de 2022. RESULTADOS No Brasil, entre 3,06% e 4,04% das reuniões de equipe foram lideradas por profissionais da eSB. No período, o Nordeste e o Sul foram as regiões que apresentaram maiores (3,71% a 4,88%) e menores proporções (1,21% a 2,48%), respectivamente. No período de 2018 a 2022, houve uma redução do indicador “grau de protagonismo das eSB” no Brasil e nas macrorregiões. Os temas mais frequentes em reuniões sob responsabilidade das eSB foram processo de trabalho (54,71% a 70,64%) e diagnóstico e monitoramento do território (33,49% a 54,48%). As maiores disparidades entre as regiões foram observadas para o indicador “grau de organização das eSB, em relação à discussão de caso e de projeto terapêutico singular”. CONCLUSÕES O protagonismo das eSB no processo de trabalho em equipe na APS é incipiente e apresenta disparidades regionais, o que desafia gestores e eSB para o rompimento do isolamento e da falta de integração, visando a oferta de atenção à saúde integral e de qualidade ao usuário do Sistema Único de Saúde (SUS). (eSB (APS anos brasileiras SISAB, SISAB , (SISAB) 201 2022 validada encontros tempo 306 3 06 3,06 404 4 04 4,04 3,71% 371 71 (3,71 4,88% 488 88 1,21% 121 1 21 (1,21 2,48%, 248 2,48% 2 48 2,48%) respectivamente 54,71% 5471 54 (54,71 70,64% 7064 70 64 33,49% 3349 33 49 (33,49 54,48%. 5448 54,48% . 54,48%) singular. singular singular” regionais integração SUS. SUS (SUS) (SISAB 20 202 30 0 3,0 40 4,0 3,71 37 7 (3,7 4,88 8 1,21 12 (1,2 24 2,48 54,71 547 5 (54,7 70,64 706 6 33,49 334 (33,4 544 54,48 (SUS 3, 4, 3,7 (3, 4,8 1,2 (1, 2,4 54,7 (54, 70,6 33,4 (33, 54,4 (3 1, (1 2, 54, (54 70, 33, (33 ( (5

https://doi.org/10.11606/s1518-8787.2024058005759

Salivary Changes, Systemic Conditions, and Medication Use in Independently-Living Aged: A Cross-Sectional Study Changes Conditions IndependentlyLiving Independently Living Aged CrossSectional Cross Sectional
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Branco, Natália Teixeira Tavares

; Ribeiro, Rafaela de Brito

; Dutra, Daniel José Braga

; Ferreira, Raquel Conceição

; Diniz, Ivana Márcia Alves

; Magalhães, Cláudia Silami

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 24 elocation e220076

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To determine the unstimulated salivary flow, pH, and buffering capacity and their associations with systemic conditions and medication use in independently living aged. Material and Methods: This cross-sectional study included 72 participants with a minimum of 60 years recruited in Belo Horizonte, Brazil. A questionnaire was used to collect age, sex, presence of systemic diseases, and medications in continuous use. Salivary data collection was performed to determine unstimulated salivary flow, pH, and buffering capacity. Descriptive, bivariate, and multivariate analyses were performed (p<0.05). Results: Most of the sample had at least one systemic disease (81.9%) and used at least one medication (79.2%). Female participants (p=0.01), those with five or more systemic diseases (p<0.01), and hypertension (p=0.04) had reduced salivary flow. Participants with systemic diseases (p=0.02), taking any medication (p=0.04), in a polypharmacy regimen, and presenting hypertension (p=0.02) had more acidic salivary pH. Participants with diabetes had average salivary buffering capacity (p=0.02). In the adjusted multiple regression models, no explanatory variable was significantly associated with the salivary outcomes. Conclusion: Systemic alterations and medication use appear to be related to salivary changes in older adults. Integrative assessment of older adults is fundamental to identifying and controlling the factors that may modify their salivary characteristics. Objective flow pH aged Methods crosssectional cross sectional 7 6 Horizonte Brazil age sex Descriptive bivariate p<0.05. p005 p p<0.05 . 0 05 (p<0.05) Results 81.9% 819 81 9 (81.9% 79.2%. 792 79.2% 79 2 (79.2%) p=0.01, p001 p=0.01 , 01 (p=0.01) p<0.01, p<0.01 (p<0.01) p=0.04 p004 04 (p=0.04 p=0.02, p002 p=0.02 02 p=0.04, regimen (p=0.02 p=0.02. models outcomes Conclusion characteristics p00 p<0.0 (p<0.05 81.9 8 (81.9 79.2 (79.2% p=0.0 (p=0.01 (p<0.01 (p=0.0 p0 p<0. (p<0.0 81. (81. 79. (79.2 p=0. (p=0. p<0 (p<0. (81 (79. p=0 (p=0 p< (p<0 (8 (79 p= (p= (p< ( (7 (p

https://doi.org/10.1590/pboci.2024.052

Compliance Analysis of the Dental Care Service Provided to Pregnant Women in Primary Health Care
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Nogueira, Paula Molina

; Fonseca, Isabela Oliveira Mourão

; Ferreira, Raquel Conceição

; Vasconcelos, Mara

; Zina, Lívia Guimarães

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

Journal Metrics
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- SciELO Analytics

2024, Volume 24 elocation e220093

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To analyze oral health services for pregnant women in the primary health care of a Brazilian metropolis, based on the performance of dentists who integrate these services. Material and Methods: Exploratory, descriptive and cross-sectional study was conducted through qualitative and quantitative approaches. A semi-structured questionnaire was used for data collection. This study was conducted in a Brazilian metropolis and included all dentists working in primary health care. The compliance analysis was performed considering access, adherence, group activity and individual dental care dimensions. Open questions were analyzed using the content analysis method and the closed questions were performed using frequency estimates. Bivariate statistics (Chi-square, Fisher's Exact Test, α<0.05) were analyzed through STATA. Results: 260 dentists agreed to participate in this study. Strategies to facilitate the scheduling of pregnant women to dental treatment occur in 93.9% of oral health teams, the main one being the scheduling and/or referral performed by the family health team. In terms of access and adherence to treatment, all variables in these dimensions showed relevant compliance results. The group activity dimension presented moderate compliance percentages, whereas individual care obtained high results, except for referral to radiography. Conclusion: The oral health service was compliant regarding access and adherence to treatment, but showed limitations in individual care and collective activities. Recommendations include improving oral health team coverage and permanent education programs. Objective Methods Exploratory crosssectional cross sectional approaches semistructured semi structured collection estimates Chisquare, Chisquare Chi square, square (Chi-square Fishers Fisher s Test α<0.05 α005 α 0 05 STATA Results 26 939 93 9 93.9 teams andor or results percentages radiography Conclusion activities programs α<0.0 α00 2 93. α<0. α0 α<0 α<

https://doi.org/10.1590/pboci.2024.069

Padrões do suicídio na região mais populosa de Alagoas, Brasil, 2016-2018 Alagoas Brasil 20162018 2016 2018 2016-201 2016201 201 2016-20 201620 20 2016-2 20162 2 2016-
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Gonzaga, Géssyca Luyse Procópio

; Silva, Alessandra Vieira da

; Ferreira, Efigênia Ferreira e

; Ferreira, Raquel Conceição

; Brum, Evanisa Helena Maio de

; Barbosa, Kevan Guilherme Nóbrega

Jornal Brasileiro de Psiquiatria

Journal Metrics
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2024, Volume 73 N. 1 elocation e20220108

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Descrever os padrões do suicídio, relacionando-os com aspectos sociodemográficos, espaço-temporais e relacionados ao suicídio na região mais populosa do estado de Alagoas (AL), Brasil. Métodos: Foi delineado um estudo observacional e retrospectivo a partir de dados de suicídio do Instituto Médico Legal localizado em Maceió (AL), compreendendo os anos entre 2016 e 2018. Por meio de regressão logística binária e múltipla foi determinado um modelo estatístico para identificar fatores associados ao suicídio dentre homens e mulheres. Resultados: Do total de suicídios levantados (n = 172), 71,5% eram de vítimas do sexo masculino. A média de idade nos homens foi de 39,3 anos e de 34,1 nas mulheres. O modelo final de regressão logística identificou que homens pretos/pardos tem 12 vezes mais chances (p < 0,001) de cometer suicídio do que os brancos. Além disso homens tem menos chances de se suicidar por intoxicação exógena (p < 0,001) ou queda intencional (p =0,01) do que por enforcamento. Homens em situação empregatícia apresentaram maior chance de suicídio (p = 0,02). Conclusões: Apesar da complexidade do fenômeno em estudo, foi possível verificar alguns padrões para a região mais populosa do estado de Alagoas. O padrão do suicídio no estado seguiu o cenário nacional, afetando homens, adultos, jovens de etnia negra (preta/parda) em situação empregatícia, além do enforcamento como mecanismo padrão entre os homens. O presente estudo poderá ser base para planejamento de intervenções com foco na prevenção do fenômeno, com foco nos determinantes para o suicídio. Objetivo relacionandoos relacionando sociodemográficos espaçotemporais espaço temporais AL, AL , (AL) Brasil Métodos 201 2018 mulheres Resultados n 172, 172 172) 715 71 5 71,5 masculino 393 39 3 39, 341 34 1 34, pretospardos pretos pardos p 0,001 0001 0 001 brancos =0,01 01 0,02. 002 0,02 . 02 0,02) Conclusões nacional adultos preta/parda pretaparda preta parda (preta/parda (AL 20 17 7 71, 0,00 000 00 =0,0 0,0 2 =0, 0, =0

ABSTRACT Objective: To describe the patterns of suicide, relating them to sociodemographic, spatial-temporal and suicide-related aspects in the most populous region of the state of Alagoas (AL), Brazil. Methods: Observational and retrospective study based on suicide data from the Instituto Médico Legal located in Maceió (AL), covering the years between 2016 and 2018. Through binary and multiple logistic regression, a statistical model was determined to identify factors associated with suicide between men and women. Results: From the overall number of reported suicides (n = 172), 71.5% were male victims. The mean age for men was 39.3 years and 34.1 for women. The final logistic regression model identified that black/brown men are 12 times more likely (p < 0.001) to commit suicide than white men. In addition, men are less likely to commit suicide by exogenous intoxication (p < 0.001) or intentional fall (p = 0.01) than by hanging. Men in employment were more likely to commit suicide (p = 0.02). Conclusions: Despite the complexity of the phenomenon under study, it was possible to verify some patterns for the most populous region of the state of Alagoas. The pattern of suicide in the state followed the national scenario, affecting men, adults, young people of black ethnicity (black/brown) in employment, in addition to hanging as the standard mechanism among men. The present study could be the basis for planning interventions focused on preventing the phenomenon, focusing on the determinants of suicide. Objective sociodemographic spatialtemporal spatial temporal suiciderelated related AL, AL , (AL) Brazil Methods 201 2018 women Results n 172, 172 172) 715 71 5 71.5 victims 393 39 3 39. 341 34 1 34. blackbrown brown p 0.001 0001 0 001 0.01 01 0.02. 002 0.02 . 02 0.02) Conclusions scenario adults (black/brown (AL 20 17 7 71. 0.00 000 00 0.0 2 0.

https://doi.org/10.1590/0047-2085-2022-0108

Characterization of cases and epidemiological and operational indicators of leprosy: analysis of time series and spatial distribution, Piauí state, Brazil, 2007-2021
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Barros, Ian da Costa Araújo

; Sousa, Carliane da Conceição Machado

; Silva, Neylany Raquel Ferreira da

; Mascarenhas, Márcio Dênis Medeiros

Epidemiologia e Serviços de Saúde

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2024, Volume 33 elocation e2023090

Abstract: Pt Es En | Text: Pt Es En | PDF: Pt | PDF: Es | PDF: En

https://doi.org/10.1590/s2237-96222024v33e2023090.en

Disparities in the protagonism of oral health teams in the work process of Primary Healthcare
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Silva, Érika Talita

; Ferreira, Raquel Conceição

; Diniz, Fabiano Costa

; Gomes, Milena Ribeiro

; Martins, Andréa Maria Eleutério de Barros Lima

; Chalub, Loliza Luiz Figueiredo Houri

; Senna, Maria Inês Barreiros

Revista de Saúde Pública

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2024, Volume 58 elocation 14

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.11606/s1518-8787.2024058005759

Avaliação das Instituições de Longa Permanência para Idosos no Brasil: um panorama das desigualdades regionais Brasil
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Guimarães, Mirna Rodrigues Costa

; Giacomin, Karla Cristina

; Ferreira, Raquel Conceição

; Vargas, Andrea Maria Duarte

Ciência & Saúde Coletiva

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jul 2023, Volume 28 N. 7 Pages 2035 - 2050

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract This article aims to evaluate the Brazilian Long-Term Institutions for Older People (LTIE), according to the Integrated Multidimensional Theoretical Model of Quality and Service (MIQA), and compare the performance achieved between the regions of the country. Descriptive ecological study carried out with public secondary data from the LTIE participating in the 2018 Census of the Unified Social Assistance System. An Evaluation Matrix was constructed from the Census variables and the MIQA Theoretical Model. Quality parameters were used to classify the institutions’ performance for each indicator as “incipient”, “developing” or “desirable”. The disparity index was obtained for each indicator. 1,665 institutions were analyzed. Differences were observed in the percentages of LTIE with “desirable” performance between Brazilian regions, and the need for improvement in most LTIE in relation to the proportion of caregivers of older people, the composition of the multidisciplinary team, accessibility and supply of health promotion actions. There was a need for government support for the suppression of exclusionary differentiation criteria and for the expansion of services to overcome overcrowding. LongTerm Long Term LTIE, , (LTIE) MIQA, (MIQA) country 201 System incipient, incipient “incipient” developing “developing desirable. desirable . 1665 1 665 1,66 analyzed “desirable people team actions overcrowding (LTIE (MIQA 20 “incipient 166 66 1,6 2 16 6 1,

Resumo O objetivo deste artigo é avaliar as Instituições de Longa Permanência para Idosos (ILPI) brasileiras, segundo o Modelo Teórico Multidimensional Integrado de Qualidade e Atendimento (MIQA), e comparar o desempenho alcançado entre as regiões do país. Estudo ecológico descritivo realizado com dados secundários públicos das ILPI participantes do Censo do Sistema Único da Assistência Social de 2018. Uma Matriz de Avaliação foi construída a partir das variáveis do Censo e do Modelo Teórico MIQA. Parâmetros de qualidade foram empregados para classificar o desempenho das instituições para cada indicador em “incipiente”, “em desenvolvimento” ou “desejável. O índice de disparidade foi obtido para cada indicador. Foram analisadas 1.665 instituições. Observaram-se diferenças nos percentuais de ILPI com desempenho “desejável” entre as regiões brasileiras, e a necessidade de aprimoramento na maioria das ILPI em relação à proporção de cuidadores de pessoas idosas, a composição da equipe multiprofissional, a acessibilidade e a oferta de ações de promoção de saúde. Verificou-se a necessidade de apoio governamental para a supressão dos critérios de diferenciações excludentes e para a expansão dos serviços para superar as superlotações. (ILPI brasileiras MIQA, MIQA , (MIQA) país 2018 incipiente, incipiente “incipiente” desenvolvimento desejável. desejável “desejável 1665 1 665 1.66 Observaramse Observaram se idosas multiprofissional saúde Verificouse Verificou superlotações (MIQA 201 “incipiente 166 66 1.6 20 16 6 1. 2

https://doi.org/10.1590/1413-81232023287.15792022

10.

Avaliação das Instituições de Longa Permanência para Idosos no Brasil: um panorama das desigualdades regionais
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Guimarães, Mirna Rodrigues Costa

; Giacomin, Karla Cristina

; Ferreira, Raquel Conceição

; Vargas, Andrea Maria Duarte

Ciência & Saúde Coletiva

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jul 2023, Volume 28 N. 7 Pages 2035 - 2050

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232023287.15792022

11.

Psychometric properties of an oral health literacy scale for people living with diabetes
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MARTINS, Andréa Maria Eleutério de Barros Lima

; SANTOS, Ana Maria Rodrigues

; ALENCAR, Gizelton Pereira

; SOUZA, João Gabriel Silva

; SOARES, Maria Alice Aguiar

; MARTINS, Maria Barros Lima

; SILVEIRA, Marise Fagundes

; MAIA, Melissa Barral

; FARIAS, Paula Karoline Soares

; FERREIRA, Raquel Conceição

; PINTO, Rodrigo Alves

; CRESPO, Thaisa Soares

; FERREIRA, Efigênia Ferreira e

Brazilian Oral Research

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2023, Volume 37 elocation e022

Abstract: En | Text: En | PDF: En

Abstract This study evaluated the construct validity of the instrument Oral Health Literacy among diabetics. A probabilistic random sample of 239 diabetics from an infinite population answered the 10 items of the questionnaire. The structural validity was assessed by confirmatory factor analysis and goodness of fit, chi-square per degrees of freedom ratio (X2/df), comparative fit index (CFI), goodness-of-fit index (GFI), and root-mean-square error of approximation (RMSEA). Internal consistency was estimated by the average variance extracted (AVE) and composite reliability (CR). The scores were dichotomized with the upper limit of the 95% confidence interval as the cutoff point. The three-dimensional model presented good quality parameters (X2 /df = 2.459; CFI = 0.988; TLI = 0.981) and poor RMSEA (0.078). Internal consistency was adequate; AVE for the Access, Understand/appraise, and Apply subscales were 0.831, 0.981, and 0.954 and the CR for these subscales were 0.893, 0.962, and 0.822, respectively. Inadequate literacy ranged from 41.8 to 48.1%. The three-dimensional model identified (access, understand/appraise, and apply) showed structural validity, good internal consistency, and understandability. 23 1 questionnaire chisquare chi square X2/df, X2df Xdf X2/df , X2 df X (X2/df) CFI, (CFI) goodnessoffit GFI, GFI (GFI) rootmeansquare root mean RMSEA. . (RMSEA) (AVE CR. (CR) 95 point threedimensional three dimensional (X 2.459 2459 2 459 0.988 0988 0 988 0.981 0981 981 0.078. 0078 0.078 078 (0.078) adequate Access Understandappraise Understand appraise Understand/appraise 0831 831 0.831 0954 954 0.95 0893 893 0.893 0962 962 0.962 0822 822 0.822 respectively 418 41 8 41. 481 48 48.1% access, access (access understandappraise understand understand/appraise apply understandability (X2/df (CFI (GFI (RMSEA (CR 9 2.45 245 45 0.98 098 98 007 0.07 07 (0.078 083 83 0.83 095 0.9 089 89 0.89 096 96 0.96 082 82 0.82 4 48.1 2.4 24 09 00 0.0 (0.07 08 0.8 0. 48. 2. (0.0 (0. (0 (

https://doi.org/10.1590/1807-3107bor-2023.vol37.0022

12.

Validation of pairs of antagonist teeth for the evaluation of shortened dental arch in epidemiological studies
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CAMPOS, Fernanda Lamounier

; RHODES, Gabriela Aparecida Caldeira

; VASCONCELLOS, Walison Arthuso

; BOMFIM, Rafael Aiello

; SAMPAIO, Aline Araujo

; CHALUB, Loliza Luiz Figueiredo Houri

; FERREIRA, Raquel Conceição

Brazilian Oral Research

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2023, Volume 37 elocation e045

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to evaluate the accuracy of pairs of antagonist teeth (epidemiological criterion) for defining pairs of teeth in occlusal contact (clinical criterion) and to estimate the agreement between the prevalence of “shortened dental arch” (SDA) and “functional dentition” (FD) when occlusal units (OUs) or posterior occluding pairs (POPs) are defined by the epidemiological or clinical criterion. Data were collected in an epidemiological oral health survey conducted in a municipality in Minas Gerais, Brazil. OUs and POPs were defined by the epidemiological criterion (dental crown status) or clinical criterion “gold standard” (carbon paper record of occlusal contacts during habitual maximum intercuspation). SDA corresponded to the presence of an intact anterior region and three to five OUs. FD was based on the concomitant presence of ≥ 1 tooth in each arch, 10 teeth in each arch, 12 anterior teeth, ≥ 3 premolar POPs, and ≥ 1 molar POP bilaterally. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the epidemiological criterion were calculated. The study included 197 adults. Sensitivity, specificity, PPV, and NPV were 88.5, 87.9, 92.5, and 81.9%, respectively, and accuracy was 88.3%. The epidemiological criterion proved to be valid and could be used in epidemiological studies to calculate the prevalence of reduced dental configurations that consider POPs. The assessment of oral functionality is an aspect that should be included in the diagnosis of the clinical condition of patients, contributing to a more effective individual and collective oral health care plan. shortened arch (SDA functional dentition (FD (OUs (POPs Gerais Brazil status gold standard carbon intercuspation. intercuspation . intercuspation) bilaterally Sensitivity specificity PPV , (PPV) NPV, (NPV) calculated 19 adults 885 88 5 88.5 879 87 9 87.9 925 92 92.5 819 81 81.9% respectively 883 88.3% patients plan (PPV (NPV 8 88. 87. 92. 81.9 88.3 81.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0045

13.

A multilevel analysis model for dental caries determinants in independently-living elderly independentlyliving independently living
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Branco, Natália Teixeira Tavares

; Ferreira, Raquel Conceição

; Souza, Jéssica Vancarla Rodrigues de

; Moreira, Allyson Nogueira

; Diniz, Ivana Márcia Alves

; Magalhães, Cláudia Silami

Brazilian Journal of Oral Sciences

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2023, Volume 22 elocation e230692

Abstract: En | Text: En | PDF: En

Aim To evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model ( p <0.05, 95% CI). Results The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people. biological individual independentlyliving independently living people crosssectional cross sectional 7 ≥60 60 (≥6 years Horizonte Brazil data diseases medications plaque Missing DMFT, , (DMFT) (DFR examination flow pH 005 0 05 <0.05 95 CI. CI . CI) 2444 24 44 24.4 SD=4.59 SD459 SD 4 59 (SD=4.59 321 3 21 3.2 SD=2.93, SD293 SD=2.93 2 93 (SD=2.93) respectively 6111 61 11 61.11% 163 teeth OR 1.84 184 1 84 1.24–2.74, 124274 1.24–2.74 74 1.24–2.74) 0.87 087 87 0.77–0.99 077099 77 99 0.06 006 06 0.004–0.74. 0004074 0.004–0.74 004 0.004–0.74) ≥6 6 (≥ (DMFT 00 <0.0 9 244 24. SD=4.5 SD45 5 (SD=4.5 32 3. SD29 SD=2.9 (SD=2.93 611 61.11 16 1.8 18 8 12427 1.24–2.7 0.8 08 0.77–0.9 07709 0.0 000407 0.004–0.7 ≥ <0. SD=4. SD4 (SD=4. SD2 SD=2. (SD=2.9 61.1 1. 1242 1.24–2. 0. 0.77–0. 0770 00040 0.004–0. <0 SD=4 (SD=4 SD=2 (SD=2. 61. 124 1.24–2 0.77–0 077 0004 0.004–0 < SD= (SD= (SD=2 12 1.24– 0.77– 07 000 0.004– (SD 1.24 0.77 0.004 1.2 0.7 0.00

https://doi.org/10.20396/bjos.v22i00.8670692

14.

Association between Dentin Hypersensitivity and Health/Oral Health-related Quality of Life: A Systematic Review and Meta-Analysis HealthOral Health Oral Healthrelated related Life MetaAnalysis Meta Analysis
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Soares, Anna Rachel dos Santos

; Barbosa, Rayssa Soares

; Campos, Julya Ribeiro

; Chalub, Loliza Luiz Figueiredo Houri

; Moreira, Allyson Nogueira

; Ferreira, Raquel Conceição

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2023, Volume 23 elocation e220102

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To investigate the association between DH and Health (HRQoL) or Oral Health-Related Quality of Life (OHRQoL). Material and Methods: PubMed, Web of Science, Scopus, EMBASE, Cochrane, Scielo, LILACS/BBO, Biblioteca Digital de Teses e Dissertações (BDTD), Open Grey, and Google Scholar databases were screened in September 2019 (updated in October 2022). Observational studies were selected to compare HRQoL/OHRQoL(outcome) according to DH(exposure) or evaluate the association among these variables. Standardized Joanna Briggs Institute critical appraisal tool for analytical cross-sectional studies was used to analyze the risk of bias. A random-effects meta-analysis was conducted to synthesize evidence for the association between DH and OHRQoL. Results: 10 papers met inclusion criteria and were evaluated. In most studies, presenting or having a greater intensity of DH was associated with a negative impact on one's quality of life. However, most of these studies showed a moderate to high risk of methodological bias. The consistent finding from studies with a low risk of bias suggests a significant association between DH and OHRQoL. Meta-analysis was feasible for three studies with substantial heterogeneity. The pooled Odds Ratio was 2.14 (95%CI 1.15-3.99; I2= 57,44%). Conclusion: Many studies presented a high risk of bias; therefore, the actual effect of DH on one's quality of life remains uncertain. Objective HRQoL (HRQoL HealthRelated Related OHRQoL . (OHRQoL) Methods PubMed Science Scopus EMBASE Cochrane Scielo LILACSBBO LILACS BBO LILACS/BBO BDTD, BDTD , (BDTD) Grey 201 updated 2022. 2022 2022) HRQoL/OHRQoLoutcome HRQoLOHRQoLoutcome HRQoL/OHRQoL outcome HRQoL/OHRQoL(outcome DHexposure exposure DH(exposure variables crosssectional cross sectional randomeffects random effects metaanalysis meta analysis Results 1 evaluated ones one s However Metaanalysis Meta heterogeneity 214 2 14 2.1 95%CI 95CI CI 95 1.153.99 115399 1.15 3.99 15 3 99 1.15-3.99 I2 I 57,44%. 5744 57,44% 57 44 57,44%) Conclusion therefore uncertain (OHRQoL (BDTD 20 202 OHRQoLoutcome HRQoLOHRQoL 21 2. 9 153 1.153.9 11539 115 1.1 399 3.9 1.15-3.9 574 57,44 5 4 1.153. 1153 11 1. 39 3. 1.15-3. 57,4 1.153 1.15-3 57, 1.15-

https://doi.org/10.1590/pboci.2023.085

15.

Lesão Miocárdica e Prognóstico em Pacientes Hospitalizados com COVID-19 no Brasil: Resultados do Registro Nacional de COVID-19 COVID19 COVID 19 COVID-1 Brasil COVID1 1 COVID-
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Barbosa, Hannah Cardoso

; Martins, Maria Auxiliadora Parreiras

; Jesus, Jordana Cristina de

; Meira, Karina Cardoso

; Passaglia, Luiz Guilherme

; Sacioto, Manuela Furtado

; Bezerra, Adriana Falangola Benjamin

; Schwarzbold, Alexandre Vargas

; Maurílio, Amanda de Oliveira

; Farace, Barbara Lopes

; Silva, Carla Thais Cândida Alves da

; Cimini, Christiane Corrêa Rodrigues

; Silveira, Daniel Vitorio

; Carazai, Daniela do Reis

; Ponce, Daniela

; Costa, Emanuel Victor Alves

; Manenti, Euler Roberto Fernandes

; Cenci, Evelin Paola de Almeida

; Bartolazzi, Frederico

; Madeira, Glícia Cristina de Castro

; Nascimento, Guilherme Fagundes

; Velloso, Isabela Vasconcellos Pires

; Batista, Joanna d’Arc Lyra

; Morais, Júlia Drumond Parreiras de

; Carvalho, Juliana da Silva Nogueira

; Ruschel, Karen Brasil

; Martins, Karina Paula Medeiros Prado

; Zandoná, Liege Barella

; Menezes, Luanna Silva Monteiro

; Kopittke, Luciane

; Castro, Luís César de

; Nasi, Luiz Antônio

; Floriani, Maiara Anschau

; Souza, Maíra Dias

; Carneiro, Marcelo

; Bicalho, Maria Aparecida Camargos

; Lima, Maria Clara Pontello Barbosa

; Godoy, Mariana Frizzo de

; Guimarães-Júnior, Milton Henriques

; Mendes, Paulo Mascarenhas

; Delfino-Pereira, Polianna

; Ribeiro, Raquel Jaqueline Eder

; Finger, Renan Goulart

; Menezes, Rochele Mosmann

; Francisco, Saionara Cristina

; Araújo, Silvia Ferreira

; Oliveira, Talita Fischer

; Oliveira, Thainara Conceição de

; Polanczyk, Carisi Anne

; Marcolino, Milena Soriano

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 2 elocation e20220151

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Background Cardiovascular complications of COVID-19 are important aspects of the disease’s pathogenesis and prognosis. Evidence on the prognostic role of troponin and myocardial injury in Latin American hospitalized COVID-19 patients is still scarce. Objectives To evaluate myocardial injury as independent predictor of in-hospital mortality and invasive mechanical ventilation support in hospitalized patients, from the Brazilian COVID-19 Registry. Methods This cohort study is a substudy of the Brazilian COVID-19 Registry, conducted in 31 Brazilian hospitals of 17 cities, March-September 2020. Primary outcomes included in-hospital mortality and invasive mechanical ventilation support. Models for the primary outcomes were estimated by Poisson regression with robust variance, with statistical significance of p<0.05. Results Of 2,925 patients (median age of 60 years [48-71], 57.1% men), 27.3% presented myocardial injury. The proportion of patients with comorbidities was higher among patients with cardiac injury (median 2 [1-2] vs. 1 [0-2]). Patients with myocardial injury had higher median levels of brain natriuretic peptide, lactate dehydrogenase, creatine phosphokinase, N-terminal pro-brain natriuretic peptide, and C-reactive protein than patients without myocardial injury. As independent predictors, C-reactive protein and platelet counts were related to the risk of death, and neutrophils and platelet counts were related to the risk of invasive mechanical ventilation support. Patients with high troponin levels presented a higher risk of death (RR 2.03, 95% CI 1.60-2.58) and invasive mechanical ventilation support (RR 1.87, 95% CI 1.57-2.23), when compared to those with normal troponin levels. Conclusion Cardiac injury was an independent predictor of in-hospital mortality and the need for invasive mechanical ventilation support in hospitalized COVID-19 patients. COVID19 COVID 19 COVID-1 diseases disease s prognosis scarce inhospital hospital Registry 3 cities MarchSeptember March September 2020 variance p005 p 0 05 p<0.05 2925 925 2,92 6 4871, 4871 48 71 , [48-71] 571 57 57.1 men, men men) 273 27 27.3 12 [1-2 vs 02. 02 . [0-2]) peptide dehydrogenase phosphokinase Nterminal N terminal probrain pro Creactive C reactive predictors RR 203 03 2.03 95 1.602.58 160258 1.60 2.58 58 1.60-2.58 187 87 1.87 1.572.23, 157223 1.57 2.23 23 1.57-2.23) COVID1 COVID- 202 p00 p<0.0 292 92 2,9 487 4 7 [48-71 5 57. 27. [1- [0-2] 20 2.0 9 602 1.602.5 16025 160 1.6 258 2.5 1.60-2.5 18 8 1.8 572 1.572.23 15722 157 1.5 223 2.2 1.57-2.23 p0 p<0. 29 2, [48-7 [1 [0-2 2. 1.602. 1602 16 1. 25 1.60-2. 1.572.2 1572 15 22 1.57-2.2 p<0 [48- [ [0- 1.602 1.60-2 1.572. 1.57-2. p< [48 [0 1.60- 1.572 1.57-2 [4 1.57-

Resumo Fundamento As complicações cardiovasculares da COVID-19 são aspectos importantes da patogênese e do prognóstico da doença. Evidências do papel prognóstico da troponina e da lesão miocárdica em pacientes hospitalizados com COVID-19 na América Latina são ainda escassos. Objetivos Avaliar a lesão miocárdica como preditor independente de mortalidade hospitalar e suporte ventilatório mecânico em pacientes hospitalizados, do registro brasileiro de COVID-19. Métodos Este estudo coorte é um subestudo do registro brasileiro de COVID-19, conduzido em 31 hospitais brasileiros de 17 cidades, de março a setembro de 2020. Os desfechos primários incluíram mortalidade hospitalar e suporte ventilatório mecânico invasivo. Os modelos para os desfechos primários foram estimados por regressão de Poisson com variância robusta, com significância estatística de p<0,05. Resultados Dos 2925 pacientes [idade mediana de 60 anos (48-71), 57,1%], 27,3% apresentaram lesão miocárdica. A proporção de pacientes com comorbidades foi maior nos pacientes com lesão miocárdica [mediana 2 (1-2) vs. 1 (0-20)]. Os pacientes com lesão miocárdica apresentaram maiores valores medianos de peptídeo natriurético cerebral, lactato desidrogenase, creatina fosfoquinase, N-terminal do pró-peptídeo natriurético tipo B e proteína C reativa em comparação a pacientes sem lesão miocárdica. Como fatores independentes, proteína C reativa e contagem de plaquetas foram relacionados com o risco de morte, e neutrófilos e contagem de plaquetas foram relacionados ao risco de suporte ventilatório mecânico invasivo. Os pacientes com níveis elevados de troponina apresentaram um maior risco de morte (RR 2,03, IC95% 1,60-2,58) e suporte ventilatório mecânico (RR 1,87;IC95% 1,57-2,23), em comparação àqueles com níveis de troponina normais. Conclusão Lesão cardíaca foi um preditor independente de mortalidade hospitalar e necessidade de suporte ventilatório mecânico em pacientes hospitalizados com COVID-19. COVID19 COVID 19 COVID-1 doença escassos COVID19. 19. COVID19, 19, 3 cidades 2020 invasivo robusta p005 p 0 05 p<0,05 292 idade 6 4871, 4871 48 71 , (48-71) 57,1%, 571 57,1% 57 57,1%] 273 27 27,3 12 (1-2 vs 020. 020 20 . (0-20)] cerebral desidrogenase fosfoquinase Nterminal N terminal própeptídeo pró independentes RR 203 03 2,03 IC95 IC 1,602,58 160258 1,60 2,58 58 1,60-2,58 1,87IC95% 187IC95 1,87 87 1,87;IC95 1,572,23, 157223 1,57 2,23 23 1,57-2,23) normais COVID1 COVID- 202 p00 p<0,0 29 487 4 7 (48-71 57,1 5 27, (1- 02 (0-20) 2,0 IC9 602 1,602,5 16025 160 1,6 258 2,5 1,60-2,5 87IC95 1,87IC95 187IC9 187 1,8 8 1,87;IC9 572 1,572,23 15722 157 1,5 223 2,2 1,57-2,23 p0 p<0, (48-7 57, (1 (0-20 2, 1,602, 1602 16 1, 25 1,60-2, 87IC9 1,87IC9 187IC 18 1,87;IC 1,572,2 1572 15 22 1,57-2,2 p<0 (48- ( (0-2 1,602 1,60-2 87IC 1,87IC 1,572, 1,57-2, p< (48 (0- 1,60- 1,572 1,57-2 (4 (0 1,57-

https://doi.org/10.36660/abc.20220151

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