Abstract:
OBJECTIVE:to analyze the temporal trend, identify the factors related and elaborate a predictive model for unfavorable treatment outcomes for multidrug-resistant tuberculosis (MDR-TB). METHODS:Retrospective cohort study with all cases diagnosed with MDR-TB between the years 2006 and 2015 in the state of São Paulo. The data were collected from the state system of TB cases notifications (TB-WEB). The temporal trend analyzes of treatment outcomes was performed through the Prais-Winsten analysis. In order to verify the factors related to the unfavorable outcomes, abandonment, death with basic cause TB and treatment failure, the binary logistic regression was used. Pictorial representations of the factors related to treatment outcome and their prognostic capacity through the nomogram were elaborated. RESULTS:Both abandonment and death have a constant temporal tendency, whereas the failure showed it as decreasing. Regarding the risk factors for such outcomes, using illicit drugs doubled the odds for abandonment and death. Besides that, being diagnosed in emergency units or during hospitalizations was a risk factor for death. On the contrary, having previous multidrug-resistant treatments reduced the odds for the analyzed outcomes by 33%. The nomogram presented a predictive model with 65% accuracy for dropouts, 70% for deaths and 80% for failure. CONCLUSIONS:The modification of the current model of care is an essential factor for the prevention of unfavorable outcomes. Through predictive models, as presented in this study, it is possible to develop patient-centered actions, considering their risk factors and increasing the chances for cure.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Arroyo LH,Ramos ACV,Yamamura M,Berra TZ,Alves LS,Belchior AS,Santos DT,Alves JD,Campoy LT,Arcoverde MAM,Bollela VR,Bombarda S,Nunes C,Arcêncio RAdoi
10.11606/s1518-8787.2019053001151subject
Has Abstractpub_date
2019-09-23 00:00:00pages
77eissn
0034-8910issn
1518-8787pii
S0034-89102019000100269journal_volume
53pub_type
杂志文章abstract:OBJECTIVE:To understand the meanings attributed to self-assessment of health by the elderly. METHODS:Qualitative study performed with 17 elderly individuals (> 70 years of age) of both sexes, living in the city of Bambuí, Southeastern Brazil, in 2008. An anthropological approach based on the model of signs, meanings a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000100017
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:To analyze the meanings of caring for people who seek assistance in mental health, from the perspective of psychologists engaged in their daily activities within public health services. METHODOLOGICAL PROCEDURES:An exploratory qualitative study was conducted in the city of Fortaleza, Northeastern Brazil, in ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008005000033
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To study trends of dissertation and thesis production in workers' health in Brazil. METHODS:Observation units were dissertations and theses developed by Brazilian researchers in national and foreign graduate programs. Theses and dissertations were identified in previously compiled works, LILACS and Capes dat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400015
更新日期:2006-08-01 00:00:00
abstract::Variation of the physical, chemical and microbiological characteristics of brines during their utilization for salting mozzarella cheese. Forty brine samples used for submersion salting of mozzarella cheese in a dairy industry in the State of S. Paulo, Brazil, were analysed for the purpose of discovering the variation...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000100008
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVE:Lower extremity amputation is an increasing problem among diabetic patients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS:A matched case-control study was carried out among diabetic patients. Cases were selected in public...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000300010
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:To present an application of logistic regression modelling to estimate ratios of proportions, such as prevalence ratio or relative risk, and the Delta Method to estimate confidence intervals. METHOD:The Delta Method was used because it is appropriate for the estimation of variance of non-linear functions of ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000100012
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:Estimate the prevalence of cervical HPV infection among women assisted by the Family Health Strategy and identify the factors related to the infection. METHODS:A cross-sectional study involving 2,076 women aged 20-59 years old residing in Juiz de Fora, State of Minas Gerais, who were asked to participate in ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000065
更新日期:2017-10-05 00:00:00
abstract:OBJECTIVE:The ways in which basal blood pressure levels are obtained may lead to different prevalence estimates. The objective of the study was to estimate the prevalence of high blood pressure among schoolchildren and to compare systolic and diastolic means obtained from three measurements of arterial pressure. METHO...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006005000040
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To obtain T. rubrovaria population parameters in order to describe its demographic characteristics. METHODS:The study was carried out in the laboratory of Arthropods, Corrientes, Argentina, from October 2000 to February 2003. Eggs were grouped to form five 100-egg cohorts. Insects were fed on chickens (Gallu...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000200011
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:To investigate the impact of socioeconomic status on elderly health. METHODS:The study was based on cross-sectional data from Survey on Health, Well-Being, and Aging in Latin America and the Caribbean. The sample comprised 2,143 non-institutionalized elderly aged 60 years and older living in the urban area o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006005000042
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of fine particulate matter emitted through biomass burning on hospitalizations for respiratory diseases in children living in Manaus, Northern Brazil. METHODS:Descriptive study with ecologic time series design carried out in Manaus from 2002 to 2009. Hospital admission data were ob...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004011
更新日期:2013-04-01 00:00:00
abstract::OBJECTIVE To analyze the effect of air pollution and temperature on mortality due to cardiovascular and respiratory diseases. METHODS We evaluated the isolated and synergistic effects of temperature and particulate matter with aerodynamic diameter < 10 µm (PM10) on the mortality of individuals > 40 years old due to ca...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2014048005218
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To describe the evolution of the epidemiological research on physical activity in Brazil. METHODS:A systematic review of the literature was carried out in electronic databases (Medline/PubMed, Lilacs, Ovid, Science Direct, BioMed Central and High Wire), non-indexed Brazilian journals, query by specific autho...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89102007000300018
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of physical activity practice in adults and its association with sociodemographic and environmental factors. METHODS:Data from the Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL--Telephone-based Surveillance of Risk and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000900009
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To assess communications aspects related to pesticide use in a rural area of the Rio de Janeiro state, Brazil. METHODS:The study was carried out in the area of São Lourenço stream. It was based on methodological triangulation comprising: semi-structured interviews and observation of a local population sample...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102001000600010
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of HIV-1 subtypes and analyze factors associated. METHODS:A cross-sectional study was performed with a convenience sample of 80 adult HIV-positive patients, users of an AIDS/STD specialized service, in the city of Canoas, Southern Brazil, between July 2008 and January 2009. Determi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000039
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To quantify the occurrence of deaths directly associated with urban violence among fatal work-related accidents. METHODS:Verbal autopsies were performed with the relatives and coworkers of residents of Campinas, state of São Paulo, Brazil, who died from external causes in 2015. We have also analyzed police r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000296
更新日期:2017-12-11 00:00:00
abstract:OBJECTIVE:To analyze adherence to the Food Guide for the Brazilian Population. METHODS:Sample composed of participants in the Health Survey for Sao Paulo (n = 1,661) who completed two non-consecutive 24-hour recalls. A bivariate mixed model was created for the ratio of energy from a food group and total energy intake....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004637
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To assess a new impunity index and variables that have been found to predict variation in homicide rates in other geographical levels as predictive of state-level homicide rates in Brazil. METHODS:This was a cross-sectional ecological study. Data from the mortality information system relating to the 27 Brazi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000500001
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To describe functional capacity changes of elderly during hospitalization and to assess the correlation of these changes at the time of hospital discharge and sociodemographics and clinical variables. METHODS:There were studied 94 patients aged 65 to 94 years admitted to a geriatric-gerontological hospital u...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000500011
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:To describe the therapeutic practice of allopathic physicians and to evaluate the outpatient care provided to patients in healthcare facilities. METHODS:The study was conducted in Ribeirão Preto, southeastern Brazil. World Health Organization drug use indicators were used as a methodological basis. Our sampl...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000600010
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:To validate the BCG scar as a marker of BCG vaccination status. METHODS:A cross-sectional survey was carried out among 53,348 schoolchildren aged 6-14 years who underwent BCG scar examination as part of a large BCG vaccine trial taking place in the city of Manaus, Brazil. Results of BCG scar reading were com...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000200015
更新日期:2003-04-01 00:00:00
abstract::OBJECTIVE To review studies on the readability of package leaflets of medicinal products for human use. METHODS We conducted a systematic literature review between 2008 and 2013 using the keywords "Readability and Package Leaflet" and "Readability and Package Insert" in the academic search engine Biblioteca do Conheci...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-8910.2015049005559
更新日期:2015-01-01 00:00:00
abstract::The complexity of the epidemiological object has provoked discussion of the elements that have constituted it over time sometimes assuming the form of antinomies. By using as substract fundamental texts, the formulation and the proposal for a solution of the antinomies between the social-biological and the collective-...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89101996000400012
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of the contraindicated use of oral contraceptives and the associated factors in Brazilian women. METHODS:20,454 women who answered the VIGITEL survey in 2008 also participated in this study, of which 3,985 reported using oral contraceptives. We defined the following conditions for ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006113
更新日期:2017-01-12 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of self-reported voice problems and to identify associated factors. METHODS:A cross-sectional study was carried out in a sample of 393 public elementary and middle school teachers in Florianópolis, Southern Brazil, in 2009. A self-administered questionnaire was used. A multivariabl...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000025
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly. METHODS:A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variab...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:To evaluate health status of the elderly in Mexico through their self-perception and to describe social, organizational and health-related factors. METHODS:A study was carried out on secondary data from the 2000 National Health Survey in Mexico. Multiple logistic regression models were used. The dependent va...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000600008
更新日期:2006-10-01 00:00:00
abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400005
更新日期:2006-08-01 00:00:00
abstract::Results obtained with catches performed at several sites of the Ribeira Valley, SP (Brazil) are reported. Collections with Shannon type traps showed a concentration of An.albitarsis s.l. in the Experimental Farm of Pariquera-Açu County, associated with the development of irrigated rice cultivation. Two species of the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101995000100005
更新日期:1995-02-01 00:00:00