Objective: To clinically and epidemiologically characterize patients receiving home care in the city of Maceio, in the state of Alagoas, Brazil. Methods: An observational, crosssectional study with a sample of 859 patients was carried out, based on data obtained from the medical records of institutions that provide a home care service. A total of 445 patients were from a public service and 414 were from a private service. Descriptive analysis was used for the demographic, clinical and functional variables. Results: Most patients were elderly, female, bedridden, fed orally and had neurological disorders, with stroke the most common diagnosis. Regarding patient evolution, 16.8% of individuals were discharged from home care, 45% of patients died and 24% were hospitalized during the period of home care. A total of 9% of patients had a tracheostomy, 84.7% breathed room air, 9.3% used oxygen, 4% used noninvasive mechanical ventilation, 1.9% used invasive mechanical ventilation, and 24.9% of patients had pressure ulcers. All patients received medical visits, with 693 receiving nursing care, 767 undergoing physiotherapy, 233 receiving speech therapy sessions, 665 patients accompanied by a nutritionist, 64 undergoing occupational therapy sessions and 98 receiving counseling. Conclusion: It was noted that some results differed from literature and between the public and private service. This divergence could be related to the specific epidemiology of each region and the type of insurance paying for care (Unified Health Service or Private).
Resumo: Objetivou-se realizar uma revisão sistemática da literatura sobre as repercussões de terapias nos âmbitos farmacológicas, cirúrgicas e alternativas para os pacientes acometidos pela síndrome de Eisenmenger (SE). Metodologia: Realizamos uma busca sistemática nas bases de dados eletrônicos PubMed e Scopus para a seleção de artigos publicados sobre a indicações terapêuticas voltadas aos pacientes acometidos pela síndrome de Eisenmenger (SE), seguindo os itens de Diretrizes para Revisões Sistemáticas e Metanálises (PRISMA). Resultados: Identificamos 497 trabalhos nas bases pesquisadas (109 do PubMed, 388 do Scopus). Após exclusão por título e resumo foram selecionados 58 artigos para análise em texto completo. Ao final, 22 artigos foram eleitos como relevantes para compor a síntese qualitativa. Conclusão: Os inibidores da fosfodiesterase mostraram-se eficazes em terapias combinadas. O antagonista do receptor de endotelina mostrou-se bem tolerado em pacientes com estágio leve da patologia, assim como em indivíduos que portadores de SE e SD. Dados preliminares indicam que análogos de Prostaciclina apresentam um alto potencial preditivo da manifestação de HAP. Quanto à perspectiva de intervenção cirúrgica no tratamento da SE observou-se a necessidade de mais estudos.Palavras-Chave: Abordagens Terapêuticas. Síndrome de Eisenmenger. Revisão Sistemática. Abstract:The objective was to carry out a systematic review of the literature on the repercussions of therapies in the pharmacological, surgical and alternative scopes for patients affected by Eisenmenger syndrome (ES). Methodology: We performed a systematic search in the PubMed and Scopus electronic databases to select published articles on therapeutic indications for patients with Eisenmenger syndrome (ES), following the items of the Guidelines for Systematic Reviews and Meta-analyses (PRISMA). Results: We identified 497 works in the searched databases (109 from PubMed, 388 from Scopus). After exclusion by title and abstract, 58 articles were selected for full-text analysis. In the end, 22 articles were elected as relevant to compose the qualitative synthesis. Conclusion: Phosphodiesterase inhibitors were effective in combination therapies. The endothelin receptor antagonist was well tolerated in patients with a mild stage of the pathology, as well as in individuals with SE and SD. Preliminary data indicate that prostacyclin analogues have a high predictive potential of PAH manifestation. Regarding the perspective of surgical intervention in the treatment of ES, there was a need for further studies.Keywords: Therapeutic Approaches. Eisenmenger syndrome. Systematic review.
Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.
Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.
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