A sífilis é um problema de saúde pública no Brasil, que está relacionada a altos índices de morbimortalidade materna e perinatal. O estudo em questão busca descrever o perfil epidemiológico dos casos notificados de sífilis gestacional e congênita em Curitiba, Paraná, no período de 2014 a 2019. Foram notificados 2.599 casos de sífilis gestacional e 891 casos de sífilis congênita. 79,8% das gestantes eram brancas, 48,9% dos diagnósticos de sífilis gestacional firmaram-se no primeiro trimestre de gestação, e 88,9% dos casos eram de sífilis latente. Com relação a sífilis congênita, 83,3% das gestantes realizaram o pré-natal e 74,3% foram diagnosticadas durante o pré-natal e 63,7% das gestantes realizaram o tratamento inadequado. Portanto, os casos sífilis gestacional e congênita foram notificados em sua maioria no primeiro trimestre de gestação, em estágio de sífilis latente e em gestantes que realizaram o pré-natal e tratamento inadequado para sífilis.
Objective: the study aims to analyze the performance and outcome of resuscitation thoracotomy (TR) performed in patients victims of penetrating and blunt trauma in a trauma center in southern Brazil during a 7 years period. Methods: retrospective study based on the analysis of medical records of patients undergoing TR, from 2014 to 2020, in the emergency service of the Hospital do Trabalhador, Curitiba - Paraná, Brazil. Results: a total of 46 TR were performed during the study period, of which 89.1% were male. The mean age of patients undergoing TR was 34.1±12.94 years (range 16 and 69 years). Penetrating trauma corresponded to the majority of indications with 80.4%, of these 86.5% victims of gunshot wounds and 13.5% victims of knife wounds. On the other hand, only 19.6% undergoing TR were victims of blunt trauma. Regarding the outcome variables, 84.78% of the patients had declared deaths during the procedure, considered non-responders. 15.22% of patients survived after the procedure. 4.35% of patients undergoing TR were discharged from the hospital, 50% of which were victims of blunt trauma. Conclusion: the data obtained in our study are in accordance with the world literature, reinforcing the need for a continuous effort to perform TR, respecting its indications and limitations in patients victims of severe penetrating or blunt trauma.
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