Epidemiological profile of patiens waiting for penetrating keratoplasty in state of Pernambuco - Brazil

Abstract

Purpose: To describe the epidemiological profile of patients waiting for penetrating keratoplasty in state of Pernambuco, Brazil. Methods: Transversal and retrospective study, with 871 patients, in the period of 06/01/2011 a 05/31/2012, were registered on the waiting list for corneal transplantation in the Central of Notification, Captation and Distribution of Organs (CNCDO) of Pernambuco. Registration forms of cornea receiving were used, adapted to the purposes of this research. Results: In relation to frequency, it was obtained 54% female, 35% aged 61 to 80 years; 60% transplanted; 52% from the metropolitan area of Recife; 57% that waited 1 to 6 months the transplant; 82% with optical indication for transplant, 5% with priority on the waiting list (48% of those with ocular perforation) and; 37% whose transplant center was the Fundação Altino Ventura (FAV). The main indications for corneal transplantation were leukoma (33%), keratoconus (22%) e bullous keratopathy (18%). Conclusion: It was found that most patients were aged 61 to 80 years; was from the metropolitan area of Recife; was submitted to corneal transplantation; waited for one to six months to do the transplantation; had the diagnosis leukoma, followed by keratoconus and bullous keratopathy; was indicated to transplantation optical and had the transplant center to FAV.

Transplante de córnea em Alagoas: aspectos clínicos e epidemiológicos do Hospital Universitário Professor Alberto Antunes

“…O tempo médio em fila de espera para o transplante de córnea foi de 486 dias (2 anos e 4 meses) para transplantes eletivos e 12,8 dias para urgências. No contexto nacional, o tempo de espera para a realização do transplante de córnea varia de acordo com cada região, observando espera de 1 ano e 3 meses no Pará (9) e média de 4 meses para os estados de São Paulo (12) e Pernambuco, (13) com tendência de homogeneização do tempo de espera em torno de 134 dias. (10,12) No Brasil, a fila de transplantes de córnea é estadual e única, cujo atendimento ocorre por ordem de chegada, considerando critérios técnicos de priorização.…”

Clinical and epidemiological aspects of cornea transplant patients of a reference hospital

“…Therefore, due to this variability in the clinical profile of indicators for cornea transplantation, determining indicative diseases for performing this procedure according to time and space is essential in order to obtain adequate management of the patients, as well as restoring their quality of life 4 . …”

“…Other disorders such as interstitial keratitis and bullous keratopathy were also prevalent in the results. The main indications for cornea transplant may vary according to the time period studied, the data collection location, age group of the population, as well as environmental and cultural factors as verified in studies in Canada, Italy and New Zealand 4 , 11 , 13 - 15 . These studies presented Fuchs's dystrophy (Canada) and keratoconus (Italy and New Zealand) as the main indicators for cornea transplant.…”

Entre o pulsar e o morrer: a vivência de pacientes que esperam o transplante cardíaco

“…En respuesta, se crearon reglas de inclusión en la lista de espera y criterios de prioridad (5,6) . En Brasil, se establece que el órgano puede ser recibido por personas con problemas de salud graves cuya función de su órgano o tejido está deteriorada, no se puede restaurar y presenta un riesgo de muerte para el paciente, como las personas con enfermedades cardíacas, para quienes el trasplante representa una terapia capaz de mejorar la calidad de vida (7) .…”

“…Los criterios de prioridad incluyen pacientes con insuficiencia cardíaca refractaria que necesitan usar fármacos vasoactivos en la Unidad de Cuidados Intensivos (UCI), con recomendación para un retrasplante agudo y con necesidad de mantenimiento por corazón artificial. Estos criterios también cumplen con la compatibilidad del grupo sanguíneo del donante y del receptor, el tiempo de espera del receptor, la edad y el peso del donante y del receptor, y la severidad del cuadro clínico del paciente (5,7) .…”