Relationship Between Social Factors and Cardiovascular Diseases

Mesquita, Cláudio Tinoco

doi:10.5935/2359-4802.20180007

Cited by 2 publications

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“…It was found, in a study on the gender relationship with education that the inclusion of women in the labor market occurred through two unequal poles, being expressed by the occupation of terrible quality due to the low educational level or better positions in the market due to the high level of instruction. 41…”

Section: Resultsmentioning

confidence: 99%

Impacto da cirurgia de revascularização miocárdica na qualidade de vida

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Aguiar

Oliveira

et al. 2020

Rev enferm UFPE on line.

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Objetivo: avaliar o impacto da Cirurgia de Revascularização do Miocárdio na qualidade de vida relacionada à saúde. Método: trata-se de um estudo quantitativo, observacional, longitudinal, prospectivo, com 51 participantes submetidos à CRVM, por meio da aplicação dos questionários para avaliar a qualidade de vida relacionada à saúde EuroQol-3L (EQ-5D-3L) e MacNew QLMI. Organizaram-se os dados em planilha Excel®, validando-os por dupla digitação e exportando-os para o SPSS, versão 17.0. Resultados: incluíram-se 51 participantes, sendo 74,5% do sexo masculino, 54,9% compostos por idosos ≥ 60 anos, 62,7% com cor da pele autorreferida branca, 76,4% tiveram infarto agudo do miocárdio, 72,5% apresentavam Hipertensão Arterial Sistêmica, 82,4% eram sedentários, 54,9%, ex-tabagistas e 45,1%, etilistas. Evidenciou-se, nas dimensões do EQ-5D-3L, melhora da qualidade de vida quanto ao domínio ansiedade/depressão (p = 0,000) e a Escala Visual Analógica identificou melhora do estado de saúde (p = 0,005). Demonstrou-se, no questionário MacNew QLMI, melhora da qualidade de vida nos domínios: emocional (p = 0,000); físico (p = 0,000) e social (p = 0,000). Conclusão: evidenciou-se melhora da QVRS analisada pelos questionários genérico e específico após transcorrer seis meses do pós-operatório de CRVM. Descritores: Qualidade de Vida; Cirurgia Torácica; Revascularização Miocárdica; Coronariopatia; Infarto do Miocárdio; Estudo Comparativo.AbstractObjective: to assess the impact of Myocardial Revascularization Surgery on health-related quality of life. Method: this is a quantitative, observational, longitudinal, prospective study, with 51 participants submitted to MRVS, through the application of questionnaires to assess health-related quality of life EuroQol-3L (EQ-5D-3L) and MacNew QLMI. Data was organized in an Excel® spreadsheet, validating them by double typing and exporting them to SPSS, version 17.0. Results: 51 participants were included, of which 74.5% were male, 54.9% were elderly ≥ 60 years old, 62.7% had self-reported skin color, 76.4% had acute myocardial infarction, 72 , 5% had Systemic Arterial Hypertension, 82.4% were sedentary, 54.9%, ex-smokers and 45.1%, alcoholics. In the dimensions of the EQ-5D-3L, there was an improvement in the quality of life regarding the anxiety / depression domain (p = 0.000) and the Visual Analogue Scale identified an improvement in health status (p = 0.005). The MacNew QLMI questionnaire demonstrated an improvement in the quality of life in the following domains: emotional (p = 0.000); physical (p = 0.000) and social (p = 0.000). Conclusion: there was an improvement in the HRQoL analyzed by the generic and specific questionnaires after six months after the MRVS operation. Descriptors: Quality of Life; Thoracic Surgery; Myocardial Revascularization; Coronary Disease; Myocardial Infarction; Comparative Study.ResumenObjetivo: evaluar el impacto de la cirugía de revascularización de miocardio en la calidad de vida relacionada con la salud. Método: este es un estudio cuantitativo, observacional, longitudinal, prospectivo, con 51 participantes sometidos a CRVM, mediante la aplicación de cuestionarios para evaluar la calidad de vida relacionada con la salud, EuroQol-3L (EQ-5D-3L) y MacNew QLMI. Los datos se organizaron en una hoja de cálculo Excel®, validada por doble tipeo y exportada a SPSS, versión 17.0. Resultados: se incluyeron 51 participantes, hombres (74.5%), ancianos ≥ 60 años (54.9%), color de piel autoinformado blanco (62.7%), infarto agudo de miocardio (76.4%), hipertensión arterial sistémica (72,5%), inactividad física (82,4%), tabaquismo (54,9%) y alcoholismo (45,1%). Las dimensiones del EQ-5D-3L mostraron una mejora en la calidad de vida con respecto al dominio de ansiedad / depresión (p = 0,000) y la Escala Analógica Visual identificó una mejora en el estado de salud (p = 0,005). El cuestionario MacNew QLMI demostró una mejora en la calidad de vida en los dominios: emocional (p = 0,000); física (p = 0.000) y social (p = 0.000). Conclusión: hubo una mejora en la CVRS analizada por los cuestionarios genéricos y específicos, seis meses después del postoperatorio de CABG. Descriptores: Calidad de Vida; Cirugía Torácica; Revascularización Miocárdica; Enfermedad Coronaria; Infarto del Miocardio; Estudio Comparativo.

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Section: Resultsmentioning

confidence: 99%

Impacto da cirurgia de revascularização miocárdica na qualidade de vida

Lima

Aguiar

Oliveira

et al. 2020

Rev enferm UFPE on line.

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“…Individuals assisted by the public healthcare system tend to come from more vulnerable socio-demographic contexts, with lesser availability of medical assistance and worse health conditions than the holders of private health plans (31). Social determinants are essential for providing adequate health care (32), and the socioeconomic context of families living in poverty is a wellknown predictor factor of poor recovery in individuals with stroke, where some patients may not even be able to take a bus to go to physical therapy (33). Despite similar mortality rates, patients from public and private settings presented divergent functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Stroke Patient-Reported Outcomes Measurement Between Healthcare Systems in Brazil

et al. 2022

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IntroductionAcute stroke interventions, such as stroke units and reperfusion therapy, have the potential to improve outcomes. However, there are many disparities in patient characteristics and access to the best stroke care. Thus, we aim to compare patient-reported outcome measures (PROMs) after stroke in two stroke centers representing the public and private healthcare systems in Brazil.MethodsPROMs through the International Consortium for Health Outcomes Measures (ICHOM) were assessed at 90 days after the stroke to compare two Brazilian hospitals in southern Brazil: a public university and a private stroke center, both with stroke protocols and stroke units.ResultsWhen compared with the private setting (n = 165), patients from the public hospital (n = 175) were younger, had poorer control of risk factors, had more frequent previous strokes, and arrived with more severe strokes. Both hospitals had a similar percentage of IV thrombolysis treatment. Only 5 patients received mechanical thrombectomy (MT), all in the private hospital. Public hospital patients presented significantly worse outcomes at 3 months, including worse quality of life and functional dependence (60 vs. 48%, p = 0.03). Poor outcome, as measured by the mRS score, was significantly associated with older age, higher NIHSS score, and the presence of heart failure. However, the public practice was a strong predictor of any self-reported disability.ConclusionPatients assisted at a good quality public stroke center with the same protocol used in the private hospital presented worse disability as measured by mRS and patient-reported outcome measures, with greater inability to communicate, dress, toilet, feed, and walk.

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Relationship Between Social Factors and Cardiovascular Diseases

Cited by 2 publications

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Impacto da cirurgia de revascularização miocárdica na qualidade de vida

Impacto da cirurgia de revascularização miocárdica na qualidade de vida

Disparities in Stroke Patient-Reported Outcomes Measurement Between Healthcare Systems in Brazil

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