Accidental tetanus: prognosis evaluation in a historical series at a hospital in Salvador, Bahia, Brazil


Autoria(s): Greco,Jiuseppe B.; Tavares-Neto,José; Greco Júnior,Jiuseppe B.
Data(s)

01/01/2003

Resumo

A total of 868 (84.89%) patients diagnosed with tetanus were studied, out of the 1,024 tetanus patients hospitalized at Couto Maia Hospital (Salvador, Bahia, Brazil), during the period between 1986 and 1997. Of this group (n = 868), 63.5% (n = 551) were discharged, 35.4% (n = 307) died, and 1.1% (n = 10) were transferred. The average age of the deceased patients (38.73 ± 23.31 years) was significantly greater (p < 0.0001) than the age of those who survived (29.21 ± 20.05 years). Analyzing the variables of the logistic regression model with statistic significance (p <FONT FACE=Symbol>£</FONT> 0.25) for univariate analysis, we observed a greater association of risk for worst prognosis (death) in patients aged <FONT FACE=Symbol>³</FONT> 51 years; time of illness < 48 hours; time of incubation < 168 hours; neck rigidity; spasms; opisthotonos; body temperature <FONT FACE=Symbol>³</FONT> 37.7 ºC; heart beat <FONT FACE=Symbol>³</FONT> 111 beats/minute; sympathetic hyperactivity and association with pneumonia. Among the group of those who survived, patients with 1 to 5 of those variables (n = 398; 76.8%) were more frequent, while among patients of the group of the deceased, 70.3% (n = 206) presented 6 to 10 of those variables, with a highly significant difference (p < 10-8). In conclusion, the indicators described provide early information that may guide the prognosis and medical and nurse care.

Formato

text/html

Identificador

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652003000100007

Idioma(s)

en

Publicador

Instituto de Medicina Tropical

Fonte

Revista do Instituto de Medicina Tropical de São Paulo v.45 n.1 2003

Palavras-Chave #Tetanus #Clinic #Prognosis indicators
Tipo

journal article