Revista Brasileira de Geriatria e Gerontologia, 2016
Considering that functional capacity is an important indicator of health in aging, the present st... more Considering that functional capacity is an important indicator of health in aging, the present study aimed to describe the prevalence of disability by gender among elderly people in Brazil through a systematic review and meta-analysis of articles about this subject. Articles published up to June 2013 were included, and a search was performed of the MEDLINE, SciELO, LILACS, Scopus, Web of Science and Science Direct electronic databases. The inclusion of articles in the systematic review was guided by the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A descriptive analysis of the selected articles was performed and expressed in a forest-plot type graph. Of 3,656 articles initially identified in all the databases, 2,585 duplicates were excluded and 23 articles were deemed eligible for review. Prevalence rates ranged from 12.3% to 94.1% for men and from 14.9...
The aim of the study was to evaluate patient characteristics associated with pharmacologic thromb... more The aim of the study was to evaluate patient characteristics associated with pharmacologic thromboprophylaxis (PTP) use/nonuse in a general tertiary hospital cohort. Eligible patients were classified according to venous thromboembolism (VTE) risk category by trained nurses. Either standard or low-molecular weight heparin was recommended to intermediate or high-risk VTE patients. Adopting the recommended PTP was at the physician's discretion. At discharge, PTP use was recorded. PTP was recommended to 10,016 patients, of whom 2165 (21.6%) received the recommended thromboprophylaxis. In the multivariate logistic regression, PTP use/nonuse remained independently associated with female sex [odds ratio (OR) 0.75; 95% confidence interval (CI) 0.68-0.84], age (OR 1.04; 95% CI 1.03-1.04), being admitted to the Gynecology-Obstetrics (OR 0.31; 95% CI 0.25-0.39) or surgery (OR 1.26; 95% CI 1.12-1.42), thrombophilia (OR 5.15; 95% CI 2.04-12.98), previous VTE event (OR 2.98; 95% CI 1.78-4.98), diabetes (OR 1.84; 95% CI 1.61-2.10), acute myocardial infarction (OR 5.87; 95% CI 4.81-7.17), and admission to a major orthopedic surgery (OR 3.03; 95% CI 1.98-4.64). PTP in this hospital population was grossly underused. Eight independent variables predicted use/nonuse of PTP. Targeting variables related to the use and nonuse of PTP is important to direct the application of thromboprophylaxis.
Venous thromboembolism is a potentially lethal disease if not properly treated. Noninvasive strat... more Venous thromboembolism is a potentially lethal disease if not properly treated. Noninvasive strategies have become an attractive clinical option for effective diagnosis. There has been controversy, however, regarding the use of standard clinical rules in a primary care setting. The objective of the present study was to validate a noninvasive diagnostic strategy in an emergency unit giving assistance to patients with primary and secondary care needs. A total of 291 outpatients (primary and secondary care needs) with suspected venous thromboembolism attending the emergency unit of a general hospital from August 2002 to 2004 were retrospectively evaluated. The diagnostic strategy included assessment of risk for venous thromboembolism and a rapid quantitative enzyme-linked immunosorbent assay D-dimer test. Venous thromboembolism was ruled out in patients with a low-probability or intermediate-probability risk (or an unlikely diagnosis) and a negative D-dimer. The prevalence of venous thromboembolism was 8.2%. Patients with an unlikely diagnosis comprised 93.8% of the evaluations for deep venous thrombosis, and those with a low probability for pulmonary embolism comprised 81.4%. Proportions of patients with venous thromboembolic events observed were 7.2% in patients with an unlikely diagnosis of deep venous thrombosis and 3.0% in those with low probability for pulmonary embolism. The percentage of patients with a thrombotic event excluded using this strategy was 37% (positive predictive value 13%, negative predictive value 100%). In conclusion, this noninvasive clinical strategy is safe for ruling out venous thromboembolism, and excludes the need for imaging tests in about one-third of the patients in the population studied.
To cite this article: de Bastos M, de Bastos MRD, Bogutchi T, Carneiro-Proietti ABF, Rezende SM. ... more To cite this article: de Bastos M, de Bastos MRD, Bogutchi T, Carneiro-Proietti ABF, Rezende SM. Duration of symptoms and D-dimer testing in the ruling-out of venous thromboembolism. J Thromb Haemost 2006; 4: 2079-80.
��RESUMO: Modelos lineares generalizados para resposta binária ou contagem exigem que a variância... more ��RESUMO: Modelos lineares generalizados para resposta binária ou contagem exigem que a variância seja uma função conhecida da média. Entretanto, este tipo de dados é freqüentemente mais heterogêneo que a variância especificada pelo modelo. Este fato é conhecido como superdispersão a qual pode ser acomodada introduzindo um coeficiente extra, fixo ou aleatório, no modelo ou usar o método de quase-verossimilhança
... TÂNIA F. BOGUTCHI Mestranda pelo Instituto de Ciências Exatas da Universidade Federal de Mina... more ... TÂNIA F. BOGUTCHI Mestranda pelo Instituto de Ciências Exatas da Universidade Federal de Minas Gerais bogutchi@uai.com.br ... Verifi-cou-se, também, uma nítida seletividade social associada à escolha da carreira: alguns cursos, de elevado prestígio social, para os quais a ...
Rev Saúde Pública 2005;39(1):33-40 www.fsp.usp.br/rsp ... Infestação pelo Aedes aegypti e ocorrên... more Rev Saúde Pública 2005;39(1):33-40 www.fsp.usp.br/rsp ... Infestação pelo Aedes aegypti e ocorrência da ... Paulo Roberto Lopes Corrêaa, Elisabeth Françab e Tânia Fernandes Bogutchic ... Correspondência para/ Correspondence to: Paulo Roberto Lopes Corrêa Rua Monte ...
Revista Brasileira de Geriatria e Gerontologia, 2016
Considering that functional capacity is an important indicator of health in aging, the present st... more Considering that functional capacity is an important indicator of health in aging, the present study aimed to describe the prevalence of disability by gender among elderly people in Brazil through a systematic review and meta-analysis of articles about this subject. Articles published up to June 2013 were included, and a search was performed of the MEDLINE, SciELO, LILACS, Scopus, Web of Science and Science Direct electronic databases. The inclusion of articles in the systematic review was guided by the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A descriptive analysis of the selected articles was performed and expressed in a forest-plot type graph. Of 3,656 articles initially identified in all the databases, 2,585 duplicates were excluded and 23 articles were deemed eligible for review. Prevalence rates ranged from 12.3% to 94.1% for men and from 14.9...
The aim of the study was to evaluate patient characteristics associated with pharmacologic thromb... more The aim of the study was to evaluate patient characteristics associated with pharmacologic thromboprophylaxis (PTP) use/nonuse in a general tertiary hospital cohort. Eligible patients were classified according to venous thromboembolism (VTE) risk category by trained nurses. Either standard or low-molecular weight heparin was recommended to intermediate or high-risk VTE patients. Adopting the recommended PTP was at the physician's discretion. At discharge, PTP use was recorded. PTP was recommended to 10,016 patients, of whom 2165 (21.6%) received the recommended thromboprophylaxis. In the multivariate logistic regression, PTP use/nonuse remained independently associated with female sex [odds ratio (OR) 0.75; 95% confidence interval (CI) 0.68-0.84], age (OR 1.04; 95% CI 1.03-1.04), being admitted to the Gynecology-Obstetrics (OR 0.31; 95% CI 0.25-0.39) or surgery (OR 1.26; 95% CI 1.12-1.42), thrombophilia (OR 5.15; 95% CI 2.04-12.98), previous VTE event (OR 2.98; 95% CI 1.78-4.98), diabetes (OR 1.84; 95% CI 1.61-2.10), acute myocardial infarction (OR 5.87; 95% CI 4.81-7.17), and admission to a major orthopedic surgery (OR 3.03; 95% CI 1.98-4.64). PTP in this hospital population was grossly underused. Eight independent variables predicted use/nonuse of PTP. Targeting variables related to the use and nonuse of PTP is important to direct the application of thromboprophylaxis.
Venous thromboembolism is a potentially lethal disease if not properly treated. Noninvasive strat... more Venous thromboembolism is a potentially lethal disease if not properly treated. Noninvasive strategies have become an attractive clinical option for effective diagnosis. There has been controversy, however, regarding the use of standard clinical rules in a primary care setting. The objective of the present study was to validate a noninvasive diagnostic strategy in an emergency unit giving assistance to patients with primary and secondary care needs. A total of 291 outpatients (primary and secondary care needs) with suspected venous thromboembolism attending the emergency unit of a general hospital from August 2002 to 2004 were retrospectively evaluated. The diagnostic strategy included assessment of risk for venous thromboembolism and a rapid quantitative enzyme-linked immunosorbent assay D-dimer test. Venous thromboembolism was ruled out in patients with a low-probability or intermediate-probability risk (or an unlikely diagnosis) and a negative D-dimer. The prevalence of venous thromboembolism was 8.2%. Patients with an unlikely diagnosis comprised 93.8% of the evaluations for deep venous thrombosis, and those with a low probability for pulmonary embolism comprised 81.4%. Proportions of patients with venous thromboembolic events observed were 7.2% in patients with an unlikely diagnosis of deep venous thrombosis and 3.0% in those with low probability for pulmonary embolism. The percentage of patients with a thrombotic event excluded using this strategy was 37% (positive predictive value 13%, negative predictive value 100%). In conclusion, this noninvasive clinical strategy is safe for ruling out venous thromboembolism, and excludes the need for imaging tests in about one-third of the patients in the population studied.
To cite this article: de Bastos M, de Bastos MRD, Bogutchi T, Carneiro-Proietti ABF, Rezende SM. ... more To cite this article: de Bastos M, de Bastos MRD, Bogutchi T, Carneiro-Proietti ABF, Rezende SM. Duration of symptoms and D-dimer testing in the ruling-out of venous thromboembolism. J Thromb Haemost 2006; 4: 2079-80.
��RESUMO: Modelos lineares generalizados para resposta binária ou contagem exigem que a variância... more ��RESUMO: Modelos lineares generalizados para resposta binária ou contagem exigem que a variância seja uma função conhecida da média. Entretanto, este tipo de dados é freqüentemente mais heterogêneo que a variância especificada pelo modelo. Este fato é conhecido como superdispersão a qual pode ser acomodada introduzindo um coeficiente extra, fixo ou aleatório, no modelo ou usar o método de quase-verossimilhança
... TÂNIA F. BOGUTCHI Mestranda pelo Instituto de Ciências Exatas da Universidade Federal de Mina... more ... TÂNIA F. BOGUTCHI Mestranda pelo Instituto de Ciências Exatas da Universidade Federal de Minas Gerais bogutchi@uai.com.br ... Verifi-cou-se, também, uma nítida seletividade social associada à escolha da carreira: alguns cursos, de elevado prestígio social, para os quais a ...
Rev Saúde Pública 2005;39(1):33-40 www.fsp.usp.br/rsp ... Infestação pelo Aedes aegypti e ocorrên... more Rev Saúde Pública 2005;39(1):33-40 www.fsp.usp.br/rsp ... Infestação pelo Aedes aegypti e ocorrência da ... Paulo Roberto Lopes Corrêaa, Elisabeth Françab e Tânia Fernandes Bogutchic ... Correspondência para/ Correspondence to: Paulo Roberto Lopes Corrêa Rua Monte ...
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