Navegando por Assunto "Neurologia"

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Análise do impacto da pandemia no atendimento do ambulatório de neurologia do Centro de Especialidades Médicas do CESUPA
(Centro Universitário do Estado do Pará, 2024-06-03) Carvalho, Gabriel Santos de; Ribeiro, Renan Lazameth Carvalho; Valente, Daniele Azevedo; Neves, Dilma Costa de Oliveira; http://lattes.cnpq.br/7230812534416350; http://lattes.cnpq.br/3464693240863327; Souza, Aline Cristine Passos de; http://lattes.cnpq.br/5404002728453981; Santos Filho, Sérgio Antônio Batista dos; http://lattes.cnpq.br/7539226677465850
Objective: To analyze the impact of the Covid-19 pandemic on care at the CEMEC neurology outpatient clinic and characterize the clinical-epidemiological profile of the population served pre-pandemic and during the pandemic, identifying patients with a history of COVID-19. Methods: This is an observational, cross-sectional, descriptive study, with a quantitative approach to data obtained from the records of a neurology outpatient clinic. Results: The annual average number of visits during the period was 78.5 per year and in the second period, this average increased to 157, that is, the annual average number of visits doubled during the pandemic period. A change in the age range of the profile was observed before and after the pandemic, with a prevalence of elderly people in current care. The main syndromic diagnoses being headache and epileptic syndrome, and the etiological diagnoses being epilepsy and migraine, with a significant increase in Parkinson's disease in the post-pandemic period. There were 138 cases of loss to follow-up, where during the pandemic period 3.6% of them were directly related to the course of the pandemic. Conclusion: In this way, this study is configured as an important tool to update the perception and direction of the neurology outpatient clinic, through the clinical epidemiological profile elucidated after the pandemic impact in this work, which allows sizing the new needs of this health service, as well as contributing as theoretical material for other health centers and a stimulating conduit for future scientific research.
Análise transversal da casuística atendida no serviço de neurologia do Centro de Especialidades Médicas do Centro Universitário do Estado do Pará entre os períodos de 2012 a 2015
(Centro Universitário do Estado do Pará, 2021) Garcia, Mairan Paes; Reis, Matheus Dinelly Ribeiro dos; Teixeira, Cláudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931
Introduction: Neurological outpatient care is a reality of medical graduation, and aims at the diagnosis, guidance and resolubility therapy in Neurology, being part of the daily life of these patients with the most diverse diagnoses. Methodology: This study is characterized as observational, cross-sectional, exploratory of the series of patients seen at the Neurology outpatient clinic of the Centro de Especialidades Médicas do Cesupa (Cemec) of Centro Universitário do Estado do Pará (Cesupa). Data were collected from the medical records of outpatient consultations, and only those patients who had consultations in the period from 2012 to 2015 were included in the study. Objective: To carry out an exploratory survey of the sample of patients treated at the Neurology outpatient clinic of the Centro de Especialidades Médicas do Cesupa (CEMEC) of Centro Universitário do Estado do Pará (Cesupa). Results: The results show that there was a higher prevalence of patients who underwent few visits at the Neurology Outpatient Clinic. In addition, the most prevalent complaint was the symptom of headache, but the prevalence of patients with improvement of the neurological picture was also important. Conclusion: Finally, we have seen that the use of Artificial Intelligence methods can help reveal the prevalence of associations between symptoms and signs recorded in databases in need of data.
Avaliação do manejo preventivo de pacientes com enxaqueca no ambulatório de neurologia do Centro de Especialidades do CESUPA no período de 2014-2018: um estudo retrospectivo
(Centro Universitário do Estado do Pará, 2019) Costa Neto, Antônio da Luz; Gomes, Fernando Bispo; Sefer, Celina Cláudia Israel; http://lattes.cnpq.br/0218316102057635
Introduction: Migraine is one of the most prevalent causes of pain in Brazil and globally, being incapacitating when severe. They are primary headaches and are classified for their etiology in migraine with aura and without aura. Treatment is performed according to the specificity of migraine. Thus, it is imperative that there be a knowledge of the medical conduct on this subject, so that it cannot only diagnose and treat, but also adequately guide patients with migraine in outpatient services. Objective: To evaluate the preventive management of patients with migraine at the CEMEC-CESUPA Outpatient Neurology in the period 2014-2018. Methodology: Retrospective study of 961 patient charts from the CEMEC-CESUPA Neurology Outpatient Clinic. 52 charts followed the exclusion and inclusion criteria established for this research. The sample characterization information was compiled in databases prepared in Microsoft Office Excel® 2016 software; adopting a significance level α < 0.05. Results: There was a predominance of females (88.46%), with a prevalence of patients with migraine without aura (55.8%) compared to aura (44.2%). The most evident age at onset of migraine was between 19 and 30 years (39.1%). Among the patients analyzed, 88.5% reported severe pain and only 5.8% moderate pain, and there were no subjects who reported poor pain or absence of pain. Migraine attacks usually occur in 50% of cases 3 to 14 times a month, followed by 15 to 30 times monthly (44.7%); its average duration is 4 to 72 hours in 64.1% of patients. The prodrome with the highest prevalence in the research were the scotomas (78.9%). Its most frequent triggering factors were stress (60.5%), food (32.6%) and sleep (32.6%); among the foods, coffee and chocolate (35.7% and 28.6%, respectively) were the most prevalent. In the morbid antecedents, systemic arterial hypertension and psychiatric diseases were the most mentioned in this study (41.9% and 38.7%, respectively). Among the most frequently mentioned life habits during non-pharmacological treatment, the therapeutic activity prevailed (55%). Of the patients evaluated, 40% of evasion was observed after the first return visit. There was little filling of the headache diary (34%). The prevalence of the main drugs used in prophylactic therapy were tricyclic derivatives (77%), topiramato (23%), flunarizine (9.5%) and propranolol (11.5%). It was noted that 66.6% of the patients were using abusive analgesics before treatment. Conclusion: The main benefits of this study for the CEMEC-CESUPA outpatient clinic of Neurology are the contribution of the scientific analysis to the elaboration of adherence strategies for the patients treated in this clinic and the elaboration of a proposal for a headache diary.
Perfil clínico-epidemiológico dos pacientes diagnosticados com cefaleias primárias atendidos no ambulatório de neurologia do Centro de Especialidades Médicas do CESUPA (CEMEC)
(Centro Universitário do Estado do Pará, 2020) Cardoso, Antônio Augusto Moreira; Silva, Marcos Vinicius Amorim; Penha, Nelson Elias Abrahão da; Souza, Aline Cristine Passos de; http://lattes.cnpq.br/5404002728453981; http://lattes.cnpq.br/5207645183090927
Headache, as a disease, often generates uncertainties in the professionals involved in the consultations, due to the numerous forms of presentation regarding the clinical condition of patients. In this context, the importance of knowing homogeneous characteristics of the local population served, can provide the most agile and effective therapeutic conduct, contributing to the well-being of patients. The aim of this study was to present a clinical-epidemiological profile of patients seen at the Neurology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC), in the period from the first semester of 2017 to the first semester of 2019, diagnosed with different types of primary headaches, through the analysis of medical records. The study design prioritized the collection and analysis of data, established in the research protocol, in the referred location, referring to patients diagnosed with primary headaches: Migraine, Tensional and Trigeminal Autonomic. These results were tabulated and graphs were generated for a better perception of the general picture, the relative risk (odds ratio) was calculated to establish the chances of the sample population to develop the pathology associated with the most prevalent comorbidities. The results were based on 81 medical records of patients with diagnoses among primary headaches, which demonstrated that the majority presented tension headache, followed by migraine, in a larger population of women, between 19 and 60 years old, the main associated comorbidity was hypertension. systemic arterial (0.4: 1) followed by dyslipidemia / Diabetes Mellitus (0.25: 1), the most widely used prophylaxis was ibuprofen, however, most of the sample is untreated. The results of this work were presented in accordance with others already published, with regard to the epidemiological profile of the sample population, the understanding of the association between the types of primary headache and the associated comorbidities proved to be important for the understanding of the causal nexus of the most common etiologies associated with headache. Further research associating the correct diagnosis of headache with the treatment employed and associated diseases may provide better patient management and management.
Uso excessivo de analgésicos nos pacientes com cefaleia do ambulatório de neurologia do CEMEC - perfil clínico-epidemiológico
(Centro Universitário do Estado do Pará, 2024-06-04) Correa, Ana Beatriz Rezende dos Santos; Leite, Bruna Verdelho; Pereira, Celice Cordeiro de Souza Bergh; Valente, Daniele Azevedo; http://lattes.cnpq.br/3464693240863327; http://lattes.cnpq.br/4509542877458910; Carvalho, Walther Augusto de; http://lattes.cnpq.br/0789028145294047; Castro, Yago Andrei Balieiro de
Headache is classified by the Global Burden of Disease study as the third most prevalent disorder worldwide, in addition to being the third leading cause of disability in both men and women under the age of 50. It has often been diagnosed and treated inappropriately, given the population's lack of knowledge about the different causes of the disease and the high frequency of self-medication with over-the-counter painkillers. Medication overuse headache is a secondary headache that usually occurs in patients suffering from primary headaches, worsening the intensity and frequency of attacks. This study aimed to identify the prevalence of excessive use of analgesics by patients diagnosed with headache, treated at the CEMEC neurology outpatient clinic. A cross-sectional, observational study was carried out with an analytical-descriptive approach. A higher prevalence of headache was noted in female patients, aged between 41-60 years, the main type being migraine. The most prevalent medication for pain control was Dipirone, which was significantly associated with excessive use of analgesics. Due to the lack of important information in the medical records, it was not possible to faithfully quantify the number of patients in the sample who were classified as overusing these medications. We concluded that a considerable portion of outpatient patients were overusing analgesics, predominantly female, and using Dipyrone, in addition to noticing a significant association between excessive use concomitantly with prophylactic treatment with Amitriptyline. Despite this, a lack of important information was observed in the medical records of patients with headache treated at the outpatient clinic, revealing the importance of creating a care record to be implemented in the institution, for better monitoring and outcome of these patients.