Fatores associados à sintomatologia dolorosa e qualidade de vida em odontólogos da cidade de Teresina - PI Factors associated with pain symptoms and quality of life of dentists in the city of Teresina - PI

OBJETIVO: Analisar os fatores associados à sintomatologia dolorosa e à qualidade de vida em odontológos da cidade de Teresina-PI. MÉTODOS: Foi realizado um estudo observacional de caráter transversal com 175 odontológos atuantes e registrados no Conselho Regional de Odontologia-PI entre os meses de março a maio de 2007. Para caracterização dos odontológos foi utilizado um questionário multidimensional contendo informações sociodemográficas (idade, sexo) e dados profissionais (tempo de serviço e jornada de trabalho). A avaliação da presença de dor foi realizada pelo o Protocolo de Sintomatologia Dolorosa de McGILL. O WHOQOL-Bref foi utilizado para avaliação da qualidade de vida através dos domíniosFísico, Psicológico, Social e Meio ambiente. RESULTADOS/CONCLUSÃO: A sintomatologia dolorosa foi relatada em 69,7% dos indivíduos, sendo observado em 77,3% das mulheres e 60,3% dos homens. As regiões do corpo onde foram mais prevalentes a presença de dor foram a região do pescoço (69,2%) e lombar (69,7%). Os odontológos apresentaram elevados níveis de autopercepção de satisfação da qualidade de vida e saúde. A maior parte dos indivíduos relatou a qualidade de vida como muito boa (96%), e apenas 16,6% dos indivíduos relataram insatisfação com a saúde. Os domínios Físico e Meio Ambiente do WHOQOL-Bref apresentaram escores mais baixos que os domínios Psicológico e Social. Através de análise multivariada mediante regressão logística, após ajuste pelas variáveis do estudo, apenas a sintomatologia dolorosa (OR=2,51; IC95%1,21-5,21) permaneceu associada com a qualidade de vida destes profissionais.<br>OBJECTIVE: To analyze factors associated with pain symptoms and quality of life in dentists of Teresina - PI, Brazil. METHODS: We conducted a cross-sectional study with 175 dentists registered with the Regional Council of Dentistry-PI from March to May, 2007. We used a multidimensional questionnaire containing sociodemographic (age, sex) and professional information (time working in profession, work schedule) to characterize dentists. The McGILL Protocol of Painful Symptoms was used to evaluate the presence of pain. The WHOQOL-Bref was used to assess quality of life through physical, psychological, social and environmental domains. RESULTS/CONCLUSION: Pain symptoms were reported in 69.7% of individuals, being observed in 77.3% of women and 60.3% of men. The body regions with more prevalent presence of pain were the neck (69.2%) and lumbar (69.7%) regions. The dentists had high levels of self-perceived satisfaction of quality of life and health. Most subjects reported their quality of life as very good (96%), and only 16.6% reported dissatisfaction with their health. The domains and physical environment of the WHOQOL-Bref showed lower scores than the psychological and social domains. Through multivariate analysis by logistic regression after adjustment for the study, only pain symptoms (OR = 2.51, 95% 1.21-5.21) remained associated with the quality of life of these professionals

Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.

BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas