MÉTODOS DE BIÓPSIA PULMONAR EMPREGADOS NO HOSPITAL UNIVERSITÁRIO DE SANTA MARIA: ACURÁCIA, SENSIBILIDADE E ESPECIFICIDADE

O objetivo desse estudo foi definir a acurácia diagnóstica, sensibilidade e especificidade dos dois principais métodos de biópsia pulmonar empregados no Hospital Universitário de Santa Maria (HUSM): biópsia endobrônquica e biópsia pulmonar percutânea transtorácica (BPPT) guiada por tomografia computadorizada. Foi delineado um estudo transversal em que se analisaram laudos anatomopatológicos das biópsias pulmonares realizadas no HUSM entre os anos de 2003 a 2013. Foram incluídos os laudos que possuíam pelo menos uma modalidade de biópsia pulmonar realizada, sendo precedente ao procedimento cirúrgico, o qual foi considerado como padrão-ouro. A acurácia da biópsia realizada por método endobrônquico, aferida através de curva ROC teve como área sob a curva o valor calculado de 0,645. Sua sensibilidade e especificidade foram, respectivamente, 43% e 85%. A acurácia da BPPT apresentou área sob a curva calculada em0,681. Sua sensibilidade foi 61% e sua especificidade 75%. Conclui-se que os resultados encontrados podem ser considerados razoáveis e ambos métodos podem ser utilizados na pratica clinica.Descritores: Biopsia; Lesão Pulmonar; Precisão da Medição Dimensional; Sensibilidade e Especificidade. 

Hipovitaminose D no Brasil : um estudo em pacientes internados em um hospital geral

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Predictors of hip fracture mortality at a general hospital in South Brazil: an unacceptable surgical delay

OBJECTIVE: Hip fractures have been associated with increased mortality in the elderly. Several risk factors such as the time between the insult and the surgical repair have been associated with hip fracture mortality. Nevertheless, the risk of delayed surgical repair remains controversial. Few studies have examined this issue in Brazil. The aim of this study was to study the risk factors for death one year after hip fracture and in-hospital stay at a tertiary hospital in South Brazil. METHODS: A prospective cohort study was carried out from April 2005 to April 2011 at a tertiary university hospital at Santa Maria, Brazil. Subjects admitted for hip fracture who were 65 years of age or older were followed for one year. Information about fracture type, age, gender, clinical comorbidities, time to surgery, discharge, and American Society of Anesthesiologists score were recorded. Death was evaluated during the hospital stay and at one year. RESULTS: Four hundred and eighteen subjects were included in the final analysis. Of these, 4.3% died in-hospital and 15.3% were dead at one year. Time to surgery, American Society of Anesthesiologists score, Ischemic Heart Disease, and in-hospital stay were associated with death at one year in the univariate analysis. The American Society of Anesthesiologists score and time to surgery were one-year mortality predictors in the final regression model. In-hospital death was associated with American Society of Anesthesiologists score and age. CONCLUSION: Time to surgery is worryingly high at the South Brazil tertiary public health center studied here. Surgical delay is a risk factor that has the potential to be modified to improve mortality

Predictors of hip fracture mortality at a general hospital in South Brazil : an unacceptable surgical delay

OBJECTIVE: Hip fractures have been associated with increased mortality in the elderly. Several risk factors such as the time between the insult and the surgical repair have been associated with hip fracture mortality. Nevertheless, the risk of delayed surgical repair remains controversial. Few studies have examined this issue in Brazil. The aim of this study was to study the risk factors for death one year after hip fracture and in-hospital stay at a tertiary hospital in South Brazil. METHODS: A prospective cohort study was carried out from April 2005 to April 2011 at a tertiary university hospital at Santa Maria, Brazil. Subjects admitted for hip fracture who were 65 years of age or older were followed for one year. Information about fracture type, age, gender, clinical comorbidities, time to surgery, discharge, and American Society of Anesthesiologists score were recorded. Death was evaluated during the hospital stay and at one year. RESULTS: Four hundred and eighteen subjects were included in the final analysis. Of these, 4.3% died inhospital and 15.3% were dead at one year. Time to surgery, American Society of Anesthesiologists score, Ischemic Heart Disease, and in-hospital stay were associated with death at one year in the univariate analysis. The American Society of Anesthesiologists score and time to surgery were one-year mortality predictors in the final regression model. In-hospital death was associated with American Society of Anesthesiologists score and age. CONCLUSION: Time to surgery is worryingly high at the South Brazil tertiary public health center studied here. Surgical delay is a risk factor that has the potential to be modified to improve mortality

Efeito agudos dos estrógenos conjugados sobre marcadores séricos da função tireoidiana

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Efeito agudo dos estrógenos conjugados sobre o volume da tireóide em mulheres na pós-menopausa

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Hipovitaminose D : um estudo em pacientes internados em um hospital geral no sul do Brasil

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