Serviço de Ortopedia do HCPA: uma análise dos indicadores assistenciais no período de dez anos

Os distúrbios do sistema músculo-esquelético estão entre os que mais acometem a população em geral e motivam a procura de atendimento médico. Com o envelhecimento da nossa população e com os perfis epidemiológicos que colocam pessoas com mais de 55 anos como primeiras em busca de atendimento, a constante evolução da Ortopedia se faz necessária para atender essa demanda. Medir a qualidade e quantidade dos serviços de saúde é imprescindível, uma vez que possibilita o planejamento, organização, avaliação e controle das atividades desenvolvidas. Dessa forma, decidimos avaliar os indicadores assistenciais do Serviço de Ortopedia do Hospital de Clínicas de Porto Alegre (HCPA) durante o período de dez anos, compreendendo de 2003 a 2013. Optamos, então, por fazer dois tipos de análises. Em uma delas, um comparativo do Serviço de Ortopedia em relação aos números totais do HCPA e, na outra, um comparativo interno do Serviço no período de dez anos

Night shift work, short sleep and obesity

Background: Obesity is associated with increased general mortality and comorbidities, it is multifactorial and some evidence has shown that sleep duration and shift work may be implicated in its pathogenesis. Objectives: The aim of this study was to evaluate the association between shift work, quality of life and obesity among healthcare workers of a Brazilian University Hospital. Methods: A cross-sectional study was performed from April 2013 to December 2014 with 200 workers of a University Hospital. Sociodemographic data were evaluated and BREF WHOQOL was used for quality of life. The physical activity was evaluated using the International Physical Activity Questionnaire (IPAQ), Chronotypes and daily sleep preference were investigated using Munich Chronotype Questionnaire (MCTQ). Venous blood was collected after 12-h of fasting for laboratory tests. Results: In this sample, the night shift workers had higher income and were older compared to day shift workers. Night shift workers sleep less hours, had higher weight, body mass index and abdominal circumference when compared to the day shift workers. Night shift workers had almost 3 times higher association with abdominal obesity independent of age and gender, than day shift workers. MCTQ parameters showed that night shift workers had lower sleep duration during working days and also during free days, associated with a higher level of social jetlag. Social jetlag had an association with obesity. We found no diference for quality of life between shifts. Conclusions: Night work was a risk factor for abdominal obesity, social jetlag was higher in night shift workers and it was associated with presence of obesity