Sociodemographic Profile of Inpatients With Tuberculosis in the City of Salvador

Abstract

SESSION TYPE: Respiratory Infections Posters IPRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PMPURPOSE: Tuberculosis (TB) persists as one of the most important causes of mortality and Brazil is the only country in Latin America included among the 22 nations responsible for 80% of TB around the world. The state of Bahia is in third place.METHODS: OBJECTIVE: To describe the socio-demographic profile of inpatients with pulmonary tuberculosis in a specialized hospital (Bahia) (Specialized Octavio Mangabeira Hospital-HEOM). It was performed a descriptive and retrospective study. We analyzed 638 medical records of patients admitted in 2010 at the HEOM. The study population was inpatients with severe tuberculosis in Bahia. The data were assessed using a questionnaire based on data identifying hospitalized patients and systematically completed by the social worker in the same period of time. For data analysis was applied to descriptive statistics: frequency, mean, median, average deviation, standard deviation, maximum and minimum values. This project was approved by the Ethics Committee of the Spanish Hospital (Salvador, Bahia, Brazil).RESULTS: Hundred and thirty-eight medical records of inpatients were analyzed. Of the total of inpatients with tuberculosis, 147(23.0%) patients died, and 77.0% (491) there was other types of admission. The majority of hospitalizations (52.0%) were through transfer of other health units (province and capital city) for HEOM, 52.5% were discharged and average period of hospitalization were 29.3±27.53 days. The masculine gender predominated in the sample (69.9%; 446), 70.2% (268) was afro descendants, the average age was 43.1± 16.2 years, 33.4% of patients were illiterate. Most of them were unmarried (72.6%; 453). The average number of people living in the same house was 3.56±0.75 people, 88.4% lived in houses, 83.5% of them reported that lived in their own houses. We observe the socioeconomic conditions of these patients: were found 83 occupations, 27.7% was unemployed, 7.4% (45) was masons, 45.6% had never contributed to the Brazilian socio security and 15.4% was retired. In relation to household income, 32.9% corresponded to a basic salary in Brazil (USD$ 333). The mean of previous hospitalizations was 0.70±0.82.CONCLUSIONS: Most of the findings indicating that tuberculosis still remain a disease associated with poverty.CLINICAL IMPLICATIONS: Know the demographic variables that influence the incidence of severe cases of tuberculosis, can allow the adoption of measures that target reduce hospitalization, consequently reducing the mortality and Government spending.DISCLOSURE: The following authors have nothing to disclose: Adelmo de Souza Machado Neto, Ana Carolina Costa de AlmeidaNo Product/Research Disclosure InformationAffiliations: Escola Bahiana de Medicina e Saúde Pública (FBDC), Salvador, Brazil