RESUMO
INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis. METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005. RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively. CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.
Assuntos
Avaliação da Deficiência , Hanseníase/complicações , Doenças do Sistema Nervoso Periférico/etiologia , Adolescente , Escolaridade , Feminino , Humanos , Hanseníase/classificação , Hanseníase/diagnóstico , Masculino , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Índice de Gravidade de DoençaRESUMO
INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis. METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005. RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively. CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.
INTRODUÇÃO: O objetivo deste estudo foi o de avaliar os fatores de risco para incapacidade física no momento do diagnóstico. MÉTODOS: Trata-se de estudo retrospectivo, descritivo e exploratório de 19.283 pacientes com hanseníase, notificados entre 2000 e 2005, no estado de Minas Gerais, Brasil. RESULTADOS: O risco para desenvolver grau 2 de incapacidade física foi 16,5 vezes maior no paciente com hanseníase virchowiana e 12,8 vezes maior no paciente com a forma dimorfa, quando comparados aos pacientes com a forma indeterminada. A presença de mais de um nervo acometido aumentou o risco de desenvolver grau 2 de incapacidade em 8,4 vezes. A idade inferior a 15 anos, os pacientes multibacilares e a falta de escolaridade aumentaram a chance de deformidades em 7,0, 5,7 e 5,6, respectivamente. CONCLUSÕES: Estes fatores devem ser considerados indicadores importantes do prognóstico para incapacidade física no momento do diagnóstico.