Subject(s)
Lung Diseases , Tuberculosis , Humans , Peru/epidemiology , Tuberculosis/epidemiology , Health PolicyABSTRACT
BACKGROUND: The Woven EndoBridge device was originally approved to treat intracranial wide-neck saccular bifurcation aneurysms. Recent studies have suggested its use for the treatment of sidewall intracranial aneurysms with variable success. PURPOSE: Our aim was to evaluate the safety and efficacy of the Woven EndoBridge device for sidewall aneurysms using a meta-analysis of the literature. DATA SOURCES: We performed a systematic review of all studies including patients treated with the Woven EndoBridge device for sidewall aneurysms from inception until May 2022 on Scopus, EMBASE, MEDLINE, the Web of Science, and the Cochrane Central Register of Controlled Trials. STUDY SELECTION: Ten studies were selected, and 285 patients with 288 sidewall aneurysms were included. DATA ANALYSIS: A random-effects meta-analysis of proportions using a generalized linear mixed model was performed as appropriate. Statistical heterogeneity across studies was assessed with I2 statistics. DATA SYNTHESIS: The adequate occlusion rate at last follow-up was 89% (95% CI, 81%-94%; I2, = 0%), the composite safety outcome was 8% (95% CI, 3%-17%; I2 = 34%), and the mortality rate was 2% (95% CI, 1%-7%; I2 = 0%). Aneurysm width (OR = 0.5; P = .03) was the only significant predictor of complete occlusion. LIMITATIONS: Given the level of evidence, our results should be interpreted cautiously until confirmation from larger prospective studies is obtained. CONCLUSIONS: The initial evidence evaluating the use of the Woven EndoBridge device for the treatment of wide-neck sidewall intracranial aneurysms has demonstrated high rates of adequate occlusion with low procedural complications. Our findings favor the consideration of the Woven EndoBridge device as an option for the treatment of sidewall aneurysms.
Subject(s)
Embolization, Therapeutic , Endovascular Procedures , Intracranial Aneurysm , Humans , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/therapy , Treatment Outcome , Prospective Studies , Embolization, Therapeutic/methods , Endovascular Procedures/methods , Retrospective StudiesSubject(s)
Health Services Accessibility , Health Services, Indigenous , Indigenous Peoples , Primary Health Care , Humans , PeruABSTRACT
OBJETIVO: La pobreza impacta negativamente en la salud, educación y entorno familiar. La sectorización a través de sus componentes permite identificar los grupos de riesgo y daño en las familias. El objetivo del presente trabajo es determinar el estado de pobreza y su influencia en el riesgo y daño familiar del distrito de Villa María del Triunfo, Lima, Perú. MATERIALES Y MÉTODOS: Estudio ecológico que usó la base de datos de un establecimiento de salud del distrito de Villa María del Triunfo, en el que se evalúa el riesgo familiar y el nivel socioeconómico de 450 familias en 7 sectores entre los años 2015 y junio del 2017. RESULTADOS: Más de la mitad de las familias son pobres (77,9%). Los daños más prevalentes fueron malnutrición y salud mental. Los factores de riesgo familiar más frecuentes fueron violencia familiar, ausencia de lactancia materna y gestante adolescente o añosa. Se encontró que la pobreza está asociada a riesgo familiar (OR: 1,84; IC 95%: 1,07-3,23) y a riesgo de daño (OR: 2,29; IC 95%: 1,32-3,92). CONCLUSIÓN: El nivel de pobreza es alto y se encontró asociada a un mayor riesgo y daño familiar, especialmente para condiciones como malnutrición y problemas de salud mental. Se deben realizar intervenciones en las familias, sobre todo en las pobres, y aplicar medidas que modifiquen sus determinantes sociales de mala salud
OBJECTIVE: Poverty generates negative effects on health, education, and family environment. Sectoral analysis through its components enables to identify the risk groups and damage in the families. The objective of this work is to determine the state of poverty and its influence on the risk and family damage in the district of Villa Maria del Triunfo (VMT), Lima, Peru. MATERIALS AND METHODS: Ecological study that used the database of the health facility of the VMT district, in which the family risk and the socioeconomic level of 450 families in 7 sectors are evaluated between the years 2015 to June 2017. RESULTS: More than three-quarters of the families are poor (77.9%). The most prevalent damages were malnutrition and mental health. The most frequent family risk factors were family violence, with the absence of breastfeeding in infants, adolescent pregnancy, and old age. It was found that poverty was associated with family risk (P = .019, OR: 1.84, 95% CI: 1.07-3.23), and damage risk (P < .001, OR: 2.29; 95% CI: 1.32-3.92). CONCLUSION: The level of poverty is high. This condition was associated with increased risk and family damage, especially for malnutrition and mental health problems. Interventions should be carried out in families, especially among the poor, and decisive measures should be made on the social factors determining ill-health
Subject(s)
Humans , Male , Female , Pregnancy , Infant , Adolescent , Aged , Family Health/economics , Malnutrition/epidemiology , Mental Disorders/epidemiology , Poverty , Family Health/statistics & numerical data , Peru/epidemiology , Primary Health Care , Risk Factors , Socioeconomic FactorsABSTRACT
OBJECTIVE: Poverty generates negative effects on health, education, and family environment. Sectoral analysis through its components enables to identify the risk groups and damage in the families. The objective of this work is to determine the state of poverty and its influence on the risk and family damage in the district of Villa Maria del Triunfo (VMT), Lima, Peru. MATERIALS AND METHODS: Ecological study that used the database of the health facility of the VMT district, in which the family risk and the socioeconomic level of 450 families in 7 sectors are evaluated between the years 2015 to June 2017. RESULTS: More than three-quarters of the families are poor (77.9%). The most prevalent damages were malnutrition and mental health. The most frequent family risk factors were family violence, with the absence of breastfeeding in infants, adolescent pregnancy, and old age. It was found that poverty was associated with family risk (P=.019, OR: 1.84, 95% CI: 1.07-3.23), and damage risk (P<.001, OR: 2.29; 95% CI: 1.32-3.92). CONCLUSION: The level of poverty is high. This condition was associated with increased risk and family damage, especially for malnutrition and mental health problems. Interventions should be carried out in families, especially among the poor, and decisive measures should be made on the social factors determining ill-health.
