Pereira Laíse dos Santos, Freitas Erlane Chaves, Fidalgo Arduína Sofia Ortet de Barros Vasconcelos, Andrade Mônica Coelho, Cândido Darlan da Silva, da Silva Filho José Damião, Michailowsky Vladimir, Oliveira Maria de Fátima, Queiroz José Ajax Nogueira
Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
Departamento de Patologia e Medicina Legal, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
Rev Inst Med Trop Sao Paulo. 2015 Mar-Apr;57(2):145-52. doi: 10.1590/S0036-46652015000200008.
By controlling the transmission of Chagas disease, the challenge of providing assistance to millions of infected patients that reach old age arises. In this study, the socioeconomic, demographic and comorbidity records of all elderly chagasic patients followed at the Pharmaceutical Care Service of the Chagas Disease Research Laboratory were assessed. The information related to the clinical form of the disease was obtained from medical records provided by the Walter Cantídio University Hospital. The profile of the studied population was: women (50.5%); mean age of 67 years; retired (54.6%); married (51.6 %); high illiteracy rate (40.2%); and family income equal to the minimum wage (51.5%). The predominant clinical forms of Chagas disease were cardiac (65.3%) and indeterminate (14.7%). The main electrocardiographic changes were the right bundle branch block (41.0%), associated or not with the anterosuperior left bundle branch block (27.4%). The average number of comorbidities per patient was 2.23 ± 1.54, with systemic arterial hypertension being the main one found (67.0%). It was found that the elderly comprise a vulnerable group of patients that associate aging with cardiac and/or digestive disorders resulting from the evolution of Chagas disease and other comorbidities, which requires special attention from health services to ensure more appropriate medical and social care.
通过控制恰加斯病的传播，出现了为数百万步入老年的感染患者提供援助的挑战。在本研究中，对恰加斯病研究实验室药物治疗服务所跟踪的所有老年恰加斯病患者的社会经济、人口统计学和合并症记录进行了评估。与疾病临床类型相关的信息来自沃尔特·坎蒂迪奥大学医院提供的病历。所研究人群的特征为：女性（50.5%）；平均年龄67岁；退休人员（54.6%）；已婚（51.6%）；文盲率高（40.2%）；家庭收入等于最低工资（51.5%）。恰加斯病的主要临床类型为心脏型（65.3%）和隐匿型（14.7%）。主要心电图变化为右束支传导阻滞（41.0%），伴或不伴有左上束支前上分支传导阻滞（27.4%）。每位患者合并症的平均数量为2.23±1.54，其中主要发现的是系统性动脉高血压（67.0%）。研究发现，老年人是一组脆弱的患者群体，他们将衰老与恰加斯病进展及其他合并症导致的心脏和/或消化系统疾病联系在一起，这需要卫生服务机构给予特别关注，以确保提供更适当的医疗和社会护理。
