多种疾病共存与肺结核治疗结果之间的关系。
Relationship between multimorbidity and the outcome of the treatment for pulmonary tuberculosis.
机构信息
Prefeitura Municipal de Pelotas. Pelotas, Rio Grande do Sul, Brasil.
Universidade Federal de Pelotas (UFPEL). Departamento de Enfermagem. Pelotas, Rio Grande do Sul, Brasil.
出版信息
Rev Gaucha Enferm. 2020 Jun 5;41:e20190373. doi: 10.1590/1983-1447.2020.20190373. eCollection 2020.
OBJECTIVE
To analyze the influence of multimorbidity on the treatment outcome of new cases of pulmonary tuberculosis.
METHOD
A population-based analytical study, using secondary data, collected from the database of the Notification Disease Information System, of new cases of pulmonary tuberculosis in the state of Rio Grande do Sul between 2013 and 2016. The relationship between multimorbidity and the outcome was analyzed with Multinomial Logistic Regression.
RESULTS
Multimorbidity was present in 37.0% of the cases. Of these, the Relative Risk (RR) was 1.7 for treatment abandonment and 2.9 for death. HIV had an RR of 2.1 for dropout and of 3.9 for death. The higher the number of comorbidities, the higher the RR for unfavorable outcomes.
CONCLUSION
Multimorbidity influences on unfavorable outcomes of the treatment for tuberculosis.
目的
分析多种合并症对新诊断肺结核病例治疗结局的影响。
方法
这是一项基于人群的分析性研究，使用了 2013 年至 2016 年来自巴西南里奥格兰德州传染病报告系统数据库的二次数据。采用多项逻辑回归分析多种合并症与结局之间的关系。
结果
37.0%的病例存在多种合并症。其中，治疗中断的相对风险（RR）为 1.7，死亡的 RR 为 2.9。HIV 的 RR 为 2.1（脱落）和 3.9（死亡）。合并症的数量越多，不良结局的 RR 越高。
结论
多种合并症影响肺结核的治疗结局。
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