Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy

Revista da Sociedade Brasileira de Medicina Tropical

Lambertucci, José Roberto¹  Secretary of Health of the Minas Gerais State, Belo Horizonte, Brazil¹  Grossi, Maria Aparecida Faria¹  Moschioni, Cristiane¹  Federal University of Minas Gerais, Brazil¹  Antunes, Carlos Maurício de Figueiredo¹ 

关键词: Leprosy;    Physical disability;    Risk factors for disability;    Lepromatous leprosy;    Physical disability prognosis;   

DOI  :  10.1590/S0037-86822010000100005

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

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.

【 授权许可】

Unknown