Hospital de Base

Objetivo: Investigar a correlação entre sobrecarga e qualidade de vida dos cuidadores informais de pacientes em cuidados paliativos. Método: Estudo quantitativo, analítico, com 70 cuidadores de pacientes internados em hospital do noroeste paulista que responderam ao questionário sociodemográfico, ao World Health Organization Quality of Life - Bref e o Questionário de Avaliação da Sobrecarga do Cuidador Informal, no período de outubro de 2023 a março de 2024. Os dados foram analisados com estatística descritiva, teste de normalidade Shapiro-Wilk e correlação de Spearman. Resultados: 28(40,0%) eram filhos, 54 (77,1%) mulheres, que dedicavam mais de 18 horas diárias ao cuidado, sobrecarga moderada para 38(54%) dos participantes. A percepção geral da qualidade de vida foi boa, apesar de fragilidades em domínios específicos como o social. Verificou-se correlação negativa significativa (p<0,05) entre sobrecarga e qualidade de vida nas diferentes dimensões analisadas. Conclusão: Os dados sugerem a necessidade de fortalecimento de políticas públicas voltadas à prevenção do adoecimento do cuidador informal em cuidados paliativos.

Objectives This prospective cohort study evaluated the epidemiological profile, treatment modalities and outcomes of patients with aneurysmal subarachnoid hemorrhage (aSAH) in a resource-constrained environment. We identified modifiable risk factors for mortality and disability and highlight challenges in achieving UN SDG 3 targets for health equity. Methods We enrolled 183 adult patients with aSAH at a public hospital in Brasília, Brazil, from May 2019 to December 2020. Clinical, radiological, and treatment data were prospectively collected. The primary outcomes were in-hospital mortality and functional outcome (mRS) at discharge and three months. Statistical analyses included univariate and multivariate logistic regression. Results The overall mortality rate was 37.7%. Mortality was significantly associated with older age (p = 0.003) and several risk factors, including hypertension (OR 2.31), diabetes (OR 3.37), and smoking (OR 2.18). Unfavorable functional outcomes (mRS 4–5) were linked to complications and risk factors such as smoking, hypertension, and intraventricular hemorrhage. Multivariate analysis revealed that surgical clipping was independently associated with a higher risk of poor functional outcome compared to endovascular coiling (OR 52.23, p = 0.011), although mortality rates for both treatments were similar. Conclusion This study highlights the substantial clinical and treatment burden of aSAH in a middle-income country. Despite resource limitations, endovascular treatment was correlated with improved short-term functional trajectories. These findings underscore the importance of the equitable expansion of endovascular capabilities and robust follow-up systems in similar healthcare settings to advance SDG 3.