Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study
Objective. To identify individual- and health services–related factors associated with deaths in subjects diagnosed with tuberculosis (TB). Methods. A nonconcurrent cohort study with passive follow-up was conducted using a probabilistic linkage method to analyze a sample of patients diagnosed and re...
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Online Access: | https://doi.org/10.26633/RPSP.2018.112 https://doaj.org/article/035b2c81b2ea499c9c9a904c97225e35 |
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ftdoajarticles:oai:doaj.org/article:035b2c81b2ea499c9c9a904c97225e35 2023-05-15T15:08:37+02:00 Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study Marli S. Rocha Gisele P. Oliveira Valéria Saraceni Fernanda P. Aguiar Claudia M. Coeli Rejane S. Pinheiro 2018-09-01T00:00:00Z https://doi.org/10.26633/RPSP.2018.112 https://doaj.org/article/035b2c81b2ea499c9c9a904c97225e35 EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/49455 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.112 https://doaj.org/article/035b2c81b2ea499c9c9a904c97225e35 Revista Panamericana de Salud Pública, Vol 42, Pp 1-8 (2018) Medical record linkage mortality survival analysis tuberculosis health service Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.26633/RPSP.2018.112 2022-12-31T11:27:21Z Objective. To identify individual- and health services–related factors associated with deaths in subjects diagnosed with tuberculosis (TB). Methods. A nonconcurrent cohort study with passive follow-up was conducted using a probabilistic linkage method to analyze a sample of patients diagnosed and reported as having TB in 2006 and followed up until 2008. New cases, cases with previous treatment (readmission after loss to follow-up or relapse), and transfers across health services were included. Proportional hazards models were used to estimate the independent effect of covariates related to the individual and to the health services on mortality from all causes. Results. Age above 60 years, admission to a hospital with emergency services, HIV-associated TB, and readmission to an outpatient facility after disease relapse or loss to follow-up were identified as risk factors for death. Variables related to process and results indicators of Brazil's National TB Program were not associated with mortality from all causes. Conclusions. Advanced age, previous treatment for TB, and treatment at a secondary-level outpatient facility or a hospital with emergency services on site were associated with mortality in TB patients. Better strategies to improve TB care delivered at health units are needed to prevent death from TB, especially among the elderly. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 42 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Medical record linkage mortality survival analysis tuberculosis health service Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Medical record linkage mortality survival analysis tuberculosis health service Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Marli S. Rocha Gisele P. Oliveira Valéria Saraceni Fernanda P. Aguiar Claudia M. Coeli Rejane S. Pinheiro Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
topic_facet |
Medical record linkage mortality survival analysis tuberculosis health service Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To identify individual- and health services–related factors associated with deaths in subjects diagnosed with tuberculosis (TB). Methods. A nonconcurrent cohort study with passive follow-up was conducted using a probabilistic linkage method to analyze a sample of patients diagnosed and reported as having TB in 2006 and followed up until 2008. New cases, cases with previous treatment (readmission after loss to follow-up or relapse), and transfers across health services were included. Proportional hazards models were used to estimate the independent effect of covariates related to the individual and to the health services on mortality from all causes. Results. Age above 60 years, admission to a hospital with emergency services, HIV-associated TB, and readmission to an outpatient facility after disease relapse or loss to follow-up were identified as risk factors for death. Variables related to process and results indicators of Brazil's National TB Program were not associated with mortality from all causes. Conclusions. Advanced age, previous treatment for TB, and treatment at a secondary-level outpatient facility or a hospital with emergency services on site were associated with mortality in TB patients. Better strategies to improve TB care delivered at health units are needed to prevent death from TB, especially among the elderly. |
format |
Article in Journal/Newspaper |
author |
Marli S. Rocha Gisele P. Oliveira Valéria Saraceni Fernanda P. Aguiar Claudia M. Coeli Rejane S. Pinheiro |
author_facet |
Marli S. Rocha Gisele P. Oliveira Valéria Saraceni Fernanda P. Aguiar Claudia M. Coeli Rejane S. Pinheiro |
author_sort |
Marli S. Rocha |
title |
Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
title_short |
Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
title_full |
Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
title_fullStr |
Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
title_full_unstemmed |
Effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
title_sort |
effect of inpatient and outpatient care on treatment outcome in tuberculosis: a cohort study |
publisher |
Pan American Health Organization |
publishDate |
2018 |
url |
https://doi.org/10.26633/RPSP.2018.112 https://doaj.org/article/035b2c81b2ea499c9c9a904c97225e35 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 42, Pp 1-8 (2018) |
op_relation |
http://iris.paho.org/xmlui/handle/123456789/49455 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.112 https://doaj.org/article/035b2c81b2ea499c9c9a904c97225e35 |
op_doi |
https://doi.org/10.26633/RPSP.2018.112 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
42 |
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