Demonstration Project On Epilepsy In Brazil: Outcome Assessment.

dc.creatorLi, Li M
dc.creatorFernandes, Paula T
dc.creatorNoronha, Ana L A
dc.creatorMarques, Lucia H N
dc.creatorBorges, Moacir A
dc.creatorBorges, Karina
dc.creatorCendes, Fernando
dc.creatorGuerreiro, Carlos A M
dc.creatorZanetta, Dirce M T
dc.creatorde Boer, Hanneke M
dc.creatorEspíndola, Javier
dc.creatorMiranda, Claudio T
dc.creatorPrilipko, Leonid
dc.creatorSander, Josemir W
dc.date2007-Jun
dc.date2015-11-27T13:10:13Z
dc.date2015-11-27T13:10:13Z
dc.date.accessioned2018-03-29T01:05:03Z
dc.date.available2018-03-29T01:05:03Z
dc.identifierArquivos De Neuro-psiquiatria. v. 65 Suppl 1, p. 58-62, 2007-Jun.
dc.identifier0004-282X
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/17581670
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/197350
dc.identifier17581670
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1297583
dc.descriptionTo assess the outcome of patients with epilepsy treated at primary care health units under the framework of the demonstration project on epilepsy in Brazil, part of the WHO/ILAE/IBE Global Campaign Against Epilepsy. We assessed the outcome of patients treated at four primary health units. The staff of the health units underwent information training in epilepsy. The outcome assessment was based on: 1) reduction of seizure frequency, 2) subjective perception from the patients and the physicians point of view, 3) reduction of absenteeism, 4) social integration (school and work), and 5) sense of independence. A total of 181 patients (93 women - 51%) with a mean age of 38 (range from 2 to 86) years were studied. The mean follow-up was 26 months (range from 1 to 38 months, 11 patients had follow-up of less than 12 months). Seizure frequency was assessed based on a score system, ranging from 0 (no seizure in the previous 24 months) to 7 (>10 seizure/day). The baseline median seizure-frequency score was 3 (one to three seizures per month). At the end of the study the median seizure-frequency score was 1 (one to three seizures per year). The patients and relatives opinions were that in the majority (59%) the health status had improved a lot, some (19%) had improved a little, 20% experienced no change and in 2% the health status was worse. With regard to absenteeism, social integration and sense of independence, there were some modest improvements only. The development of a model of epilepsy treatment at primary health level based on the existing health system, with strategic measures centred on the health care providers and the community, has proved to be effective providing important reductions in seizure frequency, as well as in general well being. This model can be applied nationwide, as the key elements already exist provided that strategic measures are put forward in accordance with local health providers and managers.
dc.description65 Suppl 1
dc.description58-62
dc.languageeng
dc.relationArquivos De Neuro-psiquiatria
dc.relationArq Neuropsiquiatr
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAbsenteeism
dc.subjectAdaptation, Psychological
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectBrazil
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectEpilepsy
dc.subjectFemale
dc.subjectFollow-up Studies
dc.subjectHumans
dc.subjectInterviews As Topic
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOutcome Assessment (health Care)
dc.subjectPrimary Health Care
dc.subjectProgram Evaluation
dc.subjectQuality Of Life
dc.subjectSocial Adjustment
dc.subjectTreatment Outcome
dc.titleDemonstration Project On Epilepsy In Brazil: Outcome Assessment.
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución