02595nas a2200361 4500000000100000008004100001653001000042653002600052653002100078653002300099653001100122653001100133653001200144653000900156653001600165653002600181653001700207653003000224100001600254700001400270700001400284700001600298700001800314700001300332700001400345700001600359245009000375856008400465300000800549490000700557520165500564022001402219 2018 d10aAdult10aDisability Evaluation10aDisabled Persons10aEducational Status10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aRetrospective Studies10aRisk Factors10aSeverity of Illness Index1 aSantana EMF1 aBrito KKG1 aAntas EMV1 aNogueira JA1 aLeadebal ODCP1 aSilva MA1 aCosta MML1 aSoares MJGO00aFactors associated with the development of physical disabilities in Hansen's disease. uhttp://www.scielo.br/pdf/rimtsp/v60/1678-9946-rimtsp-60-S1678-9946201860027.pdf ae270 v603 a

Hansen's disease is probably the human disease that causes more damage. The aim of this study was to investigate the association between the occurrence of the association of grade 1 and 2 physical disabilities in Hansen's disease, as well as implications of joint analysis and strength of association with independent demographic and clinical variables. This is a quantitative, descriptive, retrospective, population-based and documentary study developed from 2009 to 2014 in a Hansen's disease reference center in Joao Pessoa, PB. It involved 414 medical records, the diagnosis and discharge data on socio-demographic, clinical and simplified neurological evaluation variables. Data were analyzed using descriptive (absolute frequency and percentage) and inferential (Chi-Square and Prevalence Ratio (PR) statistics techniques. Both in the diagnosis and discharge, low education level, multibacillary classification and presence of affected nerves were statistically associated to the development of disabilities (p <0.05). The gender showed association only at discharge (p <0.05). Male gender, low education level, multibacillary classification and presence of affected nerves were identified as factors associated with the development of disabilities, and the individuals were more likely to develop disabilities at discharge. There is a need for development of surveillance actions for the population group identified for the detection and early treatment of the disease. Higher chances of developing disabilities in the discharge period makes the promotion of guidelines that standardize the care of these individuals imperative.

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