Perfil epidemiológico, clínico e funcional de indivíduos com Doença de Parkinson atendidos em um centro de reabilitação brasileiro: estudo multicêntrico

• Ano de defesa: 2024
• Autor(a) principal: Filipe Gustavo Lopes
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; Programa de Pós-Graduação em Neurociências; UFMG
• Palavras-chave em Português: Doença de Parkinson; reabilitação; funcionalidade; epidemiologia; dados sóciodemográficos; Neurociências; Reabilitação; Epidemiologia
• Link de acesso: http://hdl.handle.net/1843/73868

Parkinson's disease is the second most prevalent neurodegenerative disease in the world. In Brazil, notification of PD is not mandatory, which makes it difficult to estimate its prevalence in the country, therefore studies that characterize this population are scarce. This study investigated and described the epidemiological, clinical and functional characterization of people with PD admitted for rehabilitation at the SARAH NETWORK of Rehabilitation Hospitals. To answer the central question of the study, a probabilistic, stratified random sample of 742 participants was selected from the six network units participating in the study, with data collected directly from electronic medical records. The mean age of patients at the time of admission was 64.1 (±65) years with a mean age of diagnosis at 58.9 years (±11.2) and a mean PD duration of 5.3 (±) years. The sample consisted predominantly of men (n=447, 60.2%), retired (546, 73,7%), married or in a stable union (n=459, 61.9%), and 314 (42 .4%) and had between 5 and 11 years of education. Tremor was the most frequent first symptom, reported by 383 (51.6%) patients. Regarding the presence of comorbidities, a higher frequency of Systemic Arterial Hypertension (n = 385, 51.9%) and low back pain were observed. was diagnosed in (n=266, 35.8%). The majority of patients (n=396, 53.4%) were in HY stage 2.0 and were completely independent (SE > 80 points, n=561, 81.8%) According to the TUG classification, 175 (61.9%) were not at risk of falling. For T10m, 201 (65.5%) were community walkers. Most patients, n=331 (63.7%), did not present balance deficits according to BSE. For the MBT, 214 (78.1%) were non-fallers. Regarding treatment, the vast majority of individuals (79.7%) used Levodopa + Benserazide. Cognitive changes were present in the majority investigated, n= 330 (53.7%) according to the MMSE. The presence of depressive symptoms was found in 486 (75.1%) of patients in the six units surveyed and the main complaint of sleep disturbance reported was daytime drowsiness in 318 (42.9%) people. Through observation of the data found, it is possible to develop treatment strategies and health policies aimed at the needs of the Brazilian population with PD, as well as the strengthening and importance of rehabilitation as a treatment strategy.