Josiane Moreira da Costa

Health literacy and warfarin therapy at two anticoagulation clinics in Brazil

Objective Health literacy has been related to health-related conditions and health outcomes. Studies examining the association of health literacy and anticoagulation have had variable results. We sought to investigate the relations of health literacy and percentage of time in therapeutic range (TTR) in a vulnerable Brazilian cohort at two hospital-based anticoagulation clinics. Methods We measured health literacy with the Short Assessment of Health Literacy for Portuguese-speaking Adults (SAHLPA-18) in 2015–2016. We identified the demographic and clinical characteristics associated with health literacy and related health literacy to TTR. Results We enrolled 422 adults prescribed chronic warfarin therapy in our observational study (median age 62.1 years; 58.8% women; monthly income

Identifying hemorragics events in eldery participants in education intervention at a anticoagulation clinic

200.00). The prevalence of inadequate health literacy (score 0–14 points) was 72.3% with a median score of 12 (quartiles, Q1=10; Q3=15) on the SAHLPA-18. The median TTR was 66.1%. In the multivariable logistic analysis, cognitive impairment and assistance with taking warfarin were associated with inadequate health literacy. Prosthetic heart valves and more school years were associated with adequate health literacy. Our analyses showed no significant relation between health literacy and TTR, analysing health literacy as a categorical (adjusted OR 1.05; 95% CI 0.65 to 1.70) or continuous variable (Spearman’s coefficient 0.02; p=0.70). Conclusions Inadequate health literacy was highly prevalent in this impoverished Brazilian cohort receiving anticoagulation with warfarin. However, we did not identify an association between health literacy and TTR. Future investigations may consider the systemic factors that contribute towards successful anticoagulation outcomes for vulnerable patient cohorts with inadequate health literacy.

Profile of patients admitted for spinal cord injury in public teaching hospital

1 Acadêmica (Curso de Farmácia da Universidade Federal de Minas Gerais) Universidade Federal de Minas Gerais. Belo Horizonte, MG Brasil. 2 Acadêmica (Faculdade de Medicina da Universidade Federal de Minas Gerais) Universidade Federal de Minas Gerais. Belo Horizonte, MG Brasil. 3 Terapeuta Ocupacional Mestre em PsicologiaProfessora Assistente (Departamento de Terapia Ocupacional Universidade Federal de Minas Gerais) Universidade Federal de Minas Gerais. Belo Horizonte, MG Brasil. 4 Farmacêutica Mestre em Saúde e Enfermagem (Coordenação Técnica Hospital Risoleta Tolentino Neves ) Hospital Risoleta Tolentino Neves.Belo Horizonte, MG Brasil.

Re cognition of patients with Stroke through a Tutorial Education Program

The spinal cord injury (TRM) is an important cause of mortality in Brazil. The PRO/PETHealth III, a Federal Government program developed at the Federal University of Minas Gerais, sought to identify the profile of TRM victims assisted in a large general teaching hospital in Belo Horizonte. A cross-sectional, descriptive study, with analysis of electronic medical records of patients admitted for TRM, was conducted to determine its epidemiological profile. The results revealed the age, length of stay, type of injury, trauma etiology, events registration, results of microbial cultures, and drugs used by these patients. It was possible to establish the relationship between the obtained data and those described in the literature and analyze the context of admission of these individuals, showing the importance of a multidisciplinary vision of the people affected by TRM.

ANÁLISE DAS INTERVENÇÕES REALIZADAS NA ALTA HOSPITALAR DE IDOSOS ACOMPANHADOS EM SERVIÇO

The cerebrovascular accident (CVA) is an important cause of mortality in Brazil and, therefore, improved monitoring in this population is needed. The PRO/PET-Health III, which is a federal government program developed at the Federal University of Minas Gerais (UFMG) by the “urgent and emergency” team sought to identify the profile of the program’s users who were victims of CVA in a large general hospital in Belo Horizonte. Semi-structured interviews were conducted with diagnosed users addressing aspects of personal and health relevance. The results included age, place of residence, illiteracy, alcoholism, types of CVA, previous deficits, medicines used at the time of the episode, chronically used medicines, related comorbidities, and follow up at the Basic Health Units (UBS). It was possible to establish a relationship between the demographic data, occurrence of CVA, and better understanding about the health system organization,