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Background
Patients with rheumatoid arthritis (RA) are at increased risk of falls, with potential adverse outcomes. There is a considerable variation across studies regarding the prevalence of falls and its correlation with clinical data, disease-related outcomes and physical performance tests.Objective
The aim of this study was to evaluate the prevalence of falls and its association with clinical data, disease-related outcomes and physical performance tests.Methods
In this cross-sectional study, 113 RA patients were divided into 3 groups — “non-fallers”, “sporadic fallers” and “recurrent fallers” — and compared in terms of clinical data, Clinical Disease Activity Index (CDAI), lower-limb tender and swollen joint count, disability (Health Assessment Questionnaire-Disability Index [HAQ-DI]), Foot Function Index (FFI), Berg Balance Scale (BBS), Timed-up-and-go Test (TUG) and 5-Time Sit Down-To-Stand Up Test (SST5). Logistic regression analysis was performed to analyze the associations between the studied variables and the occurrence of falls, estimating odds ratios (ORs). We also analyzed the correlation between disease outcome measures (HAQ-DI and CDAI) and physical tests (BBS, TUG, SST5).Results
Falls and fear of falling were reported by 59 (52.21%) and 71 (64.5%) patients, respectively. Significant associations were found between “recurrent fallers” and vertigo (OR = 3.42; P = 0.03), fear of falling (OR = 3.44; P = 0.01), low income (OR = 2.02; P = 0.04), CDAI (OR = 1.08; P < 0.01), HAQ-DI (OR = 3.66; P < 0.01), Lower-limb HAQ (OR = 3.48; P < 0.01), FFI-pain (OR = 1.24; P = 0.03), FFI-total (OR = 1.23; P = 0.04), lower-limb tender joint count (OR = 1.22; P < 0.01), BBS score (OR = 1.14; P < 0.01), TUG score (OR = 1.13; P = 0.03) and SST5 score (OR = 1.06; P = 0.02). On multivariate analysis, CDAI was the only significant predictor of recurrent falls (OR = 1.08; P < 0.01). Physical performance test scores (BBS, TUG, SST5) were correlated with the CDAI and HAQ-DI.Conclusion
The prevalence of falls in RA is high, most influenced by disease-related outcomes and linked to worse performance on physical tests (BBS, TUG and SST5). 相似文献Methods: A cross-sectional analytical surveillance study was conducted in a sizable cohort of patients seen during the largest acute foodborne ChD microepidemic registered so far. Individuals were treated with benznidazole (BNZ) or nifurtimox (NFX). ‘Common Terminology Criteria for Adverse Events’ was assessed to categorize side effects according to severity.
Results: Out of 176 treatments applied, 79% had one or more adverse effects, which predominated in adults (97.8%) as compared to children (75.5%). Risk of side effects with NFX was significantly higher than BNZ. Four adults and a child treated with NFX had severe side effects (pulmonary infarction, facial paralysis, neutropenia, blurred vision, bone marrow hypoplasia) warranting hospitalization, and drug suspension. Adverse effects frequently reported with NFX were abdominal pain, hyporexia, weight loss, headache, nausea and lymphocytosis, whereas skin rash, neurosensory effects, hyporexia, fatigue, pyrosis, abdominal pain and eosinophilia were observed with BNZ.
Conclusions: Frequency and severity of side effects during treatment of acute oral infection by T. cruzi demand direct supervision and close follow-up, even in those asymptomatic, to prevent life-threatening situations. 相似文献