Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy

INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis. METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005. RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively. CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.

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Main Authors: Moschioni,Cristiane, Antunes,Carlos Maurício de Figueiredo, Grossi,Maria Aparecida Faria, Lambertucci,José Roberto
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2010
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822010000100005
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spelling oai:scielo:S0037-868220100001000052010-03-11Risk factors for physical disability at diagnosis of 19,283 new cases of leprosyMoschioni,CristianeAntunes,Carlos Maurício de FigueiredoGrossi,Maria Aparecida FariaLambertucci,José Roberto Leprosy Physical disability Risk factors for disability Lepromatous leprosy Physical disability prognosis INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis. METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005. RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively. CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.43 n.1 20102010-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822010000100005en10.1590/S0037-86822010000100005
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language English
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author Moschioni,Cristiane
Antunes,Carlos Maurício de Figueiredo
Grossi,Maria Aparecida Faria
Lambertucci,José Roberto
spellingShingle Moschioni,Cristiane
Antunes,Carlos Maurício de Figueiredo
Grossi,Maria Aparecida Faria
Lambertucci,José Roberto
Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
author_facet Moschioni,Cristiane
Antunes,Carlos Maurício de Figueiredo
Grossi,Maria Aparecida Faria
Lambertucci,José Roberto
author_sort Moschioni,Cristiane
title Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
title_short Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
title_full Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
title_fullStr Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
title_full_unstemmed Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
title_sort risk factors for physical disability at diagnosis of 19,283 new cases of leprosy
description INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis. METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005. RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively. CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2010
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822010000100005
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