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- The fascinating world of clinical registries. Insights into current practicePublication . Morais, JoãoRegistries are an important piece in building the pyramid of evidence, with multicenter randomized clinical trials at the top of that pyramid. Within Europe, the European Society of Cardiology has led this movement with the Euro Heart Survey, a major program comprising registries to investigate clinical conditions such as acute coronary syndromes, heart failure, chronic stable angina, among others, as well as treatments including revascularization.
- Literacia em Saúde Oral de Encarregados de Educação de Crianças nos Primeiros Anos do Ensino BásicoPublication . Oliveira, Ana Maria Ferreira; Fonseca, Dulce Helena Machado; Pereira, Inês Catarina Oliveira; Pereira, Mónica Isabel Farinha Lopes; Gomes, José Herminio Gonçalves; Menino, Eva Patrícia da Silva GuilhermeEnquadramento: A saúde oral representa um problema de saúde pública mundial. Em Portugal 6,4% das crianças têm necessidades insatisfeitas nesta área.Objetivos: Caraterizar a literacia em saúde oral de encarregados de educação (EE) de crianças que frequentam o 1º e 2.º anos do ensino básico e avaliar a sua perceção acerca do seu nível de literacia em saúde oral.Metodologia: Estudo observacional, transversal, descritivo com uma amostra não probabilística de 84 EE, através de questionário online realizado pela equipa de investigação e validado por peritos.Resultados: A maioria dos participantes eram mães (89,3%), consideravam ter nível suficiente de literacia em saúde oral (91,7%) e menos de metade (46,4%) tinha formação ou informação na mesma (47,6%). A totalidade das crianças escovava os dentes. A maioria nunca apresentou problemas de saúde oral (72,6%) e foi a consulta (81%). Porém o estudo reflete algumas lacunas ao nível da higienização da cavidade oral e da escova de dentes.Conclusão: Os EE percecionam ter literacia em saúde oral, contudo apresentam lacunas em algumas áreas.
- Sex-related differences in ST-segment elevation myocardial infarction: A Portuguese multicenter national registry analysisPublication . Gonçalves, Carolina Miguel; Carvalho, Mariana; Vazão, Adriana; Cabral, Margarida; Martins, André; Saraiva, Fátima; Morais, João; Oliveira, MárioIntroduction and objectives Sex differences among patients with acute myocardial infarctions remain a matter of debate. Inequalities in presentation, diagnosis, treatment, and prognosis are frequently observed, contributing to a worse prognosis in women. The aim of this study was to investigate sex-related differences in Portuguese ST-segment elevation myocardial infarction (STEMI) patients. Methods The authors conducted a retrospective analysis of STEMI patients included in the Portuguese Registry on Acute Coronary Syndromes, between October 2010 and 2022. The two co-primary endpoints were in-hospital and one-year mortality. Results A total of 14 470 STEMI patients were studied. Women were underrepresented with 3721 individuals (25.7%). They were significantly older (70 vs. 62 years, p<0.001), with higher prevalence of cardiovascular risk factors, and underwent less frequently coronary angiography (84.4% vs. 88.5%, p<0.001) and guideline-directed medical therapy (e.g., aspirin 92.5% vs. 95.4%, beta blockers 79.2% vs. 83%, p<0.001). Furthermore, they experienced more complications, such as congestive heart failure (23.4% vs. 14.6%), ischemic stroke (47% vs. 40%), and in-hospital mortality (8.5% vs. 4.1%) (p<0.001 for all comparisons). Similarly, they presented higher one-year mortality (11.5% vs. 6.3%, p<0.001). However, after a multivariate analysis testing significant clinical variables, female sex remained an independent predictor for in-hospital (odds ratio=1.633; 95% CI [1.065–2.504]; p=0.025), but not for one-year mortality. Conclusions This analysis reveals sex-related disparities in Portuguese STEMI patients. Despite limitations inherent to registry-based analysis, women were significantly older, with increased cardiovascular risk, less treated, and with higher in-hospital mortality. These disparities should be a concern for clinicians to further improve outcomes and move toward equitable medical care.
- Sudden cardiac death in athletes: A 20-year analysis in PortugalPublication . Gonçalves, Carolina Miguel; Vazão, Adriana; Carvalho, Mariana; Cabral, Margarida; Martins, André; Martins, Hélia; Saraiva, Fátima; Morais, João; Dores, HélderIntroduction and objectives Sudden cardiac death (SCD) in athletes is a tragic event, with some evidence remaining controversial. The aim of this study was to evaluate cases of SCD in athletes in Portugal within the last 20 years. Methods An advanced Google search using a combination of several keywords and systematic searches on websites of national newspapers/television stations was conducted. Additionally, 54 Portuguese sports federations and the Portuguese Institute of Sports and Youth were contacted by email and/or phone. All sports-related SCD cases in competitive athletes, occurring between 2003 and 2023 in Portugal, were included. The total number of athletes at risk used for the calculation of SCD incidence, was collected from official national records. Results A total of 42 SCD cases in athletes were identified, with a median age of 27 [18;42] years, and the great majority were male (n=39; 93%). Most events occurred in outdoor sports (n=28; 67%), especially in football (n=13; 31%), athletics (n=4; 10%) and trail running (n=4; 10%), and during competition or training sessions (n=27; 64%). The higher number of cases were reported in 2021 and 2022, while in several years no occurrences were found. The yearly average SCD incidence was 0.39 cases per 100 000 athletes/year. Conclusions The incidence of SCD in athletes in Portugal is very low, mainly occurring in male, outdoor sports and during competitions or training sessions. Due to the limitations of passive data collection, prospective registries are needed, with standardization of the most relevant data, especially regarding their etiology and circumstances.
- Teleconsulta de Enfermagem como Estratégia de Follow-up em Utentes com Ferida Traumática: Estudo ComparativoPublication . Rosa, Cátia de Sousa; Bom, Luís Filipe Pereira Todo; Costeira, Cristina Raquel BatistaBackground: Follow-up telenursing is recommended as an effective strategy for reducing hospital admissions and associated costs. A telenursing service was implemented in an outpatient clinic to monitor patients with traumatic wounds. Objective: To compare satisfaction and healthcare utilization among patients with traumatic wounds who received follow-up telenursing and those who did not. Methodology: A descriptive-comparative study was conducted. The experimental group (n = 33) received follow-up telenursing in addition to conventional care, while the control group (n = 35) received conventional care only. The study was conducted between May and July 2022, with data collected via questionnaire and analyzed using SPSS® software. Ethical standards were observed. Results: Males predominated in both groups, with a mean age of 40 years. The experimental group reported higher satisfaction with nursing care and lower use of in-person services (p ≤ 0.05). Conclusion: Telenursing contributed to health improvements, supporting its potential as an effective tool for monitoring patients with traumatic wounds.