RESUMEN

The importance of religiousness in idiopathic Parkinson's disease (IPD) has been the subject of conflicting research. The impact of religiousness on quality of life and depressive symptoms has also been poorly studied in this population. This study investigated the correlation between religiousness and quality of life in patients with IPD. We evaluated 37 patients with IPD (according to the criteria of the Movement Disorders Society) who were from an outpatient clinic specializing in movement disorders in Brazil. We assessed the patients using the Duke University Religion Index and scales for motor impairment, cognition, quality of life, and depression. Spearman's test was used to check for possible correlations between the different dimensions of religiousness and the clinical variables analyzed. Patients with a worse quality of life and more depressive symptoms showed greater intrinsic religiousness.

Asunto(s)

Enfermedad de Parkinson , Calidad de Vida , Religión y Psicología , Humanos , Enfermedad de Parkinson/psicología , Calidad de Vida/psicología , Femenino , Masculino , Brasil , Anciano , Persona de Mediana Edad , Depresión/psicología

RESUMEN

Alcohol consumption is an important risk factor for traumatic brain injury (TBI), and it has a great impact on its incidence and severity. However, studies suggest potential beneficial effects of alcohol during hospitalization and in the prognosis of moderate or severe TBI, with conflicting results. The objective of the present study was to associate alcohol consumption and helmet use in TBI patients, as well as the prognostic variables and patterns of injuries secondary to TBI. We analyzed 109 medical records of patients who suffered TBI due to a motorcycle accident. We evaluated data on alcohol consumption, helmet use, TBI severity, and tomographic findings on admission. The subjects with moderate or severe TBI were evaluated regarding hospitalization, mortality and prognosis variables. Patients who wore a helmet at the time of trauma had lower rates of skull fracture and extradural hematoma (EDH), but an increased incidence of subarachnoid hemorrhage (SAH). Furthermore, patients with moderate or severe TBI who were those under alcohol intoxication had a greater need for Intensive Care Unit (ICU) admission and a tendency to have a lower in-hospital mortality rate and a higher score on the Glasgow Prognostic Score (GPS). Thus, although the consumption of alcohol has an impact on the incidence and severity of TBI at admission, it seems to be related to a lower in-hospital mortality rate and a better prognosis. In addition, helmet use is essential to prevent injuries from direct head-to-shield impact, but no similar reduction in the incidence of injuries caused by indirect forces was observed.

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O consumo de álcool é um importante fator de risco para o traumatismo cranioencefálico (TCE), e tem grande impacto em sua incidência e gravidade. Entretanto, estudos sugerem potenciais efeitos benéficos do álcool durante a internação e no prognóstico do TCE moderado ou grave, com resultados conflitantes. Neste estudo, objetivou-se associar o consumo de álcool e o uso de capacetes em pacientes com TC, além das variáveis prognósticas e dos padrões de lesões secundárias ao TCE. Analisamos 109 prontuários de pacientes com TCE por acidente de motocicleta. Avaliamos dados relativos ao consumo de álcool, uso do capacete, gravidade do TCE, e achados tomográficos admissionais. Os pacientes com TCE moderado ou grave foram avaliados em termos das variáveis de internação, mortalidade e prognóstico. Os pacientes que utilizavam capacete no momento do trauma apresentaram menores índices de fraturas cranianas e hematoma extradural (HED), e aumento da incidência de hemorragia subaracnóidea (HSA). Além disso, os pacientes com TCE moderado ou grave que haviam consumido álcool apresentaram maior necessidade de internação em Unidade de Tratamento Intensivo (UTI) e tendência a apresentar menor taxa de mortalidade intra-hospitalar e maior pontuação no Escore Prognóstico de Glasgow (EPG). Assim, apesar de o consumo de álcool ter um impacto na incidência e na gravidade do TCE à admissão, ele parece estar relacionado a uma menor taxa de mortalidade intra-hospitalar e a um melhor prognóstico. Além disso, o uso do capacete é fundamental para a prevenção de lesões por contato direto cabeça­anteparo, mas não foi observada similar redução da incidência das lesões por forças indiretas.