Introduction:One of the important current problems in HIV/AIDS infection is the establishment of epidemiological and laboratorial prognostic parameters during patient followup. This study aimed at analyzing the evolution of laboratory tests: CD4 lymphocyte count, viral load, hemoglobin (Hb), aspartate aminotransferase (AST), alanine aminotransferase (ALT), and the epidemiological variables sex and age as prognostic factors for survival in progression to death among AIDS patients. Methods: A retrospective study was conducted using analysis of medical records, and prospective 24-month follow-up of patients with HIV/ AIDS attended at the President Vargas Hospital Outpatient Clinic, a reference center in HIV/ AIDS attendance in the State of Maranhão, Brazil. The study analyzed patients aged 10 to 60 years old, who manifested AIDS and who were not using antiretroviral therapy or had used it for less than 5 years. The Chi-square test was used for statistical analysis. Results: The sample included 100 patients -57 were current outpatients, and 43 had died. The variables viral load (p=0.726), ALT (p=0.314), sex (p=0.687), and age (p=0.742) were analyzed, and no evidence of association between them and worst prognosis was observed. Conclusions: A significant relation was verified between low Hb levels (p=0.000) and CD4 (p=0.000) and shorter survival.
INTRODUÇÃO: Nódulos tireoideanos são bem comuns na população geral, sobretudo em mulheres, chegando a uma prevalência de até 68%. Em 2017, o Colégio Americano de Radiologia propôs um sistema de estratificação de risco (ACR TIRADS) para nortear a punção aspirativa por agulha fina (PAAF). A indicação de PAAF mais difundida baseia-se no ponto de corte de 1,0 cm para maior diâmetro do nódulo. OBJETIVOS: Avaliar a frequência dos achados ultrassonográficos, complicações, categorias ultrassonográficas e possíveis correlações com citologia de nódulos tireoideanos, submetidos a PAAF no Hospital Universitário da Universidade Federal do Piauí, no período de maio de 2017 a dezembro de 2018. METODOLOGIA: Estudo transversal, descritivo, com coleta retrospectiva dos dados. As variáveis estudadas foram: idade, sexo, tamanho do nódulo, características ultrassonográficas em modo bidimensional, vascularização ao Doppler colorido, ACR TIRADS e Bethesda. Para a análise foram obtidas médias, porcentagens e utilizados testes Qui-quadrado e Kappa. RESULTADOS: Dos 190 pacientes avaliados, 94,7% eram do sexo feminino, com média de idade de 55,9 anos. O diâmetro nodular médio foi de 2,19 cm, sendo a maioria destes sólidos e isoecogênicos, com resultado citológico Bethesda 2. A principal complicação foi o sangramento intranodular. CONCLUSÃO: A correta definição das características ecográficas de nódulos tireoieanos, pode nortear e racionalizar as indicações de PAAF.
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