In children, colorectal carcinoma presents distinctive characteristics, which determines poor survival.

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ObjectivesTo evaluate the determining factors of severe functional impairment (SFI) outcome at discharge and in-hospital mortality in patients who had an acute ischaemic stroke and thus favouring early implementation of primary palliative care (PC).MethodsA retrospective descriptive study by the analysis of 515 patients who had an acute ischaemic stroke admitted at stroke unit, aged≥18 years, from January 2017 to December 2018. Previous clinical and functional status data, National Institute of Health Stroke Scale (NIHSS) on admission, and data related to the evolution during hospitalisation were evaluated, relating them to the SFI outcome at discharge and death. The significance level was set at 5%.ResultsOf 515 patients included, 15% (77) died, 23.3%(120) had an SFI outcome and 9.1% (47) were evaluated by the PC team. It was observed that NIHSS Score≥16 is responsible for a 15.5-fold increase in the occurrence of death outcome. The presence of atrial fibrillation was responsible for a 3.5-fold increase in the risk of this outcome.ConclusionNIHSS Score is an independent predictor of in-hospital death and SFI outcomes at discharge. Knowledge about the prognosis and risk of developing unfavourable outcomes is important for planning the care of patients affected by a potentially fatal and limiting acute vascular insult.

Modelo do estudo: Estudo prospectivo, observacional, transversal. Objetivo: Avaliar os principais fatores relacionados ao atraso no diagnóstico do câncer de mama. Método: Questionário aplicado na primeira consulta, avaliando os fatores relacionados ao atraso no diagnóstico do câncer de mama. Resultados: 156 mulheres foram avaliadas. A maioria apresentava baixa escolaridade (58,9%), faixa etária entre 40 e 69 anos (73,1%), falta de conhecimento sobre o autoexame mamário (55,8%) e não regularidade do exame mamográfico (52,6%). 72,4% apresentavam tumor de mama avançado ao diagnóstico. Houve associação entre o atraso diagnóstico e a faixa etária. No modelo de regressão múltipla ajustado por idade, o sistema de saúde (OR=3,08), a educação (OR=5,46) e a adesão (OR=5,67) estiveram relacionados a elevação do risco de estádio avançado ao diagnóstico. Conclusão: Os fatores relacionados ao estádio avançado ao diagnóstico são associados e múltiplos, fazendo-se a necessidade de elevação de estratégias visando elevação da adesão ao exame de mamografia

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