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Objetivo: Avaliar as taxas de mortalidade e o perfil de óbitos com menção, na declaração de óbito, de “obesidade” e “reação anormal ou complicação tardia, por procedimentos médicos, sem menção de acidente ao tempo do procedimento”, causas consideradas evitáveis. Método: Estudo transversal de óbitos de 2004 a 2014, de residentes de Minas Gerais, obtidos no DATASUS com as causas mencionadas. Realizaram-se estudos descritivos e os testes t de Student, χ2 ou Fisher e Wilcoxon Mann-Whitney. Resultados: Em 2004, o número de óbitos por ambas as causas foi 25 para mulheres e 13 para homens; em 2014 foram 43 (aumento de 72%) e 25 (aumento de 92%), respectivamente. Em 2014 houve predomínio de doenças dos aparelhos circulatório (homens) e digestório (mulheres; aumento de 3 para 10 óbitos). A taxa de mortalidade passou, no período, de 0,19 para 0,32/100 mil para homens (15 a 84 anos); de 0,39 para 0,68/100 mil para mulheres (15 a 79 anos). Para mulheres, houve aumento na proporção de óbitos em ambiente hospitalar (p=0,031). A média de idade desses óbitos variou de 48,4 (DP=15,5) para mulheres em 2014 a 51,4 (DP=14,7) para homens no mesmo ano. Conclusão: A obesidade associou-se ao aumento na taxa de mortalidade. As doenças dos aparelhos circulatório e digestório acompanharam esse aumento. Destacam-se a ocorrência em mulheres antes dos 40 anos e serem causas evitáveis. Mulheres obesas que necessitam de cirurgia requerem atenção especial. É possível que haja associação com cirurgias bariátricas, o que requer novas investigações.

Objective: To evaluate mortality rates and profile of deaths that mentioned “obesity” and “abnormal reaction or late complication, by medical procedures, without mention of an accident at the time of the procedure”, considered as avoidable causes. Method: Cross-sectional study of deaths obtained in DATASUS in the years of 2004 and 2014 (Minas Gerais state) that mentioned both causes. Descriptive evaluations were performed, as well as Student’s t, χ2, Fisher exact and Wilcoxon Mann-Whitney tests. Results: In 2004, the number of deaths by both causes was 25 (women) and 13 (men). In 2014, they were, respectively, 43 (72% increase) and 25 (92% increase), with predominance of circulatory (men) and digestive diseases (women, increased from 3 to 10 deaths). The mortality rate raised in this period: from 0.19 0.32 / 100 thousand (men 15–84 years); from 0.39 to 0.68 / 100 thousand (women 15–79). For women, there was a percentage increase in deaths occurred in a hospital (p=0.031). The mean age of these deaths varied from 48.4 (SD=15.5) for women in 2014 to 51.4 (SD=14.7) for men in the same year. Conclusion: Obesity was associated with increase in mortality rate, mainly related to circulatory and digestive diseases. The occurrence in women before the age of 40, as well as these preventable causes, call our attention. Obese women who require surgery need special attention. It is possible that there is an association with bariatric surgeries, which requires further investigation.

A esquizofrenia afeta desfavoravelmente a qualidade de vida dos pacientes, mas seu impacto pode variar de acordo com o sexo. Diferenças relatadas têm orientado o planejamento de intervenções específicas. O objetivo deste estudo foi investigar a qualidade de vida por sexo em pacientes com esquizofrenia, explorando o domínio ocupacional. Foi conduzido um estudo transversal com pacientes em acompanhamento ambulatorial, mensurando a qualidade de vida por meio da Quality of Life Scale (QLS-BR). Comparações dos escores de qualidade de vida foram feitas, seguidas de análises multivariadas usando a árvore de classificação (CHAID) e a regressão logística ordinal. Os resultados apontam melhor qualidade de vida para mulheres (p < 0,05). No domínio ocupacional, o estado civil apresentou-se como a variável mais relevante: mulheres e homens solteiros apresentaram baixa qualidade de vida quando comparados com os casados, respectivamente OR = 4,5 (IC95%: 1,2-16,6) e OR=10,0 (IC95%: 2,9-33,3). Duração da doença (> 5 anos) outro marcador importante, porém no modelo logístico esta variável associou-se à baixa qualidade de vida somente para os homens (OR = 3,2; IC95%: 1,1-9,0). Mulheres apresentaram melhor qualidade de vida, sugerindo maior envolvimento ocupacional, possivelmente resultante de uma maior demanda social e em atividades do lar. Schizophrenia has been associated with low quality of life in patients, and the impact can vary by gender. Knowing gender differences may help implement specific interventions. This study focuses on quality of life in male and female outpatients with schizophrenia, particularly examining the occupational domain. A cross-sectional study using the Quality of Life Scale (QLS-BR) was carried out. Comparisons of scores by gender used uni- and multivariate analyses by means of a classification tree through the CHAID algorithm and ordinal logistic regression. Women showed higher quality of life scores (p < 0.05). In the occupational domain, marital status was a relevant variable; single marital status (for men or women) was associated with lower quality of life as compared to married status, with OR = 10.0 (CI: 2.9-33.3) for men and OR = 4.5 (CI: 1.2-16.6) for women, respectively. Duration of illness (> 5 years) was another significant factor for lower scores. Women had better quality of life scores than men, suggesting that they have more occupational activities due to their greater participation in domestic and social activities.

O objetivo deste estudo foi mensurar a prevalência de depressão na esquizofrenia, investigando os fatores associados e sua relação com a qualidade de vida. Foi conduzido um estudo transversal com 150 pacientes ambulatoriais, a depressão foi mensurada pela Escala Calgary de Depressão na Esquizofrenia e a qualidade de vida por meio da escala Quality of Life Scale-Brasil. Foi encontrada uma prevalência de 56% de depressão maior. Pacientes com depressão maior apresentaram pior qualidade de vida na escala global e domínio ocupacional. A qualidade de vida global foi importante para a separação dos grupos na árvore de decisão. Em pacientes com pior qualidade de vida, presença de sintomas da doença, número de medicamentos e ausência de atividades no lar se associaram à depressão, enquanto para aqueles com melhor qualidade de vida, apenas duração da doença foi importante. Esta investigação sugere alta prevalência de depressão, além de mostrar sua repercussão na qualidade de vida. Recomenda-se a investigação da depressão associada à qualidade de vida no cuidado terapêutico destes pacientes. This study aimed to investigate the prevalence of depression in schizophrenia and associated factors, including quality of life. A cross-sectional study was conducted with 150 outpatients. The Calgary Depression Scale for Schizophrenia measured depression, and the Quality of Life Scale-Brazil measured quality of life. Major depression was found in 56% of patients with schizophrenia. Patients with major depression had low quality of life according to both the global scale and the occupational subscale. Global quality of life was important for separating the decision-tree statistical analyses. In patients with low quality of life, three factors were associated with depression: presence of schizophrenic symptoms, number of medications, and lack of household activities. In patients with better quality of life scores, only duration of the illness was significant. The study shows a high prevalence of depression in schizophrenia, besides highlighting its repercussions on quality of life. When evaluating quality of life, the presence of depression should be taken into consideration.

This study aimed to investigate the prevalence of depression in schizophrenia and associated factors, including quality of life. A cross-sectional study was conducted with 150 outpatients. The Calgary Depression Scale for Schizophrenia measured depression, and the Quality of Life Scale-Brazil measured quality of life. Major depression was found in 56% of patients with schizophrenia. Patients with major depression had low quality of life according to both the global scale and the occupational subscale. Global quality of life was important for separating the decision-tree statistical analyses. In patients with low quality of life, three factors were associated with depression: presence of schizophrenic symptoms, number of medications, and lack of household activities. In patients with better quality of life scores, only duration of the illness was significant. The study shows a high prevalence of depression in schizophrenia, besides highlighting its repercussions on quality of life. When evaluating quality of life, the presence of depression should be taken into consideration.

Schizophrenia has been associated with low quality of life in patients, and the impact can vary by gender. Knowing gender differences may help implement specific interventions. This study focuses on quality of life in male and female outpatients with schizophrenia, particularly examining the occupational domain. A cross-sectional study using the Quality of Life Scale (QLS-BR) was carried out. Comparisons of scores by gender used uni- and multivariate analyses by means of a classification tree through the CHAID algorithm and ordinal logistic regression. Women showed higher quality of life scores (p0.05). In the occupational domain, marital status was a relevant variable; single marital status (for men or women) was associated with lower quality of life as compared to married status, with OR = 10.0 (CI: 2.9-33.3) for men and OR = 4.5 (CI: 1.2-16.6) for women, respectively. Duration of illness (5 years) was another significant factor for lower scores. Women had better quality of life scores than men, suggesting that they have more occupational activities due to their greater participation in domestic and social activities.

Interest in quality of life in mental health care has been stimulated by the deinstitutionalization of psychiatric patients as well as a parallel interest in understanding the scope of their daily lives. This study aims to investigate the socio-demographic and clinical variables related to low quality of life, using a cross-sectional design to evaluate quality of life by means of the QLS-BR scale. We interviewed a sample of 123 outpatients from a reference mental health center in Divinópolis, Minas Gerais State, Brazil, clinically diagnosed with schizophrenia. Univariate and multivariate logistic regression analyses were carried out. The results showed that low quality of life is associated with one or more of the following: male gender, single marital status, low income plus low schooling, use of three or more prescribed psychoactive drugs, psychomotor agitation during the interview, and current follow-up care. The study identifies plausible indicators for the attention and care needed to improve psychiatric patient treatment. O interesse na qualidade de vida na saúde mental foi estimulado pelo processo de desinstitucionalização dos pacientes psiquiátricos e um paralelo interesse em conhecer as dimensões de sua vida diária. Este estudo teve como objetivo investigar as variáveis sócio-demográficas e clínicas relacionadas com uma baixa qualidade de vida. Foi conduzido um estudo transversal para avaliação da qualidade de vida por meio da escala QLS-BR em uma amostra de 123 pacientes ambulatoriais com diagnóstico de esquizofrenia, recrutados do serviço de referência em saúde mental de Divinópolis, Minas Gerais, Brasil. Os dados foram analisados utilizando-se regressão logística multivariada. Os resultados indicaram que um pior escore de qualidade de vida estava associado ao sexo masculino, ser solteiro, ter renda e escolaridade baixas, estar em uso de três ou mais medicamentos, ter apresentado agitação psicomotora na entrevista e estar fazendo acompanhamento ambulatorial. Esse estudo aponta indicadores plausíveis para a atenção e cuidado do portador de sofrimento mental.