@article{9092, keywords = {Adolescent, Disability Evaluation, Educational Status, Female, Humans, leprosy, Male, Peripheral Nervous System Diseases, Prognosis, Retrospective Studies, Risk Factors, Severity of Illness Index}, author = {Moschioni C and Antunes CMF and Faria Grossi MA and Lambertucci JR}, title = {Risk factors for physical disability at diagnosis of 19,283 new cases of leprosy.}, abstract = {

INTRODUCTION: The purpose of this study was to evaluate risk factors for physical disability at the moment of leprosy diagnosis.

METHODS: This is a retrospective, descriptive and exploratory investigation of 19,283 patients with leprosy, registered in the State of Minas Gerais, Brazil, between 2000 and 2005.

RESULTS: The risk of Grade 2 disability was 16.5-fold higher in patients with lepromatous leprosy, and 12.8-fold higher in patients presenting the borderline form, compared to patients presenting indeterminate leprosy. The occurrence of more than one thickened nerve increased the odds of a patient developing Grade 2 disability, 8.4-fold. Age <15 years, multibacillary leprosy and no formal education presented 7.0, 5.7 and 5.6 odds of developing physical disability, respectively.

CONCLUSIONS: These factors should be considered as strong prognostic indicators in the development of physical disability at diagnosis.

}, year = {2010}, journal = {Revista da Sociedade Brasileira de Medicina Tropical}, volume = {43}, pages = {19-22}, month = {2010 Jan-Feb}, issn = {1678-9849}, doi = {10.1590/s0037-86822010000100005}, language = {eng}, }