Loading...
Publication
Avaliação da osteoporose nos cuidados de saúde primários
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.76 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Os cuidados de saúde primários constituem o primeiro ponto de contacto entre o utente e o sistema de saúde e a integração de serviços de radiologia neste âmbito, tem um contributo fundamental no serviço nacional de saúde, especialmente, para aumentar a acessibilidade e proximidade dos cuidados. O diagnóstico da osteoporose inicia-se nos cuidados de saúde primários, e a densitometria óssea por absorciometria de raios-x de dupla energia é o método padrão de ouro, no entanto, tem as suas limitações. A tecnologia de multiespectrometria ecográfica de radiofrequência surgiu como uma alternativa promissora, este método, que não utiliza radiação ionizante, é portátil, acessível, facilita o diagnóstico precoce.
Objetivos: Pretende-se com este estudo avaliar a eficácia da multiespectrometria ecográfica de radiofrequência, e desta forma também demostrar a versatilidade do técnico de radiologia nos cuidados de saúde primários.
Metodologia: A densidade mineral óssea foi medida na coluna lombar e no fémur utilizando a tecnologia multiespectrometria ecográfica de radiofrequência em 86 participantes dos centros de saúde de Mêda e Vila Nova de Foz Côa.
Resultados: Na coluna lombar, 51,2% dos participantes apresentavam osteopenia e 31,4% osteoporose; no fémur, 43,0% tinham osteopenia e 34,9% osteoporose. Os dados indicaram uma prevalência significativa de fragilidade óssea. A densidade mineral óssea estimada pela multiespectrometria ecográfica de radiofrequência mostrou boa concordância com o diagnóstico clínico, sugerindo que esta tecnologia é eficaz para a deteção precoce da osteoporose nos cuidados de saúde primários. Contudo, não foi observada uma associação significativa entre densidade mineral óssea e fraturas. Os participantes revelaram elevada satisfação com a realização dos exames pelo técnico de radiologia nos cuidados de saúde primários, sem necessidade de deslocação, e apreciaram o facto de o método não utilizar radiação ionizante.
Conclusão: A realização de exames de densitometria óssea pelo método de multiespectrometria ecográfica de radiofrequência, executados pelo técnico de radiologia, nos cuidados de saúde primários, representa um avanço significativo na deteção e monitorização da osteoporose, contribuindo para a sustentabilidade do sistema de saúde.
Introduction: Primary health care is the first point of contact between the user and the health system and the integration of radiology services in this area has a fundamental contribution to make to the national health service, especially in terms of increasing accessibility and proximity of care. The diagnosis of osteoporosis begins in primary healthcare, and bone densitometry by dual-energy X-ray absorptiometry is the gold standard method, although it has its limitations. Radiofrequency Echographic Multi-Sspectrometry technology has emerged as a promising alternative; this method, which does not use ionising radiation, is portable, accessible and facilitates early diagnosis. Objectives: The aim of this study is to evaluate the effectiveness of Radiofrequency Echographic Multi Spectrometry, and in this way also to demonstrate the Radiographers versatility in primary health care. Methodology: Bone mineral density was measured in the lumbar spine and femur using Radiofrequency Ultrasound Multi-Spectrometry technology in 86 participants from the Mêda and Vila Nova de Foz Côa health centres. Results: In the lumbar spine, 51.2 per cent of the participants had osteopenia and 31.4 per cent osteoporosis; in the femur, 43.0 per cent had osteopenia and 34.9 per cent osteoporosis. The data indicated a significant prevalence of bone fragility. Bone mineral density estimated by Radiofrequency Echographic Multi-Spectrometry showed good agreement with clinical diagnosis, suggesting that this technology is effective for the early detection of osteoporosis in primary healthcare. However, there was no significant association between bone mineral density and fractures. Participants were highly satisfied with the fact that the tests could be carried out by a radiographer in primary healthcare, without the need to travel, and appreciated the fact that the method did not use ionising radiation. Conclusion: Bone densitometry tests using the Radiofrequency Echographic Multi-Spectrometry method, carried out by a radiographer in primary healthcare, represent a significant advance in the detection and monitoring of osteoporosis, contributing to the sustainability of the healthcare system.
Introduction: Primary health care is the first point of contact between the user and the health system and the integration of radiology services in this area has a fundamental contribution to make to the national health service, especially in terms of increasing accessibility and proximity of care. The diagnosis of osteoporosis begins in primary healthcare, and bone densitometry by dual-energy X-ray absorptiometry is the gold standard method, although it has its limitations. Radiofrequency Echographic Multi-Sspectrometry technology has emerged as a promising alternative; this method, which does not use ionising radiation, is portable, accessible and facilitates early diagnosis. Objectives: The aim of this study is to evaluate the effectiveness of Radiofrequency Echographic Multi Spectrometry, and in this way also to demonstrate the Radiographers versatility in primary health care. Methodology: Bone mineral density was measured in the lumbar spine and femur using Radiofrequency Ultrasound Multi-Spectrometry technology in 86 participants from the Mêda and Vila Nova de Foz Côa health centres. Results: In the lumbar spine, 51.2 per cent of the participants had osteopenia and 31.4 per cent osteoporosis; in the femur, 43.0 per cent had osteopenia and 34.9 per cent osteoporosis. The data indicated a significant prevalence of bone fragility. Bone mineral density estimated by Radiofrequency Echographic Multi-Spectrometry showed good agreement with clinical diagnosis, suggesting that this technology is effective for the early detection of osteoporosis in primary healthcare. However, there was no significant association between bone mineral density and fractures. Participants were highly satisfied with the fact that the tests could be carried out by a radiographer in primary healthcare, without the need to travel, and appreciated the fact that the method did not use ionising radiation. Conclusion: Bone densitometry tests using the Radiofrequency Echographic Multi-Spectrometry method, carried out by a radiographer in primary healthcare, represent a significant advance in the detection and monitoring of osteoporosis, contributing to the sustainability of the healthcare system.
Description
Keywords
Osteoporose Cuidados de saúde primários Técnico de radiologia Multiespectrometria ecográfica de radiofrequência (REMS) Densidade mineral óssea (DMO) Osteoporosis Primary healthcare Radiographer Radiofrequency echographic multi-spectrometry(REMS) Bone mineral density (BMD)