Características sociodemográficas de crianças e adolescentes com osteonecrose secundária a doença falciforme tratados com uso de terapia celular no complexo hospitalar universitário Professor Edgar Santos.

Abstract

Objectives: To analyze the sociodemographic and socioeconomic profile of children and adolescents with osteonecrosis secondary to DF and the social impact of treatment using CMMO in the studied population. Method: Case series with individuals with SCD of both sexes and aged between 8 and 19 years with SCD treated with cell therapy at Com - HUPES in 2019. Primary data were used through interviews and secondary data through medical records doctors. Results: Four adolescents were interviewed, two female and two male, with an average age of 14.5 (12-17) years, and with an average monthly income of two minimum wages, all with HbSS. Caregivers, all mothers of adolescents, are exclusively caregivers. Two participants have bilateral osteonecrosis with Ficat III in the right hip and Ficat I in the left hip, one participant has Ficat grade I osteonecrosis in the left hip and the other Ficat III in the right hip. Claudication was the most striking symptom for diagnostic suspicion, and pain the most restrictive symptom. School and recreational activities have been shown to suffer a strong negative influence due to pain or hospitalization. The postoperative results showed improvement in self-esteem, reduced pain and improved functionality of adolescents. Conclusion: The socio-demographic and socioeconomic profile of children and adolescents was between 12 and 17 years old, with an income of up to two minimum wages, the majority declared to have black or brown skin color, mothers are the main caregivers and have the exclusive activity of raising of the teenager. The treatment performed by SUS at HUPES and proved effective in treating pain and improving the self-esteem of the population studied.