title: [Rheumatic fever--exacerbation or decline? Analysis of patients admitted to a medical service within a period of 20 years].
abstract: The authors revised 116 clinical files of patients admitted to a Medicine ward with Rheumatic Fever in the years 1959-63 and 1979-83, in order to detect a possible recrudescence of the disease. The following parameters were analysed: age, sex, length of hospital stay, clinical manifestations, ancillary exams, therapeutics and evolution. It was found an impressive decline in the incidence of the disease (90 cases vs 26) and also a very significant decrease of the period of hospitalization in the recent group of patients (p less than 0.0005); Carditis and relapses of Rheumatic Fever were more frequent in the old group of patients.
authors.forename: F
authors.initials: F
authors.lastname: Morais
authors.forename: G N
authors.initials: GN
authors.lastname: Silva
authors.forename: R M
authors.initials: RM
authors.lastname: Santos
authors.forename: J T
authors.initials: JT
authors.lastname: Sousa
authors.forename: J A
authors.initials: JA
authors.lastname: Saavedra
authors.forename: J N
authors.initials: JN
authors.lastname: Da Costa
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D011174:Portugal / Q000453:epidemiology; D012189:Retrospective Studies; D012214:Rheumatic Heart Disease / Q000097:blood / Q000150:complications / Q000453:epidemiology* / Q000503:physiopathology; D013997:Time Factors
vernacular_title: Febre reumática--recrudescência ou declínio? Análise dos internamentos num serviço de medicina com intervalo de 20 anos.