Livro Medronho Epidemiologia Pdf 112

Livro Medronho Epidemiologia Pdf 112

the answer should be the number of times that the probability exceeds the threshold. this number is usually expressed as a percent, such as 2.5% or 5%. this percent will have three different meanings, as shown in the following table.

in the first meaning, the number is the percentage of subjects with (disease) occurrence that also have (risk factor) or occur before the outcome. this is the usual case, since the number of occurrences of the disease in the population follows the binomial law. it is usually expressed in such a way that the percent with a given risk factor for the disease is added to the percent with the disease, and the result is added to the percent with both factors present. for example, a percent of breast cancer in women who have ever used hormone replacement therapy (hrt) is added to the percent of women who have had breast cancer and had used hrt.

in the second meaning, the number is the percentage of subjects with the factor that occurred before the disease. this is the commonly described condition. but when the result of an exposure study indicates a low but positive association with an outcome (high odds ratio), the cases in the population considered as the control group may have occurred much more frequently than one would expect. for example, the percent with hrt use before myocardial infarction or stroke is added to the percent with the outcome.

in the third meaning, the number is the rate with respect to the total of all individuals who have had the factor and/or the outcome, and not necessarily those who also have the disease. if the event is rare, the rate is one divided by the total number of subjects, but if the event occurs frequently, such as a yearly incidence of myocardial infarction, the rate can have a negative value, with more than ten out of 100 subjects with a previous myocardial infarction not having had another.

the most commonly used classification of epidemiological studies is by bradford (1989),1111. bradford kj. epidemiology of communicable diseases. 2nd ed. new york: oxford university press; 1989. which divides descriptive studies into the following subtypes:
as can be seen, almost all the books use an international classification of epidemiology with little variation, thus the reader familiar with the topic can find it useful. however, there is one important difference between the classification system proposed by bradford (1989)1111. bradford kj. epidemiology of communicable diseases. 2nd ed. new york: oxford university press; 1989. and that used by moreno y perez.
as one can observe, several definitions of the first descriptive studies have been found in textbooks and scientific journals which give us a starting point. in addition, referring to the m. portas dictionary, we can see that the period prevalence study is sometimes referred to as a descriptive cross-sectional study. after that, another important item is to describe the event under study. there are several examples of descriptions found in the bibliographic material
in england, the criteria of a free death certificate are: patient died in hospital, death at home, or death after admission to hospital. death certificates are confidential and therefore not linked to other official records. for this reason, death certificates should be used to help identify deaths that occur outside of hospitals, in particular those that occur in the home.
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