Asma A Rahim1, Romy Jose Thekkekara2, Thomas Bina2, Binoy J Paul2. 1. From the Department of Community Medicine, Government Medical College, Kozhikode, Kerala, India.A.A. Rahim, MD, DNB, Associate Professor; R.J. Thekkekara, Senior Research Assistant; T.B. Xavier, MD, PGDHM, Professor, Department of Community Medicine; B.J. Paul, MD, DNB, PhD, Professor, Division of Rheumatology, Department of Medicine, Government Medical College. rahmaniyas@gmail.com. 2. From the Department of Community Medicine, Government Medical College, Kozhikode, Kerala, India.A.A. Rahim, MD, DNB, Associate Professor; R.J. Thekkekara, Senior Research Assistant; T.B. Xavier, MD, PGDHM, Professor, Department of Community Medicine; B.J. Paul, MD, DNB, PhD, Professor, Division of Rheumatology, Department of Medicine, Government Medical College.
Abstract
OBJECTIVE: We investigated the effects of chronic rheumatic and musculoskeletal symptoms on the functional status of people affected by the chikungunya (CKG) epidemic in the Calicut District, Kerala, South India in 2009. METHODS: A cross-sectional house-to-house survey was conducted 18 months after the CKG epidemic to assess functional status of individuals with post-epidemic persistent pain. All respondents over age 15 years with persistent pain fitting the epidemiological case definition were included. Participants' functional status was assessed using the Health Assessment Questionnaire-Disability Index (HAQ-DI). Factors affecting severity of HAQ-DI were analyzed by ordinal regression. RESULTS: Of 3869 subjects interviewed, 1195 (34.3%) had a positive history of CHIKV virus infection (epidemiological or confirmed); 36.28% (624/1720) of CKG-affected individuals had persistent pain 18 months post epidemic. Mean age of those affected was 48.22 ± 15.6 years; 23.2% had no disability, while 16.2% had moderate to severe disability on the HAQ-DI. Significant factors affecting severity of disability on HAQ-DI included previous rheumatic musculoskeletal disease (OR 2.27), joint and soft-tissue involvement (OR 3.74), only joint involvement (OR 2.14), female sex (OR 1.44), diet (OR 4.73), and history of joint swelling (OR 1.72). CONCLUSION: Persistence of pain noted in post-CKG disease resulted in significantly deteriorated functional status of those affected.
OBJECTIVE: We investigated the effects of chronic rheumatic and musculoskeletal symptoms on the functional status of people affected by the chikungunya (CKG) epidemic in the Calicut District, Kerala, South India in 2009. METHODS: A cross-sectional house-to-house survey was conducted 18 months after the CKG epidemic to assess functional status of individuals with post-epidemic persistent pain. All respondents over age 15 years with persistent pain fitting the epidemiological case definition were included. Participants' functional status was assessed using the Health Assessment Questionnaire-Disability Index (HAQ-DI). Factors affecting severity of HAQ-DI were analyzed by ordinal regression. RESULTS: Of 3869 subjects interviewed, 1195 (34.3%) had a positive history of CHIKV virus infection (epidemiological or confirmed); 36.28% (624/1720) of CKG-affected individuals had persistent pain 18 months post epidemic. Mean age of those affected was 48.22 ± 15.6 years; 23.2% had no disability, while 16.2% had moderate to severe disability on the HAQ-DI. Significant factors affecting severity of disability on HAQ-DI included previous rheumatic musculoskeletal disease (OR 2.27), joint and soft-tissue involvement (OR 3.74), only joint involvement (OR 2.14), female sex (OR 1.44), diet (OR 4.73), and history of joint swelling (OR 1.72). CONCLUSION: Persistence of pain noted in post-CKG disease resulted in significantly deteriorated functional status of those affected.
Authors: Aileen Y Chang; Karen A O Martins; Liliana Encinales; St Patrick Reid; Marlon Acuña; Carlos Encinales; Christian B Matranga; Nelly Pacheco; Carlos Cure; Bhavarth Shukla; Teofilo Ruiz Arteta; Richard Amdur; Lisa H Cazares; Melissa Gregory; Michael D Ward; Alexandra Porras; Alejandro Rico Mendoza; Lian Dong; Tara Kenny; Ernie Brueggemann; Lydia G Downey; Priyanka Kamalapathy; Paola Lichtenberger; Orlando Falls; Gary L Simon; Jeffrey M Bethony; Gary S Firestein Journal: Arthritis Rheumatol Date: 2018-03-07 Impact factor: 10.995
Authors: Sarah R Tritsch; Liliana Encinales; Nelly Pacheco; Andres Cadena; Carlos Cure; Elizabeth McMahon; Hugh Watson; Alexandra Porras Ramirez; Alejandro Rico Mendoza; Guangzhao Li; Kunal Khurana; Juan Jose Jaller-Raad; Stella Mejia Castillo; Onaldo Barrios Taborda; Alejandro Jaller-Char; Lil Avendaño Echavez; Dennys Jiménez; Andres Gonzalez Coba; Magda Alarcon Gomez; Dores Ariza Orozco; Eyda Bravo; Victor Martinez; Brenda Guerra; Gary Simon; Gary S Firestein; Aileen Y Chang Journal: J Rheumatol Date: 2019-07-01 Impact factor: 4.666
Authors: Efrén Murillo-Zamora; Oliver Mendoza-Cano; Benjamín Trujillo-Hernández; Ramón Alberto Sánchez-Piña; José Guzmán-Esquivel Journal: Rev Panam Salud Publica Date: 2017-06-08
Authors: J Sepúlveda-Delgado; O L Vera-Lastra; K Trujillo-Murillo; L M Canseco-Ávila; R A Sánchez-González; O Gómez-Cruz; A Lugo-Trampe; I Fernández-Salas; R Danis-Lozano; A Contreras-Contreras; A Mendoza-Torres; S Domínguez-Arrevillaga; B A Mena-Vela; M Ocaña-Sibilla; J C Ramirez-Valdespino; L J Jara Journal: Clin Rheumatol Date: 2016-09-28 Impact factor: 3.650