Perfil sociodemográfico, clínico e terapêutico de pacientes com fibromialgia atendidos no Hospital Universitário Alcides Carneiro (HUAC).

Abstract

Fibromyalgia is a rheumatological and chronic syndrome with a complex and multifactorial etiology. It is the most studied rheumatological clinical condition in the world and one of the least known, considering that its pathophysiology is not completely elucidated. Objective: the objective of this study is to map the profile of patients using outpatient data, describing

sociodemographic and clinical characteristics and the pharmacological and non- pharmacological treatment of patients with fibromyalgia at the Hospital Universitário Alcides

Carneiro. Methodology: A cross-sectional survey was conducted, collecting data from medical records of individuals diagnosed with fibromyalgia during the period from November 2022 to November 2023. The sociodemographic information collected included gender, age and education. Furthermore, clinical variables were examined, such as the characteristics and severity of pain, the presence of sleep disorders, anxiety and depression. The frequency of patient consultations with rheumatologists and/or pain management specialists was also verified. Furthermore, the criteria adopted for diagnosis and the therapeutic approaches used were analyzed. Results: 40 medical records were analyzed, all of them from female patients, with an average age of 48.2 years, with complete primary education (42.5%). Thirty percent reported pain. Regarding the mental disorders described in the patients' records, sleep disorders were predominant in 82.5%, followed by depression in 30% and anxiety in 20% of cases. Psychiatric consultations represented 22.5% of medical follow-ups. The most frequently used groups of medications included those with action on the nervous system, action on the

musculoskeletal system and other centrally acting agents. The most used forms of non- pharmacological treatment were walking (44.4%), functional (22.2%) in addition to

physiotherapy, acupuncture and pilates sessions (11.1%) each. Around 17.5% of patients used both forms of treatment Conclusion: In view of the above, it was possible to highlight the prevalence of females, with a low level of education, a factor that can worsen the search for and adherence to treatment. In addition, pharmacological treatment remains a common element in most cases of FM and drugs that act on the nervous system are the most prescribed.