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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Stroke epidemiology in a private tertiary hospital from Rio de Janeiro

2015; Elsevier BV; Volume: 357; Linguagem: Inglês

10.1016/j.jns.2015.09.031

ISSN

1878-5883

Autores

Valeria Battistella, Dolores G. Amitrano, Iris Maria Ribeiro Rocha, C.B. Nogueira, Júlia Teixeira Oliveira, Manuela Maia, Lélia Cardamone Gouvêa, Jano Alves de Souza, Osvaldo J. M. Nascimento, Bernardo Liberato,

Tópico(s)

Acute Ischemic Stroke Management

Resumo

Introduction: Stroke is a leading cause of morbidity and mortality worldwide. Little information is available on the stroke epidemiology of patients in Rio de Janeiro. The disease epidemiology is an important tool to aid health care planning. Our objective was to describe risk factors, management in the acute setting, and outcome of our cohort. Methods: All stroke patients data from Copa D'Or hospital (private tertiary hospital) have been collected prospectively since March 2012. The data was analyzed retrospectively from the data bank. Results: Up to now we evaluated 193 patients (mean age 69; ±20,2 years; 55,4% females). Ischemic stroke was the most frequent subtype (84,4%), followed by intraparenchymal hemorrhage (8%), and subarachnoid hemorrhage (6%). Hypertension was the most common risk factor (66%). Twenty-three percent (23%) of our patients received intravenous thrombolysis. Time from symptoms onset to hospital admission was the leading contra-indication for IV rt-PA. The frequency of modified Rankin Scale ≤ 2 at discharge was 61,1%. Conclusions: The aim of this study was the epidemiological data from our cohort. The outcome described and the frequency of IV thrombolysis is greater than other reports in Brazil. However, we are a private institution in a big and populated city of the state.

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