Frequency of stroke types at an emergency hospital in Natal, Brazil
| Autor: | Orlandil D. Rocha, Antonio N.N. Martins Jr, Selma M. B. Jeronimo, Maria A. F. Fernandes, Mario Emilio Dourado, Marcelo Marinho de Figueiredo |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage hypertension Presumptive diagnosis Logistic regression Brain Ischemia Risk Factors Internal medicine Diabetes mellitus Prevalence Medicine Humans cardiovascular diseases Hospital Mortality Risk factor Stroke Aged Cerebral Hemorrhage Intracerebral hemorrhage AVC business.industry Mortality rate Brasil Middle Aged Subarachnoid Hemorrhage medicine.disease stroke Neurology hipertensão Female Neurology (clinical) business Emergency Service Hospital Brazil |
| Zdroj: | Arquivos de Neuro-Psiquiatria, Volume: 65, Issue: 4b, Pages: 1139-1143, Published: DEC 2007 Arquivos de Neuro-Psiquiatria v.65 n.4b 2007 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO |
| ISSN: | 0004-282X |
| Popis: | We performed a cross-sectional study of stroke type frequency at a local emergency hospital, in Natal, Brazil. The sample consisted of all patients who were admitted to an emergency hospital with a presumptive diagnosis of stroke. Of the 416 patients, 328 were studied, 88 were excluded for not meeting inclusion criteria, 74.7% (n= 245) had ischemic stroke 17.7% (n=58) had intracerebral hemorrhage, 7.6% (n=25) had subarachnoid hemorrhage; 173 were men (52.7%). Mean age was 64.1 years. The intrahospital mortality rate was 10.2%, 17.2% and 36% for ischemic stroke, intracerebral hemorrhage and subarachnoid hemorrhage, respectively. The most prevalent modifiable risk factor was hypertension for ischemic stroke (67.6%) and hemorrhage stroke (57.8%). Logistic regression analysis identified diabetes (OR=3.70; CI=1.76-7.77) as independent risk factor for ischemic stroke. The ischemic stroke was most common type of stroke. Hypertension and diabetes were important risk factors for stroke. Realizamos um estudo de prevalência para determinar a freqüência dos tipos de acidente vascular cerebral (AVC) num hospital de urgência de Natal. Estudaram-se todos os pacientes que foram admitidos no hospital de urgência com diagnóstico presuntivo de AVC. Dos 416 pacientes, 328 foram estudados, 88 foram excluídos por não cumprirem os critérios de inclusão, 74,7% (n= 245) tiveram AVC isquêmico, 17,7% (n=58) hemorragia intracerebral e 7,6% (n=25) hemorragia subaracnóidea. O gênero mais prevalente foi o masculino (52,7%). A média de idade foi 64,1 anos. A letalidade intra-hospitalar foi de 10,2%, 17,2% e 36% para o tipo isquêmico, hemorrágico e hemorragia subaracnóide, respectivamente. O principal fator de risco modificável foi a hipertensão arterial sistêmica (HAS) para AVC isquêmico (67,6%) e AVC hemorrágico (57,8%). A regressão logística identificou diabetes como fator de risco independente para AVC isquêmico (OR=3,70; IC=1,76-7,77). O AVC isquêmico foi o tipo mais comum. HAS e diabetes foram importantes fatores de risco. |
| Databáze: | OpenAIRE |
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