Stroke Epidemiology, Patterns of Management, and Outcomes in Fortaleza, Brazil A Hospital-Based Multicenter Prospective Study

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dc.contributor.author Freitas de Carvalho, Joao Jose
dc.contributor.author Alves, Monique Bueno
dc.contributor.author Andrade Viana, Georgiana Alvares
dc.contributor.author Machado, Cicera Borges
dc.contributor.author Cardoso dos Santos, Bento Fortunato
dc.contributor.author Kanamura, Alberto Hideki
dc.contributor.author Lottenberg, Cláudio Luiz [UNIFESP]
dc.contributor.author Cendoroglo Neto, Miguel [UNIFESP]
dc.contributor.author Silva, Gisele Sampaio [UNIFESP]
dc.date.accessioned 2016-01-24T14:17:29Z
dc.date.available 2016-01-24T14:17:29Z
dc.date.issued 2011-12-01
dc.identifier http://dx.doi.org/10.1161/STROKEAHA.111.626523
dc.identifier.citation Stroke. Philadelphia: Lippincott Williams & Wilkins, v. 42, n. 12, p. 3341-U48, 2011.
dc.identifier.issn 0039-2499
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/34259
dc.description.abstract Background and Purpose-Little information exists on the epidemiology and patterns of treatment of patients admitted to Brazilian hospitals with stroke. Our objective was to describe the frequency of risk factors, patterns of management, and outcome of patients admitted with stroke in Fortaleza, the fifth largest city in Brazil.Methods-Data were prospectively collected from consecutive patients admitted to 19 hospitals in Fortaleza with a diagnosis of stroke or transient ischemic attack from June 2009 to October 2010.Results-We evaluated 2407 consecutive patients (mean age, 67.7 +/- 14.4 years; 51.8% females). Ischemic stroke was the most frequent subtype (72.9%) followed by intraparenchymal hemorrhage (15.2%), subarachnoid hemorrhage (6.0%), transient ischemic attack (3%), and undetermined stroke (2.9%). the median time from symptoms onset to hospital admission was 12.9 (3.8-32.5) hours. Hypertension was the most common risk factor. Only 1.1% of the patients with ischemic stroke received thrombolysis. the median time from hospital admission to neuroimaging was 3.4 (1.2-26.5) hours. In-hospital mortality was 20.9% and the frequency of modified Rankin Scale score <= 2 at discharge was less than 30%. Older age, prestroke disability, and having a depressed level of consciousness at admission were independent predictors of poor outcome; conversely, male gender was a predictor of good outcome.Conclusions-The prevalence of stroke risk factors and clinical presentation in our cohort were similar to previous series. Treatment with thrombolysis and functional independency after a stroke admission were infrequent. We also found long delays in hospital admission and in evaluation with neuroimaging and high in-hospital mortality. (Stroke. 2011;42:3341-3346.) en
dc.description.sponsorship Projeto Atlas da Saude
dc.description.sponsorship Sociedade Beneficente Israelita Albert Einstein
dc.description.sponsorship Secretary of Health, State of Ceara, Brazil
dc.format.extent 3341-U48
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Stroke
dc.rights Acesso aberto
dc.subject Brazil en
dc.subject epidemiology en
dc.subject South America en
dc.subject stroke care en
dc.title Stroke Epidemiology, Patterns of Management, and Outcomes in Fortaleza, Brazil A Hospital-Based Multicenter Prospective Study en
dc.type Artigo
dc.contributor.institution Hosp Geral Fortaleza
dc.contributor.institution Hosp Israelita Albert Einstein
dc.contributor.institution Dept Hlth
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Hosp Geral Fortaleza, Fortaleza, Ceara, Brazil
dc.description.affiliation Hosp Israelita Albert Einstein, São Paulo, Brazil
dc.description.affiliation Dept Hlth, Fortaleza, Ceara, Brazil
dc.description.affiliation Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, São Paulo, Brazil
dc.identifier.doi 10.1161/STROKEAHA.111.626523
dc.description.source Web of Science
dc.identifier.wos WOS:000297941500012



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