3.8 Article

Clinical characterization, disability, and mortality in people with strokes during 90 days

Journal

REVISTA BRASILEIRA DE ENFERMAGEM
Volume 75, Issue 2, Pages -

Publisher

ASSOC BRASILEIRA ENFERMAGEM
DOI: 10.1590/0034-7167-2020-1383

Keywords

Stroke; Statistics on Sequelae and Disability; Epidemiology; Disease Prevention; Nursing

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This study describes the clinical characteristics and mortality of patients with ischemic cerebrovascular accidents (strokes), and compares disability before and 90 days after the event. The results show a high mortality and disability rate caused by the event, which has significant implications for health management and care.
Objectives: to describe clinical characteristics and mortality of people with ischemic cerebrovascular accidents (strokes); to compare disability before the event and 90 days after. Methods: longitudinal study with 308 people hospitalized in Salvador-BA. Data collection took place from 03/2019 to 01/2020. Descriptive and inferential statistics were used. Results: mean age was 64.8 years, and National Institute of Health Stroke Scale score was 10.7. The median length of stay in the hospital was 11 days. Afro-descendants predominated (84%), elementary educational level (68.4%), income up to three minimum wages (89.1%), arrival within 4.5 hours of symptoms (57.9%) and admission to a specialized unit (71.8%). Prevalence of thrombolysis: 26%. The asymptomatic before the event category predominated (85.3%) as did the moderate/severe disability (41.5%) after 90 days. 19.7% of the sample evolved to death. Conclusions: the high mortality and disability generated by the event have implications for health management and care.

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