Stroke management in a university hospital in the largest South American city

Arq Neuropsiquiatr. 2008 Jun;66(2B):308-11. doi: 10.1590/s0004-282x2008000300004.

Abstract

Objective: To describe characteristics and provision of care for patients admitted with cerebrovascular disorders (CVD), focusing on ischemic stroke (IS), in a large, public, academic hospital in São Paulo, Brazil.

Method: We retrieved information about 357 patients with CVD admitted to the Neurology Emergency Department (NED) and Neurology Ward (NW) of our institution. We described patient characteristics and management of IS in NED and in NW.

Results: IS was diagnosed in 79.6% of CVD patients admitted to NED; 2.7% were submitted to thrombolysis. Extent of IS investigation and management were significantly different in NED and NW.

Conclusion: IS patients in our center were younger than in developed countries. IS management was significantly influenced by patient characteristics. This information can aid in planning strategies to decrease stroke burden.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brazil / epidemiology
  • Developed Countries
  • Emergency Medical Services / standards*
  • Emergency Medical Services / statistics & numerical data
  • Emergency Service, Hospital
  • Epidemiologic Methods
  • Female
  • Hospitalization / statistics & numerical data*
  • Hospitals, University
  • Humans
  • Ischemic Attack, Transient / drug therapy
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care*
  • Stroke / drug therapy*
  • Stroke / epidemiology
  • Thrombolytic Therapy*
  • Young Adult