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[Clinical characterization of 450 patients with cerebrovascular disease admitted to a public hospital during 1997]
J Nogales-Gaete1, L Núñez, C Arriagada
1Servicio de Neurología, Hospital Barros Luco-Trudeau, Departamento de Neurología, Facultad de Medicina, Universidad de Chile.
Insights
Cerebrovascular diseases are a significant cause of death in Chile. This study analyzed patient data, revealing common types like ischemic stroke and cerebral hemorrhage, with high rates of hypertension and hospital infections.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Context:
- Cerebrovascular diseases rank as a leading cause of mortality in Chile, particularly among women.
- Understanding local disease patterns is crucial for targeted public health interventions.
Purpose:
- To evaluate the clinical characteristics and management strategies for patients diagnosed with cerebrovascular disease.
- To establish a baseline for future research on cerebrovascular diseases in Chile.
Summary:
- A retrospective analysis of 450 patient records revealed that ischemic stroke (51%) and cerebral hemorrhage (34%) were the most prevalent types.
- Key comorbidities included hypertension (64%) and heart disease (34%), with significant rates of hospital-acquired infections (21%) and a 30.5% mortality rate.
- Diagnostic imaging, such as CAT scans, was utilized in 94% of cases, and a small subset of patients (nine cases) were identified as potential candidates for thrombolysis.
Impact:
- Provides a comprehensive overview of cerebrovascular disease presentation and management in a Chilean public hospital setting.
- Highlights critical areas for improvement in patient care, including hypertension management and infection control.
- Serves as a foundational dataset for future epidemiological studies and clinical trials in the region.
Background:
In Chile, cerebrovascular diseases are the fifth cause of death among men and the third cause among women.
Aim:
To assess the clinical features and management of patients with cerebrovascular disease admitted to a public hospital during 1997.
Patients And Methods:
A retrospective analysis of clinical records of patients discharged with a diagnosis of cerebrovascular disease. Those records in which there was discordance between the discharge diagnosis and the clinical picture were not considered in the analysis.
Results:
Of the 563 discharges from the hospital with the diagnosis of cerebrovascular disease, 487 records were located and 450 were considered in the analysis. Fifty four percent of patients were male and ages ranged from 17 to 96 years old. Fifty-one percent of patients had an ischemic stroke, 34% a cerebral hemorrhage, 12% a subarachnoidal hemorrhage and 3% a transient ischemic attack. There was a history of hypertension in 64% patients and 20% had an adequate treatment. Eighteen percent were diabetics, 34% had a heart disease and 20% had a previous episode of stroke. Mean hospital stay was 6.3 days in the emergency room and 11 days in the neurology ward. Hospital infections appeared in 21% of patients (respiratory in 68% and urinary in 22%), lethality was 30.5% and a CAT scan was done in 94%. At the moment of admission, 10% of patients had an evolution of less than 2 hours, 27% had an evolution between 2 and 6 hours and nine cases were potential eligible for thrombolysis.
Conclusion:
This is a picture of the local features of patients with cerebrovascular diseases that can be used as a reference for future studies.
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