[Cerebrovascular accidents in Osona borough. Cardiovascular risks factors]
C Sanclemente Ansó1, F Alonso Valdés, E Rovira Pujol
1Servicio de Medicina Interna, Hospital General de Vic. Barcelona. csan-clemente@hgv.es
Insights
Hospitalized cerebrovascular disease (CVD) patients showed similar risk factors but received deficient discharge recommendations. Their average hospital stay was longer than in specialized units, indicating a need for improved care protocols.
Area of Science:
- Neurology
- Internal Medicine
- Public Health
Background:
- Cerebrovascular disease (CVD) is a leading cause of hospitalization.
- This study examines CVD patient characteristics and management in a borough hospital.
Purpose of the Study:
- To analyze clinical and biological features of hospitalized CVD patients.
- To evaluate cardiovascular risk factors and discharge actions for CVD patients.
- To compare outcomes with specialized stroke units.
Main Methods:
- Retrospective review of 277 patient hospital discharge reports.
- Analysis of demographic data, cardiovascular risk factors (hypertension, diabetes, smoking, dyslipidemia).
Main Results:
- Patient characteristics and risk factors were comparable to other studies.
- Lower incidence of hemorrhagic and cardioembolic CVD noted.
- Age did not correlate with poor outcomes or increased mortality, differing from other series.
Conclusions:
- Discharge actions regarding risk factors and lifestyle recommendations were inadequate.
- Average hospital stay for CVD patients exceeded that of specialized stroke units.
Introduction:
Cerebrovascular disease (CVD) is the second cause of hospitalization in the order of frequency in our service, thus reflecting this pathologýs high incidence in our borough. This study analyzes clinical and biological characteristics, cardiovascular risk factors and actions taken in hospital discharge in the internal medicine department of a borough hospital (the reference hospital in Osona borough), as well as other characteristics of the hospitalized CVD patients from January 2001 to December 2001.
Method:
This study was performed by revising each patient's hospital discharge report. 277 patients were hospitalized for CVD.
Results:
Biological and demographic characteristics, as well as cardiovascular risk factors analyzed (arterial hypertension, diabetes, smoking, or dyslipidemy) were similar to other series. Incidence of hemorrhagic and cardio-embolic CVD was slightly lower, taken into account that hemorrhagic episodes that needed neurosurgical intervention were transferred to a higher-level center with a department of neurosurgery. Age was neither a factor for bad prediction leading to bad sequels after the episode nor a cause of an increased mortality. This data differs from others series.
Conclusion:
Actions taken on discharge, on cardiovascular risk factors and on hygienic-dietetic recommendations were deficient. Average stay was higher when compared to average stay in specialized ictus units.
Related Concept Videos
Ischemic Stroke l: Introduction
Hemorrhagic Stroke ll: Pathophysiology
Coronary Artery Disease IV: Preventive Measures
Factors affecting Blood pressure
Physiological Factors:
Hemorrhagic Stroke l: Introduction
Ischemic Stroke ll: Pathophysiology
