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[A study of mortality in patients with acute cerebrovascular pathology in the Castellon General Hospital]
Insights
This study analyzed acute cardiovascular disorder deaths in a hospital, finding a 27.8% mortality rate. Patient age, reduced consciousness, and gaze deviation were key factors influencing mortality.
Area of Science:
- Cardiology
- Neurology
- Public Health
Background:
- Acute cardiovascular disorders represent a significant cause of mortality.
- Understanding in-hospital death rates and associated factors is crucial for improving patient outcomes.
Purpose of the Study:
- To analyze the hospital death rate associated with acute cardiovascular disorders.
- To identify factors contributing to mortality in patients with acute cardiovascular disorders.
Main Methods:
- Retrospective review of patients admitted with acute cardiovascular disorder to Castellón General Hospital in 1991.
- Univariate analysis of risk factors comparing surviving patients with those who died.
Main Results:
- 514 patients diagnosed with acute cardiovascular disorder; incidence rate of 188 per 100,000 inhabitants.
- In-hospital death rate was 27.8% among referred patients.
- Factors associated with increased mortality included advanced age, reduced level of consciousness, and lateral gaze deviation at stroke onset.
Conclusions:
- The high observed death rate was attributed to the severity of strokes and advanced patient age.
- The study methodology allowed for the inclusion of early mortality cases, potentially influencing the overall death rate.
Objective:
To analyse the hospital death rate caused by acute cardiovascular disorder and their factors conducted.
Methods:
We made a retrospective review of all patients suffering from this pathology who had gone into the Casualty Ward of the Castellón General Hospital in the course of 1991: we also looked for all patients with acute cardiovascular disorder who had died in the hospital. We studied the risk factors for the patients referred using a univariant analysis, comparing those still living with those who had died.
Results:
We find 514 patients diagnosed as having acute cardiovascular disorder, with an stroke/TIA incidence rate of 188 cases per 100,000 inhabitants. The proportion of referred patients was 52%. Among these, the death rate was 27.8%. Factors affecting the death rate were the age of the patients, the reduction in the level of consciousness, and lateral gaze at the start of the stroke.
Conclusions:
We believe that the high death rate in our selection was due to the severity of the strokes and the advanced age of the patients, as was in accordance with the methodology used in the gathering of data, which made it possible to include patients who died early.