Dados do Trabalho

Título

Characterization and Functionality of individuals post stroke of the northern plateau of Santa Catarina: assisted in stroke unit.

Resumo

Stroke is known as the most disabling chronic disease, affecting not only the individual, but also his family and society as a whole, mainly caused by the significant reduction in the individual's level of independence.
Therefore, the objective was to characterize post-stroke individuals hospitalized in U-stroke, regional reference for the North Plateau of state os SC in terms of epidemiological, clinical and functional profile.
Prospective, observational and longitudinal study carried out between Nov/2019 to Dec/2020. With individuals ≥18 years old; post-stroke confirmed by CT or MRI. Individuals with other diseases and conditions that could lead to motor deficits or functional changes other than the stroke were excluded. Sociodemographic data, ICTUS and therapeutic window were analyzed. The TOAST scale, NIHSS, Functional Independence Measure (MIF) and Modified Rankin Scale (ERm) were also applied at discharge. ERm was also measured at 30 and 60 days after stroke, using the Brazilian and validated version of the interview via telephone contact.
Sample composed of 44 patients; 45 to 92 years old; 79.5% elderly (>61 years), 16% 46-60 years, 4.5% 31-45 years and no young adults (21-30 years). 56.8% were male and 88.6% self-declared white. 96% had modifiable risk factors; 79% hypertensive (only 73% undergoing treatment); 22.7% with Atrial Fibrillation (only 4.5% using anticoagulants); 48% with a previous history of stroke/transitory stroke without sequelae; 84% considered sedentary. Only 9% were eligible for thrombolytic therapy. In tasks of daily living according to the total FIM: they were predominantly dependent (complete, 54%; and moderate, 39%). Considering the motor FIM classification, the levels of functionality were 70% complete dependent and 23% moderate. As for the functional evolution by Rankin, at the time of discharge, 82% of the individuals were dependent. After thirty days, 57% were able to walk independently and seven died. After sixty days, 27% had negligible disability; 29% moderate disability; 23% reported severe disability and one died.
The findings point to important correlation between the prevalence of modifiable risk factors and functional disability even after hospital discharge. This scenario reflects on the population of the Planalto Norte Catarinense and the necessary health care measures, thus enabling the design of strategic measures that aim to meet the characteristics of the population.

Palavras Chave

Stroke; Functionality; stroke unit.

Área

Doença Cerebrovascular