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Título

CLINICAL AND EPIDEMIOLOGICAL PROFILE OF MEDICAL CARE IN ACUTE STROKE AT THE EMERGENCY ROOM AT AMECOR HOSPITAL (CUIABÁ-MT)

Resumo

Introduction: Stroke is divided into two categories: ischemic (iCVA) and hemorrhagic (hCVA). The iCVA is caused by the interruption of blood flow to a specific brain area, having as main causes thrombosis, embolism and systemic hypoperfusion. The hCVA is the presence of intracranial bleeding, due to parenchymal or subarachnoid hemorrhage. Ischemic CVA is the most common, however, hemorrhage CVA is associated with a higher mortality rate. Both can cause complications and need for different approaches in the acute phase. Purpose: Describe the clinical-epidemiological profile of patients treated for acute stroke in a reference service in Cuiabá-MT. Methods: This is a descriptive observational study with retrospective data collection from patients diagnosed with acute stroke. Results: In the year of 2021, 48 patients presented suspected clinical features of acute stroke, and the stroke protocol was open; 35% of these patients were aged between 61 and 80 years, 54% were male and 46% were female. Of the 46 stroke protocols opened, 24% were confirmed as iCVA and 8% as hCVA, and 56% were discarded cases. Stroke protocols were more opened in July (16.6%) and August (16.6%). In relation to the time from ictus until arrival at the referral service, 62% were admitted between 0 and 4.5 hours (thrombolysis window), 21% between 4.5 and 12 hours, 12% between 12 and 24 hours and 5% after 24 hours. Of the cases confirmed as iCVA that entered in the window for thrombolysis, 20% had indication for thrombolytic therapy, being successfully performed in approximately 3 hours after the ictus. The median door-to-imaging time was 1h and 23m, while the median door-to-needle time was 01h and 24m. The mean hospital stay time was 5 days. There was no registered deaths in patients with iCAV. Conclusion: Thrombolytic therapy when properly indicated provides effective results and the analysis of this series demonstrates that adequate information is needed for greater agility in the care of the acute stroke phase in the reference unit.

Palavras Chave

STROKE; EPIDEMIOLOGY; EMERGENCY; THROMBOLYTIC THERAPY