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Título

PROFILE OF PATIENTS ADMITTED TO A STROKE UNIT IN NORTHEASTERN BRAZIL AND ITS QUALITY INDICATORS

Resumo

Introduction: Stroke is one of the leading causes of mortality and morbidity worldwide (1). To improve this scenario, it is necessary to evaluate reliable data to improve the standards of hospital care. Ordinance No. 665, published in 2012 by the Ministry of Health, provides for the implementation of stroke units, as well as the inclusion of quality indicators to monitor their management (2). Objective: To describe the characteristics of patients admitted to the stroke unit during the implementation of quality indicators in the service. Method: We conducted a cross-sectional, observational, retrospective study that included patients admitted to the stroke unit of the Hospital da Restauração, in Recife, Pernambuco, during the period from March 2022 to the beginning of May 2022. Results: The studied stroke unit has 12 beds, one of which is permanently available for venous thrombolysis. All beds are monitored, there is availability of daily physiotherapy and speech therapy assessment; nurse 24h/7 days and neurologist available for evolution and reassessments, as well as full time acute treatment. In the period studied, there were 123 hospitalizations, of which 54.5% were for ischemic stroke (n=67) and 4.9% were TIA (n=6), and the rest were for HCVA. There was a predominance of females (52.8%) and a mean age of 68 years. The proportion of patients treated with reperfusion therapy was 14.6% (n=18). The mean score on the NIH stroke scale was 12.6 (SD: ± 8.4). All patients were evaluated by physical and speech therapy. 40.7% of the patients admitted to the stroke unit had as a reason for discharge the transfer to other sectors of the hospital, and only 1 patient died during hospitalization. Many other data were collected, however, as it is a pilot project for the implementation of indicators, the collection was incomplete, mainly due to the doctors and nurses team not filling out the form. Conclusion: This study allowed corroborating the importance of the adequate filling of quality indicators in the stroke unit by the multiprofessional team, as a validated instrument to guide the care provided to patients with cerebral ischemia.

Palavras Chave

Stroke; Quality Indicators; Epidemiology