Perfil dos pacientes atendidos com acidente vascular cerebral em hospital referência no oeste de Santa Catarina

Abstract

Introduction: This study evaluated 243 medical records of patients diagnosed with stroke in a reference hospital in the western region of Santa Catarina, corresponding to the year 2019. Objectives: to elucidate the epidemiological profile of patients treated at the hospital during the period of one year, as well as analyzing issues such as clinical outcome, blood pressure levels, risk factors, incidence and mortality, stratifying stroke into two categories: ischemic (AVCi) and hemorrhagic (AVCh), for terms of comparison. Methodology: Quantitative, retrospective and descriptive study, based on consultation of the secondary data source. Data analysis was performed in electronic medical records, which were expressed in absolute and relative measures. To process the information collected and make comparisons between the variables, the Student T test for continuous variables and the Chisquare test and test for categorical variables were used. Results: It was revealed that 88.1% (n=214) of the cases were AVCi and 11.9% (n=29) were AVCh. The clinical outcome of the patients was also evaluated, with 83.0% (n=200) of the patients being discharged from the hospital, while 9.1% (n=22) were transferred to other centers and 7.9% (n= 19) evolved to death. It was also observed that 6.1% (n=13) of patients with CVA evolved to death against 20.7% (n=6) with CVA. Discussion: there was a statistically significant association between the type of stroke and the outcome (p=0.030), where patients with AVCi were related to the outcome hospital discharge, 84.9% (n=180); while cases with AVCh were associated with the outcome of death, 20.7% (n=6). Conclusion: This retrospective study elucidated specific characteristics of stroke in the western region of Santa Catarina and will serve as a parameter for further research to assess stroke mortality and morbidity in southern Brazil.