Stroke management in a university hospital in the largest South American city

OBJECTIVE: To describe characteristics and provision of care for patients admitted with cerebrovascular disorders (CVD), focusing on ischemic stroke (IS), in a large, public, academic hospital in São Paulo, Brazil. METHOD: We retrieved information about 357 patients with CVD admitted to the Neurology Emergency Department (NED) and Neurology Ward (NW) of our institution. We described patient characteristics and management of IS in NED and in NW. RESULTS: IS was diagnosed in 79.6% of CVD patients admitted to NED; 2.7% were submitted to thrombolysis. Extent of IS investigation and management were significantly different in NED and NW. CONCLUSION: IS patients in our center were younger than in developed countries. IS management was significantly influenced by patient characteristics. This information can aid in planning strategies to decrease stroke burden.

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Bibliographic Details
Main Authors: Conforto,Adriana Bastos, Paulo,Rodrigo Bomeny de, Patroclo,Cristiane Borges, Pereira,Samira Luísa dos Apóstolos, Miyahara,Helder de Souza, Fonseca,Camila Barião da, Yamamoto,Fabio Iuji, Marchiori,Paulo Eurípides, Evaristo,Eli Faria, Scaff,Milberto
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2008
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000300004
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Summary:OBJECTIVE: To describe characteristics and provision of care for patients admitted with cerebrovascular disorders (CVD), focusing on ischemic stroke (IS), in a large, public, academic hospital in São Paulo, Brazil. METHOD: We retrieved information about 357 patients with CVD admitted to the Neurology Emergency Department (NED) and Neurology Ward (NW) of our institution. We described patient characteristics and management of IS in NED and in NW. RESULTS: IS was diagnosed in 79.6% of CVD patients admitted to NED; 2.7% were submitted to thrombolysis. Extent of IS investigation and management were significantly different in NED and NW. CONCLUSION: IS patients in our center were younger than in developed countries. IS management was significantly influenced by patient characteristics. This information can aid in planning strategies to decrease stroke burden.