Tomographic profile of patients attended with brain vascular accident in an emergency hospital in Teresina – PI
DOI:
https://doi.org/10.33448/rsd-v10i17.24387Keywords:
Medical Management; Stroke; Computed tomography.Abstract
The objective of this study was to know the most prevalent tomographic and epidemiological pattern of patients admitted with a stroke at the Emergency Hospital of Teresina - HUT in 2020. This is an epidemiological, quantitative observational, cross-sectional study. retrospective, performed by collecting data from electronic medical records. The results revealed that, of the 384 cases, 73.6% had ischemic CVA (iCVA), the brain region most affected in CVAi was the fronto-parietal region with 36.4% of the cases and in CVA the parietotemporal region with 28 .7%. The main risk factors were Hypertension (62.5%) and Diabetes Mellitus (31.2%). The time interval between patient admission and the performance of Computed Tomography (CT) ranged from 30min to 3h. Of the interventions, only 3% used thrombolytics. From the results, it can be concluded that the profile of the studied population does not differ from that usually found in the literature and that there was difficulty in determining the time of onset of symptoms and, therefore, the indication for thrombolytic therapy.
References
Abreu, T. T. (2010). Early CT signs in acute ischaemic stroke. Medicina Interna. 9(1), 45-51. https://www.spmi.pt/revista/vol09/sinaisavc.pdf
Bensenor, I. M.; Goulart, A. C., Szwarcwald, C. L., Vieira, M. L. F. P., Malta, D. C. & Lotofo, P. A.(2015). Prevalência de acidente vascular cerebral e de incapacidade associada no Brasil: Pesquisa Nacional de Saúde – 2013. Arq. Neuro-Psiquiatr. 73(9) 746-750 https://doi.org/10.1590/0004-282X20150115
Botelho, T. S., Neto, C. D. M.; Araújo, F. L. C. & Assis, S. C. (2016). Epidemiology ofstroke in Brazil. Temas em Saúde. 16(2), 361-377. https://temasemsaude.com/wp-content/uploads/2016/08/16221.pdf
Brasil. (2020). Ministério da Saúde. Secretaria de Atenção à Saúde - SAS; Departamento de Regulação, Avaliação e Controle – DRAC - Coordenação-Geral de Sistemas de Informação - CGSI. Manual do Sistema de Informações Hospitalares do SUS (SIH/SUS). http://dtr2001.saude.gov.br/sas/download/-%20VERSAO%20FINAL-b.pdf
Caplan, L. R. (2020). Overview of the evaluation of stroke. In S. kaned (Ed.), UpToDate. https://www.uptodate.com/contents/overview-of-the-evaluation-of stroke/print?search=diagnostico
Cavichioli, M. G., Yugar-Toledo, J. C. & Vilela-Martin J. F. (2014). Hypertensive emergency and ischemic and hemorrhagic stroke: current concepts of treatment. Rev Bras Hipertens. 21(4) 177- 183 https://docs.bvsalud.org/biblioref/2018/03/881314/rbh-v21n4_177-183.pdf
Figueiredo, M. M., Bichuetti, D. B. & Gois, A. F. T. (2012) Evidências sobre diagnóstico e tratamento do acidente vascular encefálico no serviço de urgência. Diagn Tratamento. 17(12) 167-172. http://files.bvs.br/upload/S/1413-9979/2012/v17n4/a3328.pdf
Filho, J O & Lansberg, M G. (2020) Neuroimaging of acute ischemic stroke. 2020. In S. Kasned (Ed.), UpToDate. https://www.uptodate.com/contents/neuroimaging-of-acute-ischemic-stroke/print?search=diagnostico
Fonseca L., Rosa M., Silva A., Maciel R., Volschan A. & Mesquita E. (2013). Análise das barreiras à utilização de trombolíticos em casos de acidente vascular cerebral isquêmico em um hospital privado do Rio de Janeiro, Brasil. Cadernos de Saúde Pública. 29(12) 2487-2496 https://doi.org/10.1590/0102-311X00131412
Lima M. R., Paglioli R. & Hoefel Filho J. R. (2012). Diagnóstico por imagem do acidente vascular encefálico / Image diagnosis of stroke. Acta méd. (Porto Alegre); 33(9). https://pesquisa.bvsalud.org/portal/resource/pt/biblio-881595
Kulesh A. A., Drobakha V. E. & Shestakov, V. V. (2019). Doença cerebral dos pequenos vasos: classificação, manifestações clínicas, diagnóstico e características do tratamento. Neurologia, Neuropsiquiatria, Psicossomática. 11(3), 4-17. Https://doi.org/10.14412/2074-2711-2019-3S-4-17
Magalhães S. S. F. & Oliveira, M. F. O. (2017). Comparação dos métodos de imagem (tomografia computadorizada e ressonância magnética) para o diagnóstico de acidente vascular encefálico. Bahiana Journals. 6(1) 81-89. https://www5.bahiana.edu.br/index.php/enfermagem/article/view/1258
Martins, M. (2010). Uso de medidas de comorbidades para predição de risco de óbito em pacientes brasileiros hospitalizados. Rev Saúde Pública. 44(3), 448-456. https://doi.org/10.1590/S0034-89102010005000003
Mourao, A. M., Vicente, L. C. C., Chaves, T. S. & Sant’anna, R. V. (2017). Profile of patients with a diagnosis of stroke attended at a hospital in minas gerais accredited in the care line. Rev Bras Neurol. 53(4),12-16. https://revistas.ufrj.br/index.php/rbn/article/view/14634
Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018) Metodologia da pesquisa científica [e-book]. Santa Maria, RS: UFSM, NTE, 2018. 1 e-book
Ribeiro, R., R, C., Bertolin, D., Cesarino, C., Kusumota, L., & Fantini, J. (2016). Caracterização dos pacientes com acidente vascular encefálico atendidos na emergência. Arquivos De CiêNcias Da SaúDe, 23(4), 78-82. doi:10.17696/2318-3691.23.4.2016.463
Rolim, C.L.R.C. & Martins, M. (2017) O uso de tomografia computadorizada nas internações por Acidente Vascular Cerebral. Rev Bras Epidemiol. 15(1) 179- 187. https://www.scielo.br/j/rbepid/a/KFNpCf4NCd8mhcsT4FqJsHP/?lang=pt&format=pdf
Soeiro, S. M. (2018). Papel protetor dos estrogênios na aterosclerose. Dissertação de mestrado, Faculdade de Farmácia da Universidade de Coimbra. http://hdl.handle.net/10316/84409
Yamashita, L., Fukujima, M.., Granitoff, N. & Prado, G. (2004). Paciente com acidente vascular cerebral isquêmico já é atendido com mais rapidez no Hospital São Paulo. Arquivos de Neuro-Psiquiatria. 62(1), 96-102. https://www.researchgate.net/publication/26342240_Paciente_com_acidente_vascular_cerebral_isquemico_ja_e_atendido_com_mais_rapidez_no_Hospital_Sao_Paulo
Zerna, C., Thomalla, G. & Campbell, B. C. V. (2018). Current practice and future directions in the diagnosis and acute treatment of ischaemic stroke. The Lanceta. 392(10154) 1247-1256. doi: 10.1016 / S0140-6736 (18) 31874-9
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