morbimortalidad por enfermedad cerebrovascular de tipo isquémica morbimortality from ischemic stroke

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ID: 193654
2007
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Abstract
Las enfermedades cerebrovasculares constituyen la tercera causa de muerte en Cuba y en la mayoría de los países desarrollados. Tiene estrecha relación su aparición y tórpida evolución con la existencia de enfermedades o factores de riesgo como: diabetes mellitus, hipertensión arterial, enfermedades cardíacas, accidentes vasculares encefálicos previos, tabaquismo y obesidad. La isquemia cerebral constituye la causa de la mayoría de los ictus, tanto de tipo trombótico como embólico; sus consecuencias causan postración e incapacidad. Se realizó un estudio transversal y descriptivo de aquellos pacientes admitidos en la Sala de Cuidados Especiales del Hospital “General Calixto García” en el período de enero a julio de 2006, con diagnóstico de enfermedad cerebrovascular, para identificar los factores de riesgo más frecuentes, evaluar los protocolos de actuación, definir grado de incapacidad al egreso, así como las causas más frecuentes de muerte. Encontramos que la enfermedad tuvo mayor incidencia en la 7ma. y 8va. décadas de la vida, los factores de riesgo más frecuentes fueron la hipertensión arterial y el antecedente de enfermedad cerebrovascular previa, los protocolos de actuación no fueron cumplidos debidamente por múltiples causas. Solo un 26,2 % estaba asintomático al alta desde el punto de vista funcional, el resto presentaba algún tipo de discapacidad. La causa de muerte más frecuente fue extraneurológica.
Strokes are the third cause of death in Cuba and in most of the developed countries. Its appearance and torpid evolution are closely related to the existence of diseases or risk factors, such as: diabetes mellitus, arterial hypertension, previous vascular encephalic accidents, smoking and obesity. Ischemic stroke is the cause of most of thrombotic and embolic strokes, whose consequences are prostration and disability. A cross-sectional descriptive study of those patients admitted in the special care ward of “General Calixto García” Hospital with stroke diagnosis from January to July 2006 was undertaken to identify the most common risk factors, to evaluate the acting protocols, to determine the degree of disability on discharge, as well as the most frequent causes of death. It was found that the disease had the highest incidence during the seventh and eighth decades of life and that the most significant risk factors were arterial hypertension and the previous history of stroke. The acting protocols were not accomplished for multiple reasons. Just 26.2 % were asymptomatic from the functional point of view on discharge. The rest presented some type of disability. The most common cause of death was extraneurological.
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Authors ;Adianis González González;Rita Campillo Motilva
Journal chemical biology and drug design
Year 2007
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252007000400003
Keywords
Risk factors stroke enfermedad cerebrovascular factores de riesgo

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