Cerebrovascular disease in patients admitted to intensive care
Keywords:
CRITICAL CARE, CEREBROVASCULAR DISORDERS, RISK FACTORS, HYPERTENSION.Abstract
Introduction: cerebrovascular diseases are a global health problem and represent the third cause of death, the first cause of disability and the second cause of dementia.
Objective: to characterize clinical and epidemiologically cerebrovascular disease in patients admitted to intensive care.
Methods: observational, descriptive and cross-sectional study was conducted at Comandante Pinares General Hospital, Artemisa province, for the period of 2016-2018. A probabilistic and at simple random sample of 200 patients suffering from cerebrovascular disease was chosen. The study of the clinical histories allowed the collection of output information to the studied variables, using for its presentation methods of descriptive statistics. Medical ethics was respected.
Results: patients from 80 years and older predominated (26 %), male sex (56 %). Ischemic cerebrovascular strokes (83 %), thrombotic type (33 %) were frequent, where hypertension (93,5 %) and smoking (82 %) stated as the main risk factors, having the therapeutic window of 3-6 hours (73,5 %) as the most common, alive patients with sequelae at hospital discharged predominated (48,5 %).
Conclusions: patients older than 80 years and male, with hypertension and smoking addiction were prone to cerebrovascular stroke, where ischemic and thrombotic types were the most common, with a therapeutic window of three to six hours in the ajority of the cases. The greatest number of patients was admitted with obnubilation and they were discharged alive with sequelae.
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