Análise das barreiras à utilização de trombolíticos em casos de acidente vascular cerebral isquêmico em um hospital privado do Rio de Janeiro, Brasil

Fonseca, Luiz Henrique de Oliveira; Rosa, Maria Luiza Garcia; Silva, Arthur Carvalho; Maciel, Renan Marchesi; Volschan, André; Mesquita, Evandro Tinoco

doi:10.1590/0102-311x00131412

Cited by 8 publications

(6 citation statements)

References 41 publications

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“…This study showed that IS mostly affected elderly people, without a partner, black or brown, with a monthly family income of less than three minimum wages, and affected males and females in identical proportions, data that are similar to other Brazilian ( 13 , 14 ) and international ( 6 , 15 ) studies.…”

Section: Discussionsupporting

confidence: 88%

Factors associated with decision time to seek care in the face of ischemic stroke

Muniz,

Moraes,

Sales

et al. 2023

Rev. esc. enferm. USP

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Objective: To verify the association between sociodemographic, clinical, environmental, cognitive, and emotional factors and the decision time of people with ischemic stroke to seek a health service after the onset of symptoms or wake up stroke. Method: Cross-sectional study carried out from March to October 2019, with 304 patients, in a public hospital, a reference in neurology. Data obtained through interview and from medical records. Decision time was analyzed as a geometric mean. In the bivariate and multivariate analyses, linear regression was used and the Akaike Information Criterion was used to select the best model. Statistical significance of 5% was adopted. Results: The geometric mean of decision time was 0.30h (95% CI 0.23–0.39). The final model explained this time in 41%, showing an increase of 0.5 min for people with arterial hypertension; 10.8 min for those who waited for symptoms to improve; 1.4 min for those who were alone at the onset of symptoms; 3.9 min for those at home; 3.2 min for the ones at work; and 2.1 for those on the street/public space. Conclusion: The mean decision time for seeking a health service was high and influenced by clinical, environmental, cognitive, and emotional variables. The results guide nurses regarding health education.

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Section: Discussionsupporting

confidence: 88%

Factors associated with decision time to seek care in the face of ischemic stroke

Muniz,

Moraes,

Sales

et al. 2023

Rev. esc. enferm. USP

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“…A deficiência de conhecimento sobre os sintomas e necessidade de atendimento precoce no AVC e outras dificuldades como transportes e busca de serviço médico anterior retardam o atendimento adequado ao paciente. (19) As recomendações atuais apontam para a organização de sistemas integrados de atenção ao AVC incluindo o acionamento dos serviços de saúde pré-hospitalares. Isso envolve a necessidade de outros serviços terciários contra referenciarem pacientes em janela terapêutica para centros especializados em AVC em tempo oportuno.…”

Section: Discussionunclassified

Retardo na chegada da pessoa com acidente vascular cerebral a um serviço hospitalar de referência

Brandão¹,

Ferraz²,

Sampaio³

2020

Nursing (São Paulo)

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Objetivos: Analisar fatores que retardam o atendimento dos pacientes na fase aguda do Acidente Vascular Cerebral em um hospital público de referência. Métodos: Estudo de corte transversal, realizado na cidade de Salvador/Bahia com 50 pacientes através de dados em prontuários e por entrevista semiestruturada. Os dados foram analisados através do programa SPSS versão 21, utilizado o Qui-quadrado para as variáveis do tempo, com nível de significância de 5%. Resultados: Evidenciou-se média de idade de 61,2 ± 13 anos, predominando o sexo masculino. A maioria dos pacientes não realizou trombólise devido a fatores de atraso como: utilização de carro próprio, não ter um familiar presente na hora do evento, chegada ao hospital fora da janela terapêutica e procura por outros serviços anteriormente. Conclusão: Diversos fatores retardam o atendimento ao paciente com Acidente Vascular Cerebral. Desta maneira, observa-se a necessidade de melhorias no atendimento associada à difusão de informações à população.

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“…The number needed to treat in these studies ranged from 3 to 5 ( Figure). Despite several published studies having shown that much of the population cannot identify the symptoms of stroke, resulting in a delay reaching the hospital 4,5,6,7,8 , we aimed to quantify the current knowledge of physicians regarding the 'state-of-the-art' treatment for acute stroke.…”

Section: Introductionmentioning

confidence: 99%

Physicians are not well informed about the new guidelines for the treatment of acute stroke

Gatto

Koppe

Demartini

et al. 2017

Arq. Neuro-Psiquiatr.

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ARTICLE Physicians are not well informed about the new guidelines for the treatment of acute stroke ABSTRACTTreatment of cerebrovascular disease has advanced rapidly in the last two decades. Recent data has added challenges to the treatment of ischemic stroke in the acute phase. Objective: To evaluate the knowledge of physicians about the treatment of ischemic stroke in the acute phase. Methods: An online questionnaire was submitted to all physicians enrolled in the Regional Council of Medicine in Brazil. Results: 456 physicians from different specialties answered the questions. Most of them did not know that mechanical endovascular thrombectomy is often considered as the gold standard treatment in cases of ischemic stroke in the acute phase; and 85% of them did not realize that thrombectomy together with intravenous thrombolysis was possible. The maximum time to act in an acute event also presented many divergences, even with regard to the infusion of rtPA. The lack of structure, medication and absence of a neurologist were considered the main barriers to treatment. Conclusion: Physicians are not well informed about the new guidelines for the treatment of acute stroke. Most physicians incorrectly answered most of the questions on the questionnaire.

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Análise das barreiras à utilização de trombolíticos em casos de acidente vascular cerebral isquêmico em um hospital privado do Rio de Janeiro, Brasil

Cited by 8 publications

References 41 publications

Factors associated with decision time to seek care in the face of ischemic stroke

Factors associated with decision time to seek care in the face of ischemic stroke

Retardo na chegada da pessoa com acidente vascular cerebral a um serviço hospitalar de referência

Physicians are not well informed about the new guidelines for the treatment of acute stroke

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