Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Lange, Marcos Christiano; Cabral, Norberto Luiz; Moro, Carla Heloísa Cabral; Longo, Alexandre Luiz; Gonçalves, Anderson; Zétola, Viviane Flumignan; Rundek, Tatjana

doi:10.1590/0004-282x20150081

Cited by 16 publications

(15 citation statements)

References 24 publications

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“…The frequency of young adults observed in this study, whose age group included individuals aged between 18 to 50 years is close to those found in other Brazilian studies, ranging from 16 to 41% 6,11,18 . In studies conducted in developed countries, who consider the young adult population between 18 and 45 years old 4,19,20 the incidence ranges from 5 to 10%.…”

Section: Discussionsupporting

confidence: 90%

“…In this study the majority of patients at the time of admission showed a moderate stroke severity according to the NIHSS, which is in consonance with Rena et al 9 2014, a study conducted on a stroke unit in Italy, which evaluated 150 patients young adults. When compared the types of stroke, the greater frequency of ischemic stroke in this study corroborates to what has been described in the literature 3,4,18,19,22 , in particular, the proportion of patients diagnosed with hemorrhagic stroke were mostly of hypertensive etiology, reasoning with the findings of previous studies 3,4 . There was a statistically significant difference when comparing female and male with hypertensive etiology of hemorrhagic stroke: the most hypertensive were men, presenting higher frequency of hemorrhagic stroke.…”

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confidence: 92%

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Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Makhoul

Maso²,

Monteiro

et al. 2016

BJMHH

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A B S T R A C T BACKGROUND:Previously referred to as rare among young adults, in the last five years was found a frequency approaching 30 % of young adults between those who have suffered a stroke in Brazil. OBJECTIVE: To identify the sociodemographic, clinical and functional characteristics of young adult patients. METHODS: It was a cross-sectional study, conducted with individuals assisted in a stroke unit with ischemic or hemorrhagic stroke diagnosis and age of 18-50 years old between August 2014 to April 2015. It was used the National Institutes of Health Stroke Scale (NIHSS), and the modified Rankin Scale (mRS). RESULTS: The study population consisted of 47 individuals, in which 28 (59,6%) were female, with an average age of 39,2 (DP±8,3) years, and brown skin color 21 (44,7%). They presented 8,9 years of formal education. 28 (59,6%) patients were diagnosed with ischemic stroke, 30 (63,8%) had involvement of the anterior circulation, and 23 (48,9%) of the left hemisphere. 26 (55,3%) patients presented hypertension and 36 (76,6%) were sedentary. The stroke severity had a median of 7 ( 0-23 ) points and 30 (63,7%) of patients the functional was capacity 5 in the Rakin Scale. It was found a statistically significant difference for hypertensive etiology of hemorrhagic stroke in men ( p = 0,047) when compared with gender and the occurrence of stroke in the right hemisphere in women (p=0,032). CONCLUSION: The profile of the young adult patients from a stroke unit consists of female, of brown skin color, economically active with moderate stroke severity and severe functional disability. According to the World Health Organization, the stroke is the second leading cause of death in the world, after ischemic heart disease¹. In Brazil and other Latin America countries it is the leading cause of death². The age group most commonly affected by stroke is between 70-80 years old due to the aging of nervous and cardiovascular system³ associated with risk factors such as diabetes, hypertension, smoking, physical inactivity, dyslipidemia, heart diseases², among others. Previously referenced as a rare condition among the young adults, with an incidence of 5 to 10% 4.5 , in Brazil, In the last five years have identified a frequency which is close to 40% of young adults between those who had stroke 6 . In addition to the high mortality rate, it is considered as the most disabling of long-term diseases, impacting not only the patient but also their families 7, and the social security and public system 8 . The growing number of young adults affected by stroke has increased the cost of disability benefits, greatly burdening the public health budget and being responsible for 40% of early retirements 8 . Furthermore, the great etiology diversity for stroke in the younger population, diverging from the elderly population in relation to the most important risk factors, topography and most affected vascular territories 9 justifies the need to extend studies on this population. The studies carried out in stroke units are not specific...

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Section: Discussionsupporting

confidence: 90%

supporting

confidence: 92%

Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Makhoul

Maso²,

Monteiro

et al. 2016

BJMHH

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“…Stroke is the third main cause of death worldwide and one of the main causes of permanent disability among adults in developed countries [ 1 , 2 , 3 ]. In Brazil, the incidence of ischemic stroke varies from 105 to 137/100,000 inhabitants, and patients with stroke exhibit high prevalence rates of ischemic heart disease, hypertension, and diabetes mellitus [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge about Stroke in Belo Horizonte, Brazil: A Community-Based Study Using an Innovative Video Approach

Meira

Magalhães

Silva

et al. 2018

Cerebrovasc Dis Extra

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Background and Purpose: Stroke is a leading cause of death in Brazil. Knowledge about the clinical manifestations of stroke as well as its risk factors and its management is still poor in the country. We intended to assess the stroke knowledge of an urban population in Belo Horizonte, Brazil. Methods: Individuals assisted by a basic health unit were interviewed between February and August 2014. After demographic data collection, the participants were asked to watch a video that consisted of a person presenting stroke signals and they were asked to answer questions about the condition shown on the video. Afterwards, they answered a semi-structured questionnaire to evaluate their stroke knowledge. Results: A total of 703 people were interviewed (62.1% female, mean age 46.7 years). Recognition of a person having a stroke on the presented video was achieved by 56.1% of the subjects. Female sex (p = 0.029) and contact with someone who had had a stroke (family member [p < 0.01], neighbor [p < 0.05]) increased the odds of correctly identifying the condition showed on the video. The most commonly mentioned clinical manifestations of stroke were weakness (34.7%) and speech disturbance (31.6%). Stroke risk factors that were most named were “unbalanced diet” (42.3%) and hypertension (33.7%). Most participants (66.8%) said they would call the emergency medical services, while 17.8% would go directly to a hospital. Only 17 subjects knew thrombolytic therapy for acute stroke. Conclusion: Female sex and a family history of stroke increased the odds of recognizing the signs of stroke. Knowledge about the clinical manifestations, risk factors, and management of stroke was low in the studied population.

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“…A tomografia computadorizada (TC) é uma ferramenta utilizada para melhor definição diagnóstica na doença cerebrovascular; entretanto não está disponível no Hospital Regional de Coari, enquanto fica disponível 24 horas por dia em todos hospitais regionais de Joinville/SC, por exemplo. 20,21 Apesar da escala NIHSS não ser recomendada para pacientes crônicos, 22 alguns estudos a utilizaram e revelaram um comportamento semelhante da pontuação entre regiões. Estudos em Natal/RN observaram uma média de 5 pontos, 23,24 enquanto um estudo em Campinas/SP observou uma média de pontos de 1,61 em pacientes com AVC crônico.…”

Section: Resultsunclassified

Seguimento de pessoas acometidas por doenças cerebrovasculares em um hospital regional amazônico: uma metodologia WHO STEP Stroke

et al. 2020

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O WHO STEP Stroke foi desenvolvida para monitorar casos de doenças cerebrovasculares e possibilitar comparações de incidências. Objetivo: Descrever o perfil sociodemográfico e funcionalidade de pacientes acometidos por AVC admitidos no Hospital Regional de Coari durante um ano, e acompanha-los ao longo de um mês após admissão. Método: Estudo descritivo observacional, prospectivo e de seguimento dos casos entre outubro de 2010 e outubro de 2011. Utilizou-se a primeira etapa (Step 1) do WHO STEP Stroke para avaliar as hospitalizações por AVC em Coari-AM. Foram acompanhados 23 pacientes através de questionário padrão em até dois dias na internação, 10 e 28 dias após a internação. Resultados: A população estudada tinha média de idade de 72,8 (DP= 12,4) anos, em sua maioria homens (65,7%), pardos (65,2%) e hipertensos (95,7%), com incidência hospitalar de 30 casos em 100.000 habitantes e taxa de letalidade em 10 dias de 30,4% e 28 dias de 34,8%. O comprometimento neurológico na internação teve mediana de 28 (IIQ= 15-38) pontos, sendo 73,9% classificados como grave. Houve comprometimento funcional entre os sobreviventes. Conclusão: Estudo revelou uma predominância de homens, com idade elevada, pardos, sem estudo formal, baixa renda e com histórico de hipertensão arterial e diabetes, como perfil de internação hospitalar por doenças cerebrovasculares no município. A incidência de casos hospitalares de AVC foi em 30 (por 100.000) em Coari-AM, com graves comprometimentos neurológicos na admissão, e altas taxas de letalidade e prejuízo funcional após 28 dias do evento, quando comparadas a outras localidades no Brasil e no mundo.

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Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

Cited by 16 publications

References 24 publications

Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Clinical and Functional Characteristics of Young Adult Patients Admitted in a Stroke Unit

Knowledge about Stroke in Belo Horizonte, Brazil: A Community-Based Study Using an Innovative Video Approach

Seguimento de pessoas acometidas por doenças cerebrovasculares em um hospital regional amazônico: uma metodologia WHO STEP Stroke

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