Investigação Etiológica do Acidente Vascular Cerebral no Adulto Jovem

Correia, Joanna Helena Silva Fontes; Figueiredo, Ana Sofia; Costa, Henrique; Barros, Pedro; Veloso, Laura de Sousa Gomes

doi:10.24950/rspmi/revisao/200/3/2018

Cited by 13 publications

(14 citation statements)

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“…(10) A identificação de pacientes jovens com AVC está se tornando cada vez mais comum devido a diversas características culturais e modos de vida da população que refletem em aumento dos fatores de riscos para a doença, com destaque para a hipertensão arterial, tabagismo, sedentarismo, sobrepeso e obesidade, desequilíbrio nutricional e a dislipidemia. (11) Foi evidenciado neste estudo que as mulheres com AVC chegaram mais rápido do que os homens e foram trombolizadas em número maior. As questões relacionadas ao gênero podem ser obstáculos à busca do serviço de saúde pelo homem, devido sentimentos como medo e vergonha, mas também pelo comportamento de descuido e atribuição de outras prioridades que minimizam as preocupações com a saúde.…”

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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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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“…Percentual, estratificado por categorias, do grau de dependência apresentado pelos pacientes entrevistados na admissão e alta. doenças cardíacas graves que normalmente já acompanha o indivíduo desde a primeira infância, e que não são tão frequentes na população quanto os outros fatores já citados(CORREIA, FIGUEIREDO, COSTA, BARROS, VELOSO, 2018). em hiperatividade muscular que provoca dor e incapacidade, acarretando em perda das funções musculoesqueléticas que implicam em limitações nas atividades da vida diária (AVD's), nesses casos, o tratamento é focado no aprendizado de novas habilidades, ou técnicas para a realização dessas atividades.…”

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Funcionalidade e qualidade de vida em pacientes pós acidente vascular cerebral

Vieira

Rocha²,

Benites³

et al. 2020

BJD

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Introduction: Stroke (Stroke) affects 15 million people annually, causing the death of 6.7 million. It is considered the predominant neurological disease in clinical practice, which brings neurological deficits such as total or partial paralysis of the hemibody (hemiparesis and hemiplegia), sensory, cognitive and visual impairment. In addition to impairing the performance of activities of daily living, the physical disabilities generated, decline the autonomy and independence of the individual, thus, physiotherapeutic assistance of paramount importance for rehabilitation, reversal, or minimizing the sequelae caused by stroke. Objective: to analyze the effects of functionality and quality of life on post-stroke patients. Method: this is a quantitative study, with a descriptive approach, carried out in an Integrated Continuous Care unit in the state of Mato Grosso do Sul (MS), with patients for stroke victims. Results: the research had a total of 21 participants, 21 (100%), with ages varying from 24 to 65 years old, being 62% male and 91% predominantly stroke. Based on the data, it was possible to observe that 81% of patients at the beginning of their hospitalization had some degree of dependence before any intervention of physiotherapy, or other professionals from the multiprofessional team, with 38% having a degree of severe or total dependence, only 4 patients (19%) were independent after being victims of Stroke. However, at hospital discharge 58% of the patients became completely independent, only 19%, corresponding to 4 patients, of the total surveyed, still had total or severe dependence, 81% of the patients achieved some gain in their clinical condition during hospitalization that corroborated in greater independence and autonomy. Conclusion: individuals affected by stroke have sequelae that corroborate the decline in the quality of life functionality, since the two are interconnected, results of risk factors that may be delineating a new profile of this population composed of individuals under 60 years old, predominantly male.

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“…In a review article authored by Correia et al. ( 28 ) , the cause of stroke was unidentified, even after extensive clinical evaluation, in 30% of the cases. In our study sample, 14.3% of the patients were under the age of 55 years old and it was not possible to accurately identify the ischemic etiology in those patients.…”

Section: Discussionmentioning

confidence: 99%

Importance of computed tomography angiography in acute/hyperacute ischemic stroke

Dias

Bezerra

et al. 2021

Radiol Bras

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Objective: To evaluate the importance of computed tomography and computed tomography angiography (CTA) in stroke protocols, as well as their impact on endovascular treatment and on the determination of the etiology. Materials and Methods Were evaluated 28 patients with acute/hyperacute stroke in the anterior circulation who underwent intracranial and cervical CTA between April 2018 and August 2019. The parameters evaluated were the degree of stenosis, plaque characteristics, type of infarct, treatment, etiology, and the Alberta Stroke Program Early CT Score (ASPECTS). Results: Of the 28 patients evaluated, 16 (57.1%) had an ASPECTS of 10 (the maximum score, indicative of normality). Four patients (14.3%) underwent thrombolytic treatment, and seven (25.0%) underwent mechanical thrombectomy. The etiology was atherosclerosis in 32.1% of the patients, cerebral small-vessel disease in 7.1%, cardioembolic in 7.1%, and undetermined in 53.6%. Regarding plaque, 17.9% of the patients presented stenosis ≥ 50%, 21.4% presented stable plaques, and 42.9% presented vulnerable plaques. Patients with a lower ASPECTS were more likely to have relevant stenosis and were more likely to have a total infarct. Conclusion: In the evaluation of patients with acute/hyperacute strokes, CTA provides important information, identifying occlusion, as well as helping define the etiology and inform decisions regarding treatment.

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Investigação Etiológica do Acidente Vascular Cerebral no Adulto Jovem

Cited by 13 publications

References 0 publications

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

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

Funcionalidade e qualidade de vida em pacientes pós acidente vascular cerebral

Importance of computed tomography angiography in acute/hyperacute ischemic stroke

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