Patterns of Care and Temporal Trends in Ischemic Stroke Management: A Brazilian Perspective

Alves, Monique Bueno; Silva, Gisele Sampaio; Miranda, Renata C; Massaud, Rodrigo Meirelles; Vaccari, A; Cendoroglo-Neto, Miguel; Diccini, Solange

doi:10.1016/j.jstrokecerebrovasdis.2017.05.008

Cited by 7 publications

(11 citation statements)

References 24 publications

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“…• Dados do sistema de telessaúde de Minas Gerais, que incluiu 1.558.421 indivíduos (idade média, 51±18 anos; 40,2% homens) com ECG realizado entre 2010 e 2017 revelaram, em modelos multivariados ajustados para idade e sexo, os seguintes fatores de risco e comorbidades autorrelatados relacionados à presença de FA: doença de Chagas (OR 3,08;IC 95%,2,25), infarto do miocárdio prévio (OR 1,74;IC 95%,1,93), doença pulmonar obstrutiva crônica (OR 1,48;IC 95%,1,66), hipertensão (OR 1,31;IC 95%,1,34) e dislipidemia (OR 1,09; IC 95%, 1,16). Tabagismo atual e diabetes não se associaram a FA prevalente.…”

Section: Fibrilação Atrialunclassified

Estatística Cardiovascular – Brasil 2021

Oliveira¹,

Brant²,

Polanczyk³

et al. 2022

Arquivos Brasileiros De Cardiologia

131

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Section: Fibrilação Atrialunclassified

Estatística Cardiovascular – Brasil 2021

Oliveira¹,

Brant²,

Polanczyk³

et al. 2022

Arquivos Brasileiros De Cardiologia

131

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“…A medida geral de cuidado ideal não melhorou e foi influenciada por: receber alta em ano de visita da JCI, ter dislipidemia e ter recebido tratamento trombolítico. 98 • Outro estudo avaliou indicadores-chave de desempenho do Ministério da Saúde para AVC nas unidades para AVC de dois centros, incluindo a porcentagem de pacientes admitidos nessas unidades, profilaxia de tromboembolismo venoso nas primeiras 48 horas de internação, pneumonia e mortalidade hospitalar por AVC e alta hospitalar em uso de antitrombóticos para pacientes sem mecanismo cardioembólico. A análise revelou que os dois centros internaram mais de 80% dos pacientes em suas unidades para AVC.…”

Section: Dados Derivados Do Estudo Global Burden Of Disease 2017 (Gbd 2017) 66unclassified

Estatística Cardiovascular – Brasil 2020

Oliveira

Brant

Polanczyk

et al. 2020

Arquivos Brasileiros De Cardiologia

191

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“…5 Such costs have a high impact in the overall health care costs in the country, especially considering that only 18% of the Brazilian population has access to a private health insurance. 6…”

Section: Epidemiologymentioning

confidence: 99%

“…10 The number of stroke centers increased from 35 (with only 5 stroke-units established in 2008) to 149 (58% with Stroke units) in 2017. 6, 11 Stroke mortality in public stroke centers decreased from 17.9% in 2010 to 12.8% in 2014.1 EMS stroke management protocols were developed and implemented (Figure 1). Smartphone applications (app) helpful in the identification of stroke and signs were developed.…”

Section: Acute Stroke Carementioning

confidence: 99%

Stroke Care Services in Brazil

Silva

Rocha

Pontes-Neto

et al. 2018

Journal of Stroke Medicine

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The burden of stroke in Brazil, as in other developing countries, has considerably increased over the past years. With incidence rates ranging from 105 to 137 cases per 100 000 persons per year and mortality reaching 24%, stroke is a major public health issue in this continental country. Although most strokes in Brazil can be attributed to classic treatable cardiovascular risk factors, infectious diseases such as Chagas disease, arboviruses hemorrhagic fevers, neurocysticercosis, and malaria are also important risk factors. Socioeconomic disparities and population unawareness about stroke symptoms are great challenges in Brazil. There was an improvement in stroke awareness after the Brazilian Stroke Society and the World Stroke Organization launched several campaigns throughout the country. Another important step was taken in 2012, when the Brazilian Ministry of Health published the Brazilian National Stroke Act, including reimbursement for rtPA, creation of stroke centers qualified according to the hospital complexity, integration of the Brazilian Emergency Medical System, establishment of a budget for the rehabilitation system, and education and training of healthcare professionals and of the population. Since these measures, the number of stroke centers increased from 35 in 2008 to 149 in 2017 and stroke mortality in public stroke centers decreased from 17.9% in 2010 to 12.8% in 2014. Although much has improved, Brazil still has major social inequalities and further measures are needed to guarantee a high-quality stroke care.

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Patterns of Care and Temporal Trends in Ischemic Stroke Management: A Brazilian Perspective

Cited by 7 publications

References 24 publications

Estatística Cardiovascular – Brasil 2021

Estatística Cardiovascular – Brasil 2021

Estatística Cardiovascular – Brasil 2020

Stroke Care Services in Brazil

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