Qualidade de Vida e Grau de Independência Funcional em Pacientes com Acidente Vascular Cerebral

Neves, Michelle Morton Figueiredo; Guimarães, Laiz Helena de Castro Toledo

doi:10.34024/rnc.2016.v24.9940

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Furthermore, the occurrence of stroke increases significantly with advancing age. After reaching the age of 55, the risk of suffering a stroke doubles with each subsequent decade 41 .…”

Section: Discussionmentioning

confidence: 99%

Mortality from cerebral stroke in the State of Pernambuco, Brazil: an ecological study

Netto Djaló,

Florencio de Souza,

Maud

et al. 2024

jhgd

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Introduction: cerebrovascular accident (CVA) is the second leading cause of death globally, characterized by cerebrovascular events due to dysfunctions in the cerebral blood supply. It can be ischemic or hemorrhagic and has high morbidity and mortality rates. In Brazil, it is the main cause of death, disabling many over 50 years of age and leading to around 40% of early retirements. Despite advances in initial treatment, mortality rates remain high, indicating flaws in prevention and treatment strategies. Therefore, the World Health Organization (WHO) emphasizes the need for immediate implementation of preventive and treatment measures for this condition. Objective: to evaluate the trend in the mortality coefficient and proportional mortality from stroke in the population of Pernambuco, from 2000 to 2021. Methods: This is an ecological time series study with data from the population of the state of Pernambuco, located in northeast region of Brazil, from 2000 to 2021. The eligibility criteria were deaths with a stroke occurring in the state of Pernambuco. Information on mortality, population estimates and number of deaths by sex and age group were extracted from the database of the Department of Informatics of the Unified Health System (DATASUS). For statistical analysis, it was calculated the mortality coefficient, proportional mortality, mean, standard deviation, skewness and kurtosis. The temporal trend of stroke was assessed by jointpoint regression. Results: Between 2000 and 2021, there were 39,410 deaths from stroke. Around 49.0% were male and 51.0% female. The female sex had an average of 913.45 in the number of deaths, being quantitatively higher than the average identified for the male sex of 877.04 deaths. The years with the highest number of deaths were 2006, 2007 and 2008, while 2018 had the lowest number. There was a progressive increase in the number of deaths from stroke from 2018 to 2021. There was a decline in the average annual percentage variation in the mortality rate for stroke in all groups studied, in addition to a drop in the average annual percentage of proportional mortality for stroke in the entire population. Throughout the period, there was a decline in the average annual percentage of proportional mortality from stroke in the entire population studied. Conclusion: In the period from 2000 to 2021 there was a greater number of deaths due to stroke in women in contrast to men in the population of Pernambuco, Brazil. Furthermore, there was a downward trend in stroke rates in both the mortality rate and proportional mortality. In the period from 2018 to 2021 there was a progressive increase in the mortality rate and proportional mortality from stroke.

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“…Furthermore, the occurrence of stroke increases significantly with advancing age. After reaching the age of 55, the risk of suffering a stroke doubles with each subsequent decade 41 .…”

Section: Discussionmentioning

confidence: 99%

Mortality from cerebral stroke in the State of Pernambuco, Brazil: an ecological study

Netto Djaló,

Florencio de Souza,

Maud

et al. 2024

jhgd

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“…(30) Um estudo com pacientes após AVC, apontou que todos os voluntários realizavam fisioterapia duas vezes na semana, sendo visíveis os ganhos funcionas nas atividades diárias. (31) Entretanto, outro estudo apon-tou que 44% dos pacientes com AVCi não faziam fisioterapia por falta de informação. (32) Portanto, as vítimas desse evento cerebrovascular devem ser orientadas e receber suporte de serviços oferecidos pelo SUS.…”

Section: Discussionunclassified

Fatores associados a incapacidade funcional após acidente vascular cerebral isquêmico

Sales,

Moraes,

Muniz

et al. 2023

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Avaliar o nível de incapacidade funcional e identificar os fatores associados em pessoas após Acidente Vascular Cerebral Isquêmico.Métodos: Coorte prospectiva, realizada em hospital de referência em neurologia, com 224 pessoas com acidente vascular cerebral isquêmico. A coleta de dados ocorreu entre março a outubro de 2019. Os participantes foram acompanhados durante a internação, quando as variáveis sociodemográficas e clínicas foram levantadas empregando-se instrumentos específicos e contatados após 90 dias, por ligação telefônica, para aplicação do Índice de Barthel modificado. Na análise, aplicou-se estatística descritiva e o teste Quiquadrado de Pearson. Adotou-se significância estatística de 5%.Resultados: A maioria apresentou algum grau de incapacidade funcional (58,5%), sendo que 29,5% apresentaram dependência moderada e 29,0% severa ou grave. As variáveis sexo feminino (p=0,011), tempo de chegada ao hospital de referência maior ou igual a 4,5h (p=0,017), Acidente vascular cerebral prévio (p=0,031), não ter realizado trombólise (p=0,023), ter hipertensão arterial (p=0,032) e maior gravidade estimada pela National Institute of Health Stroke Scale (p=0,000) foram associadas a maior nível de incapacidade.Conclusão: Predominou a dependência de moderada a grave. A gravidade do evento, evento prévio, hipertensão, não submissão à trombólise, retardo à chegada ao hospital e sexo feminino foram associados a maior nível de incapacidade funcional.

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Section: Discussionunclassified

Factors associated with functional disability after ischemic stroke

Sales,

Moraes,

Muniz

et al. 2023

Acta Paul Enferm

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Objective To assess the functional disability level and identify associated factors in people after Ischemic Cerebral Vascular Accident. Methods A prospective cohort, carried out in a reference hospital in neurology with 224 people with ischemic stroke. Data collection took place between March and October 2019. Participants were followed up during hospitalization, when sociodemographic and clinical variables were collected using specific instruments and contacted after 90 days, by telephone call, to apply the Modified Barthel Index. In the analysis, descriptive statistics and Pearson’s chi-square test were applied. Statistical significance of 5% was adopted. Results Most had some degree of functional disability (58.5%), with 29.5% having moderate dependence and 29.0% having severe dependence. The variables being female (p=0.011), time of arrival at the reference hospital greater than or equal to 4.5 hours (p=0.017), previous stroke (p=0.031), not having undergone thrombolysis (p=0.023), having high blood pressure (p=0.032) and greater severity estimated by the National Institute of Health Stroke Scale (p=0.000) were associated with a higher disability level. Conclusion Moderate to severe dependence predominated. The severity of the event, previous event, hypertension, non-submission to thrombolysis, delay in arriving at the hospital and female gender were associated with a higher functional disability level.

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Qualidade de Vida e Grau de Independência Funcional em Pacientes com Acidente Vascular Cerebral

Cited by 4 publications

References 6 publications

Mortality from cerebral stroke in the State of Pernambuco, Brazil: an ecological study

Mortality from cerebral stroke in the State of Pernambuco, Brazil: an ecological study

Fatores associados a incapacidade funcional após acidente vascular cerebral isquêmico

Factors associated with functional disability after ischemic stroke

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