Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997
Background: In Chile, cerebrovascular diseases are the fifth cause of death among men and the third cause among women. Aim: To assess the clinical features and management of patients with cerebrovascular disease admitted to a public hospital during 1997. Patients and methods: A retrospective analysi...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Lenguaje: | Spanish / Castilian |
| Publicado: |
Sociedad Médica de Santiago
2000
|
| Materias: | |
| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100007 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:scielo:S0034-98872000001100007 |
|---|---|
| record_format |
dspace |
| spelling |
oai:scielo:S0034-988720000011000072001-01-29Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997Nogales-Gaete,JorgeNúñez A,LuisArriagada R,CamiloSáez M,DavidFigueroa R,TatianaFernández C,RamiroGonzález V,JorgeAragón A,AndrésBarrientos U,NelsonVaras F,PatricioTroncoso S,BraulioCárcamo R,ClaudiaChávez G,MiguelGumucio D,MacarenaHolmgrenn D,PabloBeltrán A,GuisellaSan Martín,ElizabethManríquez C,ElianaFigueroa G,Claudia Cerebrovascular circulation Cerebrovascular disorders Hypertension Mortality Background: In Chile, cerebrovascular diseases are the fifth cause of death among men and the third cause among women. Aim: To assess the clinical features and management of patients with cerebrovascular disease admitted to a public hospital during 1997. Patients and methods: A retrospective analysis of clinical records of patients discharged with a diagnosis of cerebrovascular disease. Those records in which there was discordance between the discharge diagnosis and the clinical picture were not considered in the analysis. Results: Of the 563 discharges from the hospital with the diagnosis of cerebrovascular disease, 487 records were located and 450 were considered in the analysis. Fifty four percent of patients were male and ages ranged from 17 to 96 years old. Fifty one percent of patients had an ischemic stroke, 34% a cerebral hemorrhage, 12% a subaracnoidal hemorrhage and 3% a transient ischemic attack. There was a history of hypertension in 64% patients and 20% had an adequate treatment. Eighteen percent were diabetics, 34% had a heart disease and 20% had a previous episode of stroke. Mean hospital stay was 6.3 days in the emergency room and 11 days in the neurology ward. Hospital infections appeared in 21% of patients (respiratory in 68% and urinary in 22%), lethality was 30.5% and a CAT scan was done in 94%. At the moment of admission, 10% of patients had an evolution of less than 2 hours, 27% had an evolution between 2 and 6 hours and nine cases were potential eligible for thrombolysis. Conclusion: This is a picture of the local features of patients with cerebrovascular diseases that can be used as a reference for future studies. (Rev Méd Chile 2000; 128: 1227-36)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.11 20002000-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100007es10.4067/S0034-98872000001100007 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Cerebrovascular circulation Cerebrovascular disorders Hypertension Mortality |
| spellingShingle |
Cerebrovascular circulation Cerebrovascular disorders Hypertension Mortality Nogales-Gaete,Jorge Núñez A,Luis Arriagada R,Camilo Sáez M,David Figueroa R,Tatiana Fernández C,Ramiro González V,Jorge Aragón A,Andrés Barrientos U,Nelson Varas F,Patricio Troncoso S,Braulio Cárcamo R,Claudia Chávez G,Miguel Gumucio D,Macarena Holmgrenn D,Pablo Beltrán A,Guisella San Martín,Elizabeth Manríquez C,Eliana Figueroa G,Claudia Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| description |
Background: In Chile, cerebrovascular diseases are the fifth cause of death among men and the third cause among women. Aim: To assess the clinical features and management of patients with cerebrovascular disease admitted to a public hospital during 1997. Patients and methods: A retrospective analysis of clinical records of patients discharged with a diagnosis of cerebrovascular disease. Those records in which there was discordance between the discharge diagnosis and the clinical picture were not considered in the analysis. Results: Of the 563 discharges from the hospital with the diagnosis of cerebrovascular disease, 487 records were located and 450 were considered in the analysis. Fifty four percent of patients were male and ages ranged from 17 to 96 years old. Fifty one percent of patients had an ischemic stroke, 34% a cerebral hemorrhage, 12% a subaracnoidal hemorrhage and 3% a transient ischemic attack. There was a history of hypertension in 64% patients and 20% had an adequate treatment. Eighteen percent were diabetics, 34% had a heart disease and 20% had a previous episode of stroke. Mean hospital stay was 6.3 days in the emergency room and 11 days in the neurology ward. Hospital infections appeared in 21% of patients (respiratory in 68% and urinary in 22%), lethality was 30.5% and a CAT scan was done in 94%. At the moment of admission, 10% of patients had an evolution of less than 2 hours, 27% had an evolution between 2 and 6 hours and nine cases were potential eligible for thrombolysis. Conclusion: This is a picture of the local features of patients with cerebrovascular diseases that can be used as a reference for future studies. (Rev Méd Chile 2000; 128: 1227-36) |
| author |
Nogales-Gaete,Jorge Núñez A,Luis Arriagada R,Camilo Sáez M,David Figueroa R,Tatiana Fernández C,Ramiro González V,Jorge Aragón A,Andrés Barrientos U,Nelson Varas F,Patricio Troncoso S,Braulio Cárcamo R,Claudia Chávez G,Miguel Gumucio D,Macarena Holmgrenn D,Pablo Beltrán A,Guisella San Martín,Elizabeth Manríquez C,Eliana Figueroa G,Claudia |
| author_facet |
Nogales-Gaete,Jorge Núñez A,Luis Arriagada R,Camilo Sáez M,David Figueroa R,Tatiana Fernández C,Ramiro González V,Jorge Aragón A,Andrés Barrientos U,Nelson Varas F,Patricio Troncoso S,Braulio Cárcamo R,Claudia Chávez G,Miguel Gumucio D,Macarena Holmgrenn D,Pablo Beltrán A,Guisella San Martín,Elizabeth Manríquez C,Eliana Figueroa G,Claudia |
| author_sort |
Nogales-Gaete,Jorge |
| title |
Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| title_short |
Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| title_full |
Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| title_fullStr |
Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| title_full_unstemmed |
Caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| title_sort |
caracterización clínica de 450 pacientes con enfermedad cerebrovascular ingresados a un hospital público durante 1997 |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2000 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100007 |
| work_keys_str_mv |
AT nogalesgaetejorge caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT nunezaluis caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT arriagadarcamilo caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT saezmdavid caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT figueroartatiana caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT fernandezcramiro caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT gonzalezvjorge caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT aragonaandres caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT barrientosunelson caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT varasfpatricio caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT troncososbraulio caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT carcamorclaudia caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT chavezgmiguel caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT gumuciodmacarena caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT holmgrenndpablo caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT beltranaguisella caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT sanmartinelizabeth caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT manriquezceliana caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 AT figueroagclaudia caracterizacionclinicade450pacientesconenfermedadcerebrovascularingresadosaunhospitalpublicodurante1997 |
| _version_ |
1718435944180219904 |