Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario

Background: Stroke is the second specific cause of death in Chile, with a mortality rate of 48.6 per 100.000 inhabitans. It accounts for 6% of all hospitalizations among adults. Aim: To study the type of patients hospitalized at a Stroke Unit in a general hospital and the costs and benefits of such...

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Autores principales:	Díaz T,Violeta, Illanes D,Sergio, Reccius M,Andrés, Manterola V,José L, Cerda C,Paulina, Recabarren L,Carmen, González V,Rafael
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Brain infartion Cerebrovascular accident Ischemia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100007
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spelling	oai:scielo:S0034-988720060011000072014-01-24Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitarioDíaz T,VioletaIllanes D,SergioReccius M,AndrésManterola V,José LCerda C,PaulinaRecabarren L,CarmenGonzález V,Rafael Brain infartion Cerebrovascular accident Ischemia Background: Stroke is the second specific cause of death in Chile, with a mortality rate of 48.6 per 100.000 inhabitans. It accounts for 6% of all hospitalizations among adults. Aim: To study the type of patients hospitalized at a Stroke Unit in a general hospital and the costs and benefits of such unit. Material and methods: A descriptive and retrospective study using a patient registry, developed in Access® that included separate sections for ischemic and hemorrhagic stroke. Established diagnostic criteria were used. The mean costs per patient and complications were also calculated. Results: During 2003, 425 stroke patients were admitted to our hospital and 105 (age range 30-89 years, 58% female) were hospitalized at the Stroke Unit. Eighty three percent had ischemic and 16% had hemorrhagic stroke. The most common etiologies were thrombosis in 41%, embolism in 36%, lacunar in 13%, arterial dissection in 5% and transient ischemic attack in 3%. Fifty eight percent of patients had partial anterior ischemic stroke (PACI), 73% had hypertension and 29.5% diabetes. Only 18% arrived to the Stroke Unit with less of 6 hours of evolution, 7% of patients were admitted within the 3 hours after the onset of symptoms and 18%, from 3 to 6 hours. The mean lenght of stay in the Stroke Unit was 6.6 days and at the hospital 9.9 days (p <0.01). The mean costs per patient at the Stroke Unit and at the hospital were US$ 5.550 and US$ 4.815, respectively (p =ns). Conclusions: The Stroke Unit decreases hospital stay days without raising costs importantly. The inclusion criteria for stroke patients admitted to the Unit were adequate and the stroke registry allowed a good assessment of the Unit operationinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.11 20062006-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100007es10.4067/S0034-98872006001100007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Brain infartion Cerebrovascular accident Ischemia
spellingShingle	Brain infartion Cerebrovascular accident Ischemia Díaz T,Violeta Illanes D,Sergio Reccius M,Andrés Manterola V,José L Cerda C,Paulina Recabarren L,Carmen González V,Rafael Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
description	Background: Stroke is the second specific cause of death in Chile, with a mortality rate of 48.6 per 100.000 inhabitans. It accounts for 6% of all hospitalizations among adults. Aim: To study the type of patients hospitalized at a Stroke Unit in a general hospital and the costs and benefits of such unit. Material and methods: A descriptive and retrospective study using a patient registry, developed in Access® that included separate sections for ischemic and hemorrhagic stroke. Established diagnostic criteria were used. The mean costs per patient and complications were also calculated. Results: During 2003, 425 stroke patients were admitted to our hospital and 105 (age range 30-89 years, 58% female) were hospitalized at the Stroke Unit. Eighty three percent had ischemic and 16% had hemorrhagic stroke. The most common etiologies were thrombosis in 41%, embolism in 36%, lacunar in 13%, arterial dissection in 5% and transient ischemic attack in 3%. Fifty eight percent of patients had partial anterior ischemic stroke (PACI), 73% had hypertension and 29.5% diabetes. Only 18% arrived to the Stroke Unit with less of 6 hours of evolution, 7% of patients were admitted within the 3 hours after the onset of symptoms and 18%, from 3 to 6 hours. The mean lenght of stay in the Stroke Unit was 6.6 days and at the hospital 9.9 days (p <0.01). The mean costs per patient at the Stroke Unit and at the hospital were US$ 5.550 and US$ 4.815, respectively (p =ns). Conclusions: The Stroke Unit decreases hospital stay days without raising costs importantly. The inclusion criteria for stroke patients admitted to the Unit were adequate and the stroke registry allowed a good assessment of the Unit operation
author	Díaz T,Violeta Illanes D,Sergio Reccius M,Andrés Manterola V,José L Cerda C,Paulina Recabarren L,Carmen González V,Rafael
author_facet	Díaz T,Violeta Illanes D,Sergio Reccius M,Andrés Manterola V,José L Cerda C,Paulina Recabarren L,Carmen González V,Rafael
author_sort	Díaz T,Violeta
title	Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
title_short	Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
title_full	Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
title_fullStr	Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
title_full_unstemmed	Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
title_sort	evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100007
work_keys_str_mv	AT diaztvioleta evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT illanesdsergio evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT recciusmandres evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT manterolavjosel evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT cerdacpaulina evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT recabarrenlcarmen evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario AT gonzalezvrafael evaluaciondeunaunidaddetratamientodelataquecerebralenunhospitaluniversitario
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Evaluación de una unidad de tratamiento del ataque cerebral en un hospital universitario

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