Caracterización de los pacientes con ataque cerebrovascular isquémico agudo en la fundación cardioinfantil

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Beltran Echeverry, Marlyn Gizeth; Concha Patiño, Marcela; Especialista en Neurología
Facultad de Medicina
Stroke; Thrombolytic Therapy; Mechanical thrombolysis; 616.13; Trastornos cerebrovasculares; Lesiones cerebrales; Terapia Trombolítica; Trombolisis Mecánica
thesis / dissertation description
Introduction: Currently treatment is available to prevent ischemic injury in patients with acute stroke. However, its use is limited to those who attend during the first 6 hours. The aim of this study is to describe the clinical behavior of patients with acute stroke in the Fundación Cardioinfantil. Materials and methods: observational, retrospective study, case series, of patients older than 18 years with acute stroke who attended the Fundación Cardioinfantil; between June 2016 and July 2017; demographic, clinical characteristics and timeliness of care were evaluated. The outcome and complications were evaluated in the patients who received treatment. Results: 84 patients consulted for acute stroke and 53.6% were women, with an average age of 71.5 years. The average window time was 233 minutes (SD = 259.4); the average hospitalization time was 11.1 days (SD = 11.8); with RANKIN at discharge ≥3 in 39 patients (46.4%). 41 (48.8%) patients entered the window for reperfusion therapy and 17 (41.5%) received treatment. The decrease in the NIHSS scale at 24 hours in the treated patients was ≥ 4 in 13 patients (76.47%) and the mortality related to CVA was presented in 11.76% (n = 2) of the treated population. Discussion: the percentage of patients with acute ischemic stroke who received treatment was low; the main reason is the admission outside the therapeutic window. Timely intervention evidenced a significant decrease in the NIHSS scale in the majority of patients, with considerable improvement in the RANKIN at discharge.