Outcome Determinants of Stroke in a Brazilian Primary Stroke Center

Background. Stroke mortality in Brazil is one of the highest among Western countries. Nonetheless, stroke outcome determinants are still poorly known in this country. In this study we evaluate outcome determinants of stroke in a primary stroke center in São Paulo, Brazil. Methods. We evaluated demog...

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Bibliographic Details
Published in:Stroke Research and Treatment 2014-01, Vol.2014 (2014), p.14-19
Main Authors: Domingues, Renan B., Arruda, Márcio A. C., Pacheco, Evelyn P., Brasil, Israel P., Dutra, Lívia A., Kuster, Gustavo W., Volcov, Cristiane
Format: Article
Language:English
Subjects:
Care and treatment
Confidence intervals
Diabetes
Heart attacks
Hypertension
Industrialized nations
Mortality
Patient outcomes
Population
Statistical analysis
Stroke
Stroke (Disease)
Studies
Thrombosis
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Summary:Background. Stroke mortality in Brazil is one of the highest among Western countries. Nonetheless, stroke outcome determinants are still poorly known in this country. In this study we evaluate outcome determinants of stroke in a primary stroke center in São Paulo, Brazil. Methods. We evaluated demographic, clinical, and outcome data of patients with ischemic stroke (IS), transient ischemic attack (TIA), and intracerebral hemorrhage (ICH) admitted at “Hospital Paulistano,” São Paulo, Brazil. In-hospital mortality and functional outcome determinants were assessed. Univariate and binary logistic regression analysis were performed. Results. Three hundred forty-one patients were included in the study, 52.2% being male with 66.8 ± 15.7 years. The stroke type distribution was IS: 59.2%, TIA: 29.6%, and ICH: 11.1%. ICH was associated with greater severity and poorer functional outcome. The determinants of poorer functional outcome were higher NIHSS, lower Glasgow score, and lower oxygen saturation level. The most important mortality determinant was the presence of visual symptoms. Conclusions. The stroke mortality and stroke outcome determinants found in the present study do not remarkably differ from studies carried out in developed countries. Stroke prognosis studies are crucial to better understand the high burden of stroke in Brazil.
ISSN:2090-8105
2042-0056
2042-0056
DOI:10.1155/2014/194768