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ISSN 1561-3194 (Electronic)

2015, Number 6

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Rev Ciencias Médicas 2015; 19 (6)

Ischemic stroke in 50 years and older hospitalized patients

Díaz AH, Sparis TM, Carbó RHL, Díaz OB

Language: Spanish
References: 15
Page: 1063-1074
PDF size: 1507.02 Kb.


ABSTRACT

Introduction: cerebrovascular disease is one of the major causes of morbidity and mortality worldwide. There are geographical differences in its incidence, prevalence and mortality rates, which have been attributed to the variability in risk factors.
Objective: to characterize acute ischemic stroke in patients 50 years and older admitted to the stroke unit clinically.
Material and Methods: a longitudinal, ambispective, descriptive study was conducted at "Dr. Leon Cuervo Rubio" Provincial Teaching Surgical Hospital in Pinar del Río during June 2012 to May 2013 to carry out a clinical characterization of the ischemic stroke, the variables recorded were: age, sex, race, risk factors, educational level and most frequent complications; as well as endothelial variability indicators and degree of neurological impairment. The statistical methods of χ2, comparison test, percentage method and calculation of the mean were applied. The universe consisted of a total of 408 patients hospitalized in the Stroke Care Unit taking the period under study, using a sample of 133 patients with events of clinical stroke.
Result: it shows that the most common risk factors in ischemic stroke are hypertension and diabetes mellitus, tracheobronchitis was the most common complication. Endothelial indicators were positive in more than 50% and neurological disorders in most of them, which is classified as not serious, being partial anterior circulation infarction the most common injury.
Conclusions: the most representative sample corresponded to male sex and black race, hypertension was the risk factor having the highest incidence, and as complications the respiratory causes.


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