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ISSN 1561-3194 (Electronic)

2016, Number 1

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Rev Ciencias Médicas 2016; 20 (1)

Influence of secondary lesions on stroke

Miranda PY, García BA, Breijo PA

Language: Spanish
References: 11
Page: 54-60
PDF size: 225.73 Kb.


ABSTRACT

Introduction: stroke is the most prevailing neurologic disease in patients admitted to Intensive Care Units, avoiding secondary lesions influencing on its evolution ensures higher survival rates.
Objective: to assess the influence of secondary lesions on the evolution of patients older than 18 years old suffering from strokes and admitted to No-3 Intensive Care Unit at "Abel Santamaria Cuadrado" University Hospital during September 2014-August 2015.
Method: a descriptive, retrospective, longitudinal cross-sectional study was conducted using the following variables: etiology, mortality, gender, skin color, risk factors, secondary lesions and hospital stay. The statistical analysis was carried out using chi-square test, odds ratio, absolute frequency and the mean value. The target group included 70 patients and the sample 38 having the pre-established inclusion criteria in the study.
Results: the incidence was low with 14.86%. Ischemic stroke prevailed and the mortality rate was higher for the hemorrhagic (76.47%), female gender and skin color constituted the predisposing factors to suffer from the cerebrovascular disease; the last one was statistically significant. Hypertension, smoking, ischemic heart disease and diabetes mellitus were reported as risk factors, whereas hypertension, hyperthermia, hypoxemia, cerebral edema and seizures accounted for secondary lesions. The 50% presented among 2-5 secondary lesions, the highest mortality rate was represented by those suffering from these lesions, and the first week of admission showed the greatest registers.
Conclusions: for an appropriate follow-up of hospitalized patients suffering from cerebro-vascular disease and in order to reduce the hospital stay and complications, secondary lesions should be avoided; which worsen the evolution and impede recovery.


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