Hospital care of cerebrovascular accident and the state of patients 12 months after
Hospital care of cerebrovascular accident and the state of patients 12 months after
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DOI：
10.33588/rn.4006.2004435
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发表时间：
2005-03-16
影响因子：
1.2
通讯作者：
Elizalde, B
中科院分区：
文献类型：
--
作者：
Arrazola, A;Beguiristain, JM;Elizalde, B
目标。脑血管意外因其死亡率和致残率的严重性而具有重要意义。在这项研究中，我们描述了患者的医院护理并在一年后对他们进行跟踪。目的是发现患者护理方面需要改进的领域。患者和方法。使用临床记录和电话访谈，对 535 名诊断为脑血管疾病的患者在急性期和 12 个月后的随机样本进行观察性研究。结果。 35% 的患者在事件发生后 6 小时内到达。 36% 在 6 小时内完成了 CAT/MNR。医院死亡率为 13.8%，12 个月时增加至 26%。出院时，49% 患有神经系统缺陷。 12 个月时，35.8% 接受采访的幸存者的巴塞尔指数低于 95 分。结论。必须实施保证对脑损伤进行快速、系统评估、早期诊断和积极治疗的组织措施。在研究样本中，只有 3% 的患者适合接受溶栓治疗。康复可以而且应该在预防后遗症方面发挥更重要的作用。
Objectives. Cerebrovascular accident should be of key importance due to its magnitude in terms of mortality and disabilty. In this study we describe hospital care of patients and follow them one year after. The aims is to uncover areas of improvement in the care of patients. Patients and methods. Observational study of a ramdomized sample of 535 patient with a diagnosis of cerebrovascular disease, during de acute phase and 12 months after using clinical records and telephone interview. Results. Thirty five percent of patients arrived within 6 hours of the occurrence of the event. Thirty six percent had a CAT/MNR withim 6 hours. Mortality at hospital whas 13,8% increasing up to 26% at 12 months. At discharge 49% had a neurological deficiency. At 12 months 35,8% of the survivors interviewed showed a Barthel Index of less than 95 points. Conclusions. Organizational mesures that guarantee a quick and systematic assessment of brain lesions, early diagnosis and active therapeutic offer, have to be implemented. In the sample studied, only 3% of the patient were candidates to thrombolytic therapy. Rehabilitation can and should play a more relevant role in the prevention of sequelae.