Stroke epidemiology in southern Brazil: Investigating the relationship between stroke severity, hospitalization costs, and health-related quality of life

Tereza, Denise M; Baldasso, Gabriela Mantovani; Paes, Rodrigo Sebben; Sá, Antonio Reis de; Giehl, Maruí Weber Corseuil; Dutra, Rafael C.

doi:10.1590/0001-3765202220211492

Cited by 4 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies show that a significant portion of patients with stroke presented low scores on quality of life questionnaires that correlate with long-term moderate/severe disability values when assessed using scales such as BI or mRS ( 21 ). This suggests that medium- and long-term functionality can predict quality of life and social participation statuses ( 52 ).…”

Section: Discussionmentioning

confidence: 99%

Functionality and quality of life in Brazilian patients 6 months post-stroke

et al. 2023

View full text Add to dashboard Cite

BackgroundSurviving a stroke poses a social and economic impact that requires the care system to be reformulated and the patient to be addressed in a comprehensive approach.PurposeThis study aims to investigate if there is a relationship between functional activities performed before the stroke, patients' clinical and hospitalization data, and functionality and quality of life measures in the first 6 months after the stroke.MethodsThis study used a prospective cohort of 92 patients. We investigated sociodemographic and clinical data, the modified Rankin Scale (mRS), and the Frenchay Activities Index (FAI) during hospitalization. The Barthel Index (BI) and EuroQol-5D (EQ-5D) were applied at the following time points: 30 days (T1), 90 days (T2), and 180 days (T3) following postictal state. Statistical analysis was conducted using Spearman's coefficient, Friedman's non-parametric test, and multiple linear regression models.ResultsNo correlation was found between FAI, BI, and EQ-5D average scores. Severe patients, patients with comorbidities, and patients with extended hospital stays showed lower BI and EQ-5D scores □in the follow-up. BI and EQ-5D scores increased.ConclusionThis research found no relationship between activities performed before the stroke and functionalities and quality of life after the stroke, but comorbidities and extended hospital stay were associated with worse outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Functionality and quality of life in Brazilian patients 6 months post-stroke

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Por outro lado, os valores encontrados, independente da forma que foram gastos, refletem a destinação de mais recursos para o tratamento desses pacientes que é oneroso (possui previsão de aumento mundial) (5) e impacta positivamente na elevação dos índices de sobreviventes (3) . Portanto, é evidente que a redução do número de internações leva a redução de gastos diretos e indiretos (16) .…”

Section: Discussionunclassified

Análise comparativa entre taxa de mortalidade, internações e gastos hospitalares referentes ao AVC nos anos de 2011 e 2021 no Piauí e no Brasil

Costa

Peres

Oliveira

et al. 2023

J. Cienc. Saude HU-UFPI

View full text Add to dashboard Cite

INTRODUÇÃO: O acidente vascular cerebral (AVC) liderou o número de mortes em 2022 no Brasil, registrando mais de 56 mil mortes. O AVC impacta na autonomia dos acometidos gerando limitações em suas atividades cotidianas e, além disso, acarreta gastos para o sistema de saúde. OBJETIVOS: Analisar mortalidade, números de internações e gastos hospitalares totais por estado. MÉTODOS: Buscou-se avaliar pacientes a partir dos 40 anos de idade que tiveram AVC no Piauí (PI) e no Brasil (BR) nos anos de 2011 e 2021. As informações foram coletadas do Sistema de Informações Hospitalares (SIH) e do Departamento de Informática do Sistema único de Saúde (DATASUS). RESULTADOS: De 2011 para 2021 os resultados foram: Número de pacientes internados por AVC - 1.751 para 2.148 (PI) e 118.334 para 154.867 (BR); Taxa de mortalidade por AVC - 15,82% para 13,92% (PI) e 17,09% para 16,54% (BR); Gasto hospitalar total em reais no SUS por AVC - R$ 994.570,80 para R$ 1.619.294,87 (PI) e R$ 106.276.888,95 para R$ 206.089.093,30 (BR). CONCLUSÃO: Os casos de AVC no PI e no BR vem aumentando e os custos na saúde pública acabam por impactar positivamente na diminuição da mortalidade. Contudo, os casos de AVC e os custos podem ser minimizados ao se conhecer o perfil epidemiológico dos pacientes acometidos e se investir na prevenção de fatores de risco para evitar o AVC e suas repercussões.

show abstract

In-hospital stroke protocol outcomes before and after the implementation of neurological assessments by telemedicine: an observational case–control study

Massaud,

Accorsi,

Massant

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

PurposeStroke is the second leading cause of global adult mortality and the primary cause of disability. A rapid assessment by a neurologist for general and reperfusion treatments in ischemic strokes is linked to decreased mortality and disability. Telestroke assessment is a strategy that allows for neurological consultations with experienced professionals, even in remote emergency contexts. No randomized studies have compared face-to-face neurological care outcomes with telestroke care. Whether neurologists in an institution achieve better results remotely than in person is also unknown. This study aimed to compare mortality and other outcomes commonly measured in stroke protocols for stroke patients assessed by a neurologist via face-to-face evaluations and telestroke assessment.MethodsObservational single-center retrospective study from August/2009 to February/2022, enrolling 2,689 patients with ischemic stroke, subarachnoid hemorrhage, and intracerebral hemorrhage. Group 1 (G1) comprised 2,437 patients with in-person neurological assessments, and Telemedicine Group 2 (G2) included 252 patients.ResultsThe in-person group had higher admission NIHSS scores (G1, 3 (0; 36) vs. G2, 2 (0; 26), p < 0.001). The door-to-groin puncture time was lower in the in-person group than in the telestroke group (G1, 103 (42; 310) vs. G2, 151 (109; 340), p < 0.001). The telestroke group showed superior metrics for door-to-imaging time, symptomatic hemorrhagic transformation rate in ischemic stroke patients treated with intravenous thrombolysis, hospital stay duration, higher rates of intravenous thrombolysis and mechanical thrombectomy, and lower mortality. Symptomatic hemorrhagic transformation rate was smaller in the group evaluated via telestroke (G1, 5.1% vs. G2, 1.1%, p = 0.016). Intravenous thrombolysis and mechanical thrombectomy rates were significantly higher in telestroke group: (G1, 8.6% vs. G2, 18.2%, p < 0.001 and G1, 5.1% vs. G2, 10.4%, p = 0.002, respectively). Mortality was lower in the telestroke group than in the in-person group (G1, 11.1% vs. G2, 6.7%, p = 0.001). The percentage of patients with an mRS score of 0–2 at discharge was similar in both groups when adjusting for NIHSS score and age.ConclusionThe same neurological emergency team may assess stroke patients in-person or by telemedicine, with excellent outcome metrics. This study reaffirms telestroke as a safe tool in acute stroke care.

show abstract

Stroke epidemiology in southern Brazil: Investigating the relationship between stroke severity, hospitalization costs, and health-related quality of life

Cited by 4 publications

References 31 publications

Functionality and quality of life in Brazilian patients 6 months post-stroke

Functionality and quality of life in Brazilian patients 6 months post-stroke

Análise comparativa entre taxa de mortalidade, internações e gastos hospitalares referentes ao AVC nos anos de 2011 e 2021 no Piauí e no Brasil

In-hospital stroke protocol outcomes before and after the implementation of neurological assessments by telemedicine: an observational case–control study

Contact Info

Product

Resources

About