Elderly Mortality from Cerebrovascular Disease in Alagoas, 2000-2016: Spatial-Temporal Analysis

Silva, Luiz Carlos Francelino; Cunha, Euclides José Oliveira da; Souza, Carlos Dornels Freire de; Duarte, Alysson Wagner Fernandes

doi:10.36660/ijcs.2019-0208

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…In Alagoas, the mortality rate has shown an increasing trend over recent decades 23 . Deaths caused by cerebrovascular diseases are concentrated in the eastern region of the state, probably caused by greater centralization of specialized healthcare services in the state capital, Maceió 24 . In 2018, only one stroke unit was available in the state, and this was located in the capital.…”

Section: Discussionmentioning

confidence: 99%

Stroke in the state of Alagoas, Brazil: a descriptive analysis of a northeastern scenario

Rocha

Silva

Chagas

et al. 2022

Arq. Neuro-Psiquiatr.

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Background There is little information available on stroke epidemiology in the northeast of Brazil. Objective Our objective was to investigate the prevalence of the stroke subtypes, prevalence of cerebrovascular risk factors and patterns of management in a public neurovascular outpatient referral service, in Alagoas. Methods Data were prospectively collected from consecutive patients with stroke who were treated in a specialized neurovascular clinic between November 2016 and June 2018. Recurrence was evaluated by telephone 12 months after patients had been included in the study. Results We evaluated 190 patients (mean age, 60.22 ( 13.29 years; 60.5% males). Ischemic stroke was the most frequent subtype (85.2%). Sedentary lifestyle was the most common risk factor (71.6%), followed by hypertension (62.6%) and stroke family history (41.1%). Only 21.5% of the patients were transported by ambulance to the hospital, and 42.6% received medical support in hospital units or emergency units with no imaging support. The median NIHSS was 2.5 (IQR, 1-5) and mRS was 2 (IQR, 1-3). We found a high rate of undetermined stroke (35.8%), and few patients completed the etiological investigation. One year after inclusion in the study, 12 patients (6.3%) had died and 14 (7.3%) had had another stroke. Conclusions The prevalence of cerebrovascular risk factors and clinical presentation were similar to what had been seen in previous series. A notable number of patients received medical support in institutions with no imaging equipment. The high number of cases of undetermined stroke etiology shows the difficulty in accessing healthcare services in Alagoas.

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Section: Discussionmentioning

confidence: 99%