Estudio de la epidemiología neurológica en Colombia a partir de información administrativa (ESENCIA). Resultados preliminares 2015-2017

Monsalve, Gabriel David Pinilla; Aguilar, Jean Paul Vergara; Noguera, Belen Machado; Baquero, Julián Gutiérrez; Vargas, Zaida Cabezas; Hernández, Juliana Bejarano

doi:10.18273/saluduis.53.e:21

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…The prevalence was higher in patients affiliated to the contributory insurance regime (financed by employee-employer contributions) (62.11%, OR 1.488, 95% CI 1.454-1.523, p < 0.001). The highest stroke prevalence was registered in the regions of Bogotá (438, 431-444), Cundinamarca (407, 396-419), and Chocó (312, 277-350) ( 2 ). According to the Global Burden of Disease, ischemic stroke in Colombia caused 8,295 deaths (6,266-10,477) and an absolute number of 137,162 * DALYs (11,328-166,980) in 2019 ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Disparities Influencing Functional Outcomes Between Rural and Urban Patients With Acute Stroke

et al. 2022

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IntroductionThere is scarce information in Latin America about factors related to stroke patient outcomes in rural areas compared to urban ones.ObjectiveTo evaluate functional outcomes of stroke code patients from rural and urban areas and their relationship with socioeconomic disparity.MethodsProspective cohort study included patients of urban, semi-urban, and rural origin with stroke code from a high complexity hospital in southwestern Colombia between 2018 and 2019. Demographic, clinical data modified Rankin at discharge, and 3-month follow-up were analyzed. The poverty index, barriers to health access and availability of ambulances by the municipality was assessed at an ecological level.ResultsFive hundred and fifty five stroke patients were registered, 21.2% from rural areas, 432 (77.98%) had an ischemic stroke. There were no significant differences in sociodemographic factors and medical background. Urban patients had lower reperfusion therapies rates (23.25%). Favorable mRS at discharge (<3) was higher in urban areas (63.03%) and mortality was superior in rural patients (13.56%). The ambulance rate in semi-urban and rural areas was as low as 0.03 per 100.000 inhabitants, the poverty index was 11.9% in urban areas vs. 23.3% in semi urban and rural areas.ConclusionsRural patients treated in our center were more likely to present with severe strokes and unfavorable mRS at hospital discharge and 3-month follow-up compared to urban, despite having similar risk factors. There is an inverse relationship, which is not related to the poverty rate or the percentage of people with barriers to access to health. There is a need for further studies that assess barriers inherent in rural patients and establish a regional stroke network.

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Section: Introductionmentioning

confidence: 99%

Disparities Influencing Functional Outcomes Between Rural and Urban Patients With Acute Stroke

et al. 2022

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Comparison between telestroke versus face-to-face thrombolysis models in stroke management in Colombia

Alexandra

Luis

Carlos

et al. 2023

Neurology Perspectives

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Rehabilitación basada en ejercicio físico en pacientes con esclerosis lateral amiotrófica

Gaitán Caicedo,

Chaustre Ruiz

2024

Rev. Colomb. Med. Fis. Rehabil.

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Introducción. La esclerosis lateral amiotrófica (ELA) es una enfermedad degenerativa del sistema nervioso en la cual las neuronas motoras se desgastan y mueren, lo que se manifiesta con la aparición de debilidad muscular progresiva, espasmos e incapacidad para mover los brazos, las piernas y, finalmente, todo el cuerpo. Los estándares de cuidado para pacientes con ELA recomiendan atención multidisciplinaria que incluya intervenciones de rehabilitación. El ejercicio físico ha sido utilizado para su tratamiento; sin embargo, existen pocas recomendaciones específicas respecto a su prescripción. Desarrollo. Se realizó una revisión de la literatura disponible respecto a la rehabilitación basada en ejercicio físico en pacientes con ELA. Se describen los efectos de los diferentes tipos de ejercicio, los parámetros de prescripción, los aspectos de seguridad de la intervención y las recomendaciones específicas de las guías de práctica clínica y los documentos de consenso. La mejor evidencia disponible indica que el ejercicio físico terapéutico en sus diferentes modalidades produce efectos positivos o neutros en las medidas de desenlace y no se asocia a eventos adversos serios. Conclusión. La rehabilitación basada en ejercicio físico puede ser una intervención factible, tolerable, segura y efectiva para disminuir el deterioro de la funcionalidad y la calidad de vida en pacientes con ELA.

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Estudio de la epidemiología neurológica en Colombia a partir de información administrativa (ESENCIA). Resultados preliminares 2015-2017

Cited by 4 publications

References 28 publications

Disparities Influencing Functional Outcomes Between Rural and Urban Patients With Acute Stroke

Disparities Influencing Functional Outcomes Between Rural and Urban Patients With Acute Stroke

Comparison between telestroke versus face-to-face thrombolysis models in stroke management in Colombia

Rehabilitación basada en ejercicio físico en pacientes con esclerosis lateral amiotrófica

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