Fatores Associados Ao Tempo De Chegada Precoce Em Pacientes Com Acidente Vascular Cerebral Isquêmico

Sampaio, Elieusa e Silva; Leitão, Tatiana de Sena; Neves, Núbia Caroline Fernandes; Maciel, Manoela Lima; Moraes, Mariana de Almeida; Mussi, Fernanda Carneiro; Brandão, Paloma de Castro; Pires, Cláudia Geovana da Silva

doi:10.29393/ce28-26faec80026

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Other Brazilian studies also show it, such as a study carried out in Salvador, which showed a predominance of females (52.7%) and a mean age over 60 years old. 15,16 Another study also found a higher incidence of elderly people, with ages ranging between 24 and 100 years old, with a mean of 69 years old. 17 These results show that being over 60 years of age is an important risk factor for the occurrence of stroke.…”

Section: Discussionmentioning

confidence: 94%

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Therapeutic journey of patients affected by stroke: cohort study

Santos de Mendonça,

de Paula,

Santos

et al. 2023

Preprint

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The therapeutic journey of patients affected by a stroke cause health impacts and deaths. Stroke is an acute neurological dysfunction, classified as hemorrhagic or ischemic. This study aimed to compare the therapeutic journey in the access of patients affected by stroke in hospitals in the Brazilian Northeast.Prospective cohort study, carried in all public hospitals that had a neuroimaging service in the State of Sergipe. The collection instrument sought sociodemographic characterization and timeline. The data were exported to the R Core Team 2022 software. After being coded and tabulated, they were analyzed using descriptive statistics. The hypothesis of independence was tested using Pearson Chi-Square and Fisher Exact tests.A total of 159 patients cared for in the hinterland region of the State and 91 in the capital city (Aracaju) participated in the study, with a median age of 66 years old (SD:55.5-75) in the capital and with a median age of 72 years old (SD:60-82) in the hinterland. There was a predominance in females, 76.6% and 64.1%, respectively. It was found a higher incidence of the ischemic stroke (IS) (p<0.002). The decision time between the onset of signs and symptoms and the decision to call up transportation, it was observed that patients with IS cared for in the hinterland take three times longer (p=0.002). Regarding the time between the stroke detection and the CT scan, it was five times longer for those from the hinterland (p<0.001) in cases of IS. In cases of HS, the time was 1.4 longer for those from the hinterland. Concerning the neurological evaluation, in cases of IS and HS, the rates found were 76.6%vs78.3% in the hinterland, while 100% of patients were evaluated for both types of stroke episodes in the capital city (p<0.001).The therapeutic journey of patients cared for in the hinterland of the State has a longer period of time.

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Section: Discussionmentioning

confidence: 94%

“…Similar data were found in two cross-sectional studies. 15,16 Own car was the first option of choice due to ease of contact; and, according to verbal reports from patients, the car was used due to difficulties in terms of contacting the emergency service.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic journey of patients affected by stroke: cohort study

Santos de Mendonça,

de Paula,

Santos

et al. 2023

Preprint

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Factors associated with decision time to seek care in the face of ischemic stroke

Muniz,

Moraes,

Sales

et al. 2023

Rev. esc. enferm. USP

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Objective: To verify the association between sociodemographic, clinical, environmental, cognitive, and emotional factors and the decision time of people with ischemic stroke to seek a health service after the onset of symptoms or wake up stroke. Method: Cross-sectional study carried out from March to October 2019, with 304 patients, in a public hospital, a reference in neurology. Data obtained through interview and from medical records. Decision time was analyzed as a geometric mean. In the bivariate and multivariate analyses, linear regression was used and the Akaike Information Criterion was used to select the best model. Statistical significance of 5% was adopted. Results: The geometric mean of decision time was 0.30h (95% CI 0.23–0.39). The final model explained this time in 41%, showing an increase of 0.5 min for people with arterial hypertension; 10.8 min for those who waited for symptoms to improve; 1.4 min for those who were alone at the onset of symptoms; 3.9 min for those at home; 3.2 min for the ones at work; and 2.1 for those on the street/public space. Conclusion: The mean decision time for seeking a health service was high and influenced by clinical, environmental, cognitive, and emotional variables. The results guide nurses regarding health education.

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Fatores associados ao tempo de decisão para procurar atendimento em face ao acidente vascular cerebral isquêmico

Muniz,

Moraes,

Sales

et al. 2023

Rev. esc. enferm. USP

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RESUMO Objetivo: Verificar a associação entre fatores sociodemográficos, clínicos, ambientais, cognitivos e emocionais e o tempo de decisão de pessoas com acidente vascular cerebral isquêmico para procurar um serviço de saúde após o início dos sintomas ou Wake up stroke Método: Estudo transversal realizado de março a outubro de 2019, com 304 pacientes, em hospital público, referência em neurologia. Dados obtidos por entrevista e no prontuário. O tempo de decisão foi analisado em média geométrica. Nas análises bivariadas e multivariada foi usada a regressão linear e o Critério de Informação de Akaike foi usado na seleção do melhor modelo. Adotou- se significância estatística de 5% Resultados: A média geométrica do tempo de decisão foi de 0,30h (IC 95% 0,23-0,39). O modelo final explicou em 41% esse tempo, mostrando aumento de 0,5 min para pessoas com hipertensão arterial; 10,8 min para quem esperou os sintomas melhorarem; 1,4 min para quem estava sozinho no início dos sintomas; 3,9 min para quem estava em casa; 3,2 min no trabalho e 2,1 na rua/via pública Conclusão: A média do tempo de decisão para procura de serviço de saúde foi alta e influenciada por variáveis clínicas, ambientais, cognitivas e emocionais. Os resultados orientam enfermeiros para a educação em saúde.

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Fatores Associados Ao Tempo De Chegada Precoce Em Pacientes Com Acidente Vascular Cerebral Isquêmico

Cited by 3 publications

References 24 publications

Therapeutic journey of patients affected by stroke: cohort study

Therapeutic journey of patients affected by stroke: cohort study

Factors associated with decision time to seek care in the face of ischemic stroke

Fatores associados ao tempo de decisão para procurar atendimento em face ao acidente vascular cerebral isquêmico

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