Your browser doesn't support javascript.
loading
Embolic stroke of undetermined source (ESUS) cohort of Brazilian patients in a university hospital / Coorte brasileira de pacientes com AVC embólico de fonte indeterminada (ESUS) em um hospital universitário
Modolo, Gabriel Pinheiro; Souza, Juli Thomaz De; Winckler, Fernanda Cristina; Ferreira, Natalia Cristina; Lange, Marcos Cristiano; Avelar, Wagner Mauad; Minicucci, Marcos Ferreira; Freitas, Carlos Clayton Macedo de; Azevedo, Paula Schmidt; Luvizutto, Gustavo José; Zornoff, Leonardo Antônio Mamede; Bazan, Silméia Garcia Zanati; Bazan, Rodrigo.
  • Modolo, Gabriel Pinheiro; São Paulo State University. Botucatu Medical School. Neurology, Psychiatry and Psycology Department. Botucatu. BR
  • Souza, Juli Thomaz De; São Paulo State University. Botucatu Medical School. Neurology, Psychiatry and Psycology Department. Botucatu. BR
  • Winckler, Fernanda Cristina; São Paulo State University. Botucatu Medical School. Neurology, Psychiatry and Psycology Department. Botucatu. BR
  • Ferreira, Natalia Cristina; São Paulo State University. Botucatu Medical School. Botucatu. BR
  • Lange, Marcos Cristiano; Federal University of Paraná. Hospital de Clínicas. Internal Medicine Department. Curitiba. BR
  • Avelar, Wagner Mauad; University of Campinas. Department of Neurology. Campinas. BR
  • Minicucci, Marcos Ferreira; São Paulo State University. Medical School. Internal Medicine Department. São Paulo. BR
  • Freitas, Carlos Clayton Macedo de; São Paulo State University. Botucatu Medical School. Neurology, Psychiatry and Psycology Department. Botucatu. BR
  • Azevedo, Paula Schmidt; São Paulo State University. Medical School. Internal Medicine Department. São Paulo. BR
  • Luvizutto, Gustavo José; Federal University of Triângulo Mineiro. Department of Applied Physical Therapy. Uberaba. BR
  • Zornoff, Leonardo Antônio Mamede; São Paulo State University. Medical School. Internal Medicine Department. São Paulo. BR
  • Bazan, Silméia Garcia Zanati; São Paulo State University. Medical School. Internal Medicine Department. São Paulo. BR
  • Bazan, Rodrigo; São Paulo State University. Botucatu Medical School. Neurology, Psychiatry and Psycology Department. Botucatu. BR
Arq. neuropsiquiatr ; 77(5): 315-320, Jun. 2019. tab, graf
Article in English | LILACS | ID: biblio-1011335
ABSTRACT
ABSTRACT Embolic stroke of undetermined source (ESUS) is an important group of cryptogenic strokes that are in evidence due recent ongoing trials. We reviewed medical records at discharge from the stroke unit of all patients who met ESUS criteria and attended our institution between February 2016 and July 2017. Among 550 stroke patients, 51 had ESUS. We found that hypertension (60%), diabetes mellitus (34%), and smoking (36%) were the most prevalent risk factors. The mean National Institutes of Health Stroke Scale (NIHSS) scores were 7 at admission and 4 at discharge, while median scores on the modified Rankin scale were 0 and 2 at admission and discharge, respectively. Our sample had similar ages, risk factors prevalence and NIHSS scores at admission and discharge when compared with European and North American cohorts. Although a small cohort, our study suggests that the ESUS population is similar in countries with different health financing.
RESUMO
RESUMO Acidentes vasculares cerebrais (AVC) embólicos de fonte indeterminada (ESUS) é um grupo importante de pacientes com AVC criptogênico que estão em evidência devido a recentes ensaios clínicos. Foram revisados os prontuários médicos na alta da unidade de AVC de todos os pacientes que preencheram os critérios para ESUS atendidos em nossa instituição entre fevereiro de 2016 e julho de 2017. Entre 550 AVCs, 51 eram pacientes com ESUS. Hipertensão (60%), diabetes mellitus (34%) e tabagismo (36%) foram os fatores de risco mais prevalentes. Os escores médios do National Institutes of Health Stroke Scale (NIHSS) foram 7 na admissão e 4 na alta, enquanto os escores médios na escala de Rankin modificada (mRs) foram 0 e 2 na admissão e alta, respectivamente. Nossa amostra teve idade, prevalência de fatores de risco, escores NIHSS na admissão e alta, quando comparados com coortes europeias e norte-americanas semelhantes. Apesar de ser uma pequena coorte, nosso estudo sugere que a população ESUS é semelhante em países com diferentes níveis de financiamento em saúde.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Stroke / Intracranial Embolism / Hospitals, University Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Arq. neuropsiquiatr Journal subject: Neurology / Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Paraná/BR / Federal University of Triângulo Mineiro/BR / São Paulo State University/BR / University of Campinas/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Stroke / Intracranial Embolism / Hospitals, University Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Arq. neuropsiquiatr Journal subject: Neurology / Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Paraná/BR / Federal University of Triângulo Mineiro/BR / São Paulo State University/BR / University of Campinas/BR