RESUMO
In order to study the need for medical care among elderly stroke patients, a prospective registration of cerebrovascular diseases started on January 1, 1986 in Enköping-Håbo health service district, Sweden. This article reports the design of the stroke register and the registration procedures, the annual events of stroke, both first-ever and recurrent, during 1986-1988 and the fatality rate with special regard to the very old population. The annual incidence of first-ever stroke was 0.33/1,000 among persons younger than 65 years of age, 10.6/1,000 among persons aged 65-84 years, and 34.5/1,000 among persons aged 85 years and older. The fatality rate of first-ever strokes was 7.5% within one month for persons younger than 65 years of age, 20.3% in the age-group 65-84 years, and 41% for the population 85 years and older. These results are compared with a similar Swedish study from Söderhamn and four comparable international studies. The results from this study gave a basis for designing special care programs in hospital and in home-care also for old stroke patients.
Assuntos
Transtornos Cerebrovasculares/epidemiologia , Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde para Idosos/normas , Sistema de Registros , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos Cerebrovasculares/diagnóstico por imagem , Transtornos Cerebrovasculares/mortalidade , Feminino , Planejamento em Saúde , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Recidiva , Suécia/epidemiologia , Tomografia Computadorizada por Raios XRESUMO
In a retrospective study, two series of surgically treated patients with thyrotoxicosis were compared. The series differed with respect to preoperative treatment and operative techniquue. In one series a combined preoperative treatment with an antithyroid drug and 1-thyroxine was given and the recurrent nerves and parathyroid glands were routinely identified. In the other series no such operative routine was followed and iodine was given preoperatively. The complication rate was low in both series. There was no postoperative mortality. The existing differences, although subtle, in the frequency of recurrent nerve paralysis, postoperative hypoparathyroidism or hypothyroidism, as well as recurrent toxicosis, favoured the surgical approach with the combined preoperative treatment and a meticulous technique with identification of recurrent nerves and parathyroid glands.