Caracterização do AVC em uma cidade do interior de Sergipe: um retrato pré-pandemia da Covid-19

Abstract

Introduction: Cerebrovascular accident (CVA) is a neurological medical emergency of high prevalence and potential for severity, with high levels of morbidity and mortality. Considered one of the public health issues worldwide, becoming the second most common cause of mortality in countries, being one of the main causes of temporary or permanent physical disability, causing a high number of hospitalizations. Objective: To verify the incidence of stroke in the city of Lagarto and region in the 12 months before the pandemic. Method: Retrospective and documentary study, with data from the physical and electronic medical records of the Hospital Universitário de Lagarto (HUL) of patients admitted to the hospital for stroke. The type of stroke was divided into hemorrhagic, ischemic and transient ischemic attack. Patient identification data (age and gender) and sociodemographic data (city of residence and color/race) and previous health history (previous stroke and associated diseases) were obtained. For statistical analysis, descriptive data analysis and inferential analysis were performed using the time series test, to verify trends and seasonality. Results: The ITAs as well as the CHA was mentioned in nine 7.8% of the medical records, however the CIA was more frequent with 84.3%. As well as changes in communication, dyspnea and mental confusion was more incident in tipo.Com the mean age of 69.8 years. No association between sex and frequency of stroke types. 30.1% of the people were referred to physiotherapist, 23.7% to the Speech Therapist and 26 16.7% to the Occupational Therapist. Browns were the majority with 87.7%. The common level of education was incomplete elementary school, 25.3%. Conclusion: The Ischemic stroke proved to be more frequent, as well as the death rate was higher for it. Among the presented sequelae, the motor and communicative ones stand out, and the main modifiable factors present in the analyzed population were: Systemic arterial hypertension, diabetes mellitus, smoking, and alcoholism.