2014, Number 4
Prevailing risk factors in hospitalized patients with cerebrovascular disease
Language: Spanish
References: 18
Page: 433-440
PDF size: 86.18 Kb.
ABSTRACT
Introduction: cerebrovascular diseases are presently one of the most important health problems not only in Cuba but in the developed countries as well. It holds the second place in the list of causes of permanent disability and of death in adults, just preceded by cancer and cardiovascular diseases, which determines its medical, economic and social relevance due to the cost of rehabilitation and of care that patients having significant neurological damage require.Objective: to characterize the prevailing risk factors in hospitalized patients with cerebrovascular disease.
Methods: longitudinal and descriptive study of a sample of 144 patients with cerebrovascular disease, who were admitted to the emergency service of "Dr. Octavio de la Concepcion y de la Pedraja" teaching, clinical and surgical hospital from January through December, 2012. A survey was conducted to explore different variables and the collected data were manually coded.
Results: the predominant type of cerebrovascular disease was subararachnoid hemorrhage followed by brain hemorrhage. The most frequently modifiable risk factors were blood hypertension and diabetes mellitus. It was observed that the control of risk factors was poor at the primary health care setting.
Conclusions: the risk factors mainly associated to cerebrovascular disease were blood hypertension and advanced age, followed by tabaquismo and diabetes mellitus, in correspondence with a deficient control of these illnesses.
REFERENCES
Roque Álvarez O, León Sánchez M, Torres Marin J, Díaz Calzada M, Hernández Serrat I. Caracterización clínico-epidemiológica de los ancianos hipertensos en casas de abuelos. Rev Haban Cien Méd [Internet]. 2009 Dic [citado 2 ene 2013];13(4):117-26. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 31942009000400013&lng=es
Suárez Bergado R, Blanco Aspiazú M, Morales González H. Contribución a la evaluación del conocimiento de médicos de familia en enfermedad cerebro vascular. Rev Haban Cien Méd. [Internet]. 2009 Mar [citado 2 ene 2013];8(1):[aprox.13 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729- 519X2009000100005&lng=es
Flores Podadera H, Beguería Santos R, Olivera Leal I, Álvarez Santana R, Flores Podadera Y, Baños Podadera H. Comportamiento de la mortalidad por enfermedad cerebrovascular en pacientes hipertensos. Rev Haban Cienc Méd. [Internet]. 2008 Jun [citado 2 ene 2013];7(2):[aprox.13 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729- 519X2008000200017&lng=es
Pontes-Neto OM, Oliveira-Filho J, Valiente R, Friedrich M, Pedreira B, Branco Rodrígues BC, et al. Diretrizes para o manejo de pacientes com hemorragia intraparenquimatosa cerebral espontânea. Arq Neuro-Psiquiatr [Internet]. 2009 Sep [citado 2 ene 2013];67(3): [aprox. 5 p.]. Disponible en: http://www.scielo.br/scielo.php?pid=S0004-282X2009000500034&script=sci_arttext
Flores Podadera H, Beguería Santos R, Olivera Leal I, Alvarez Santana R, Flores Podadera Y, Baños Podadera H. Comportamiento de la mortalidad por enfermedad cerebrovascular en pacientes hipertensos. Rev Haban Cienc Méd [Internet]. 2008 [citado 2 ene 2013];7(2):[aprox.13 p.]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1729-519X2008000200017&script=sci_arttext&tlng=en
Kaste M, Skyhoj Olsen T, Orgogozo JM, Bogousslavsky J, Hacke W. Recommendations for stroke management. European Stroke Iniciative (EUSI) on behalf of the European Stroke Council (ESC), the European Neurological Society (ENS). [Internet]. 2009 Dic [cited 2013 Ene 2];10 (Suppl 3):1-34. Available from: http://www.karger.com/Article/FullText/47576
Achiong Estupiñan F, Lauzurica Gonzalez A, Morales Rigau J, Achiong Alemañy M, Achiong Alemañy F. Hipertenso controlado: ¿Socialismo o capitalismo? Rev Med Electrón [Internet]. 2009 Abr [citado 2 ene 2013];31(2):[aprox. 11 p.]. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/602/html
Testar de Armas J, Laureiro Lima I, Guedes Díaz R, Bandera Rodríguez O, Arocha Molina Y. Evaluación clínico-epidemiológica de la morbimortalidad por enfermedad cerebrovascular: Hospital Militar de Matanzas. Rev Med Electrón [Internet]. 2009 Dic [citado 2 ene 2013];31(6):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684- 18242009000600003&lng=es
González Fabian L, Campos Peña R, Hurtado de Mendoza A. Aterosclerosis cerebral: evaluación de la calidad de los diagnósticos premortem. Rev Cubana Med Mil [Internet]. 2008 Jun [citado 2 ene 2013];37(2):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572008000200007&lng=es
Rodríguez Mutuberria L, González González J, Serra Valdez Y, Bender del Busto J. Factores pronósticos de recuperación funcional en pacientes con infarto cerebral crónico de territorio carotídeo. Rev Cubana Med [Internet]. 2011 Sep [citado 2 ene 2013];50(3):270-8. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232011000300005&lng=es