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Abstract(s)
Introdução: A doença cĂ©rebro vascular Ă© uma causa lĂder de mortalidade e uma das primeiras causas de incapacidade, constituindo um grave problema de saĂșde pĂșblica nos adultos jovens. A gestĂŁo efetiva dos dias de internamento, que Ă© um dos maiores determinantes das despesas nestes doentes, poderĂĄ reduzir a hospitalização e o tempo de espera e melhorar a estrutura financeira do hospital. O objetivo deste estudo Ă© avaliar a interação entre o sexo, o tipo de AVC, as intercorrĂȘncias e os dias de internamento.
MĂ©todos: Procedeu-se Ă anĂĄlise de 156 episĂłdios de adultos com idade nĂŁo superior a 65 anos que deram entrada na ULS da Guarda com o diagnĂłstico de AVC entre os anos de 2007 e 2011. Efetuou-se o tratamento estatĂstico dos dados com o programa SPSS (Statistical Package for the Social Sciences) da IBM, versĂŁo 22.
Resultados: Neste estudo, 75% dos episĂłdios corresponderam a AVC isquĂ©mico e 25% a AVC hemorrĂĄgico. O sexo masculino foi significativamente mais afetado (72,40%), nĂŁo havendo diferenças na idade de incidĂȘncia por sexo e por tipo de AVC. A mĂ©dia geral dos dias de internamento foi de 14,37 dias (12,31 no AVC isquĂ©mico; 20,54 no AVC hemorrĂĄgico; 16,60 no sexo masculino; 11,12 no sexo feminino). Concluiu-se ainda que as intercorrĂȘncias do aparelho urinĂĄrio e respiratĂłrio neste grupo estĂŁo significativamente associadas ao tipo de AVC (a sua ocorrĂȘncia Ă© superior no AVC hemorrĂĄgico); mas nĂŁo se encontraram associaçÔes significativas entre o sexo e o nĂșmero/tipo de intercorrĂȘncias.
DiscussĂŁo: As percentagens de AVC isquĂ©micos e hemorrĂĄgicos encontradas estĂŁo de acordo com a literatura tanto em populaçÔes jovens como em populaçÔes de faixas etĂĄrias mais alargadas. Em relação ao sexo, o sexo masculino foi significativamente mais afetado, como acontece na literatura consultada. NĂŁo foi encontrada uma diferença estatisticamente significativa na idade de incidĂȘncia dos dois tipos de AVC, o que nĂŁo estĂĄ de acordo com a literatura mais recente mas pode ser devido ao estudo se restringir a uma faixa etĂĄria mais jovem. Em relação aos dias de internamento encontraram-se resultados discrepantes da literatura que podem ser devidos a mĂ©todos de anĂĄlise diferentes, localização urbana ou rural do estudo e inclusĂŁo ou exclusĂŁo de casos recorrentes.
Introduction: Cerebrovascular disease is a leading cause of death and a major cause of disability, constituting a major public health problem in young adults. The effective management of hospital days, which is one of the major determinants of the portion of expenses in these patients may reduce hospitalization and the waiting time and improve financial formant hospital. The aim of this study is to evaluate the interaction between sex, the type of stroke days of hospitalization. Methods: We carried out the analysis of 156 episodes of adults under 65 who were admitted in the Guarda ULS with the diagnosis of stroke between the years 2007 and 2011. We conducted the statistical treatment of the data with SPSS (Statistical Package for the Social Sciences) from IBM, version 22. Results: In this study, 75% of the episodes corresponded to ischemic stroke and 25% hemorrhagic stroke. Males were significantly more affected (72.40%), with no differences in age of onset by gender and type of stroke. The overall average number of days of hospitalization was 14.37 days (12.31 in ischemic stroke; 20.54 days in hemorrhagic stroke; 16.60 days in males; 11.12 days in females). It was also concluded that the complications of the urinary and respiratory systems are significantly associated with the type of stroke ( its occurrence is higher in hemorrhagic stroke ); but there were no significant associations between sex and the existence of complications. Discussion: The ischemic and hemorrhagic stroke percentages are consistent with recent literature in both young people and population of broader age groups. Regarding gender, men were significantly more affected. No statistically significant difference in age of onset of both types of stroke was found, which is not in agreement with several studies and could be due to the study being restricted to a younger age group. Regarding days of hospitalization we found slightly discrepant results that may be due to different methods of analysis, urban or rural location of the studies and inclusion or exclusion of recurrent cases.
Introduction: Cerebrovascular disease is a leading cause of death and a major cause of disability, constituting a major public health problem in young adults. The effective management of hospital days, which is one of the major determinants of the portion of expenses in these patients may reduce hospitalization and the waiting time and improve financial formant hospital. The aim of this study is to evaluate the interaction between sex, the type of stroke days of hospitalization. Methods: We carried out the analysis of 156 episodes of adults under 65 who were admitted in the Guarda ULS with the diagnosis of stroke between the years 2007 and 2011. We conducted the statistical treatment of the data with SPSS (Statistical Package for the Social Sciences) from IBM, version 22. Results: In this study, 75% of the episodes corresponded to ischemic stroke and 25% hemorrhagic stroke. Males were significantly more affected (72.40%), with no differences in age of onset by gender and type of stroke. The overall average number of days of hospitalization was 14.37 days (12.31 in ischemic stroke; 20.54 days in hemorrhagic stroke; 16.60 days in males; 11.12 days in females). It was also concluded that the complications of the urinary and respiratory systems are significantly associated with the type of stroke ( its occurrence is higher in hemorrhagic stroke ); but there were no significant associations between sex and the existence of complications. Discussion: The ischemic and hemorrhagic stroke percentages are consistent with recent literature in both young people and population of broader age groups. Regarding gender, men were significantly more affected. No statistically significant difference in age of onset of both types of stroke was found, which is not in agreement with several studies and could be due to the study being restricted to a younger age group. Regarding days of hospitalization we found slightly discrepant results that may be due to different methods of analysis, urban or rural location of the studies and inclusion or exclusion of recurrent cases.
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Keywords
Avc Dias de Internamento IntercorrĂȘncias Uls da Guarda