Resumen

BEMBIBRE TABOADA, Rubén M.; GARCIA GOMEZ, Carlos  y  SANTOS PENA, Moisés. Evaluación de un programa para la atención de pacientes con enfermedad cerebrovascular. Rev cubana med [online]. 2002, vol.41, n.1, pp. 20-24. ISSN 1561-302X.

The implementation of the National Stroke Care Program of the Ministry of Public Health in "Dr. Gustavo Aldereguía Lima" Hospital was evaluated. The objectives for the secondary level were analyzed. 596 patients admitted in the center with this diagnosis from January 1st to December 31st, 2000, were included in the prospective and descriptive study of the case series. Surveys were done and transferred to an Excel database of Windows with a further analysis by SPSS package. The proposed goals were attained and it was possible to lower total mortality from 36.53 to 25.07 %. Computed axial tomography was introduced. The time elapsed from the beginning of ictus to the delivery of specialized care was reduced. Nosocomial sepsis diminished, too. Score was applied to 100 % of the patients and it was created the Ictus Unit where all the cases were admitted. Relatives and patients received health education. 100 % of the deaths were analyzed. There was a morbidity rate of 150.83 and a mortality of 42.01 x 100 000 inhabitants. Letality was 27.01 per 100 patients; 20.60 for ischemic stroke patients and 53.15 for hemorrhagic stroke patients. It was concluded that the implementation of the Program allows to reduce mortality and disability and to give a higher quality attention to stroke patients.

Palabras clave : NATIONAL HEALTH PROGRAMS; CEREBROVASCULAR DISORDERS; INDICATORS OF MORBIDITY AND MORTALITY.

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