Resumen

SABATER BUENO, Keidy; CABEZA SUAREZ, Aniceto; ESTUPINAN GARCIA, Maricela  y  PESTANA KNIGHT, Elia Margarita. Atención primaria de salud en la Enfermedad Cerebrovascular. Rev Cubana Med Gen Integr [online]. 1999, vol.15, n.5, pp. 548-554. ISSN 1561-3038.

A retrospective descriptive study was conducted to evaluate the health actions taken by the family physician in connection with those patients that suffered from cerebrovascular disease and died due to this cause in the "Carlos Verdugo" health area, Matanzas, during 1994 and 1995. 50 dead patients were studied through doctor relative interviews. The following data were obtained: age, sex, personal pathological history; including chronic diseases and risk factors, classification; which made possible to know the number of controls made during the last 12 months before death at the physician office or through field visits and comprehensive visits, and the fulfilment of treatment. 100 % of the dead patients were classified into arterial hypertension, ischaemic heart disease, obesity and hyperlipidaemia. 72.4 % (12 deceased patients) received between I and 3 controls at the physician's office. 79.3 % (16 dead patients) were controlled between 1 and 3 times by field visits, whereas 100 % were controlled from 1 to 3 occassions in comprehensive visits to the family. It was concluted that the fulfilment of the treatment indicated for the cerebrovascular disease, the risk factors and the chronic diseases was not satisfactory in the studied group. It is recommended to increase the number of controls at the primary care level among those patients with cerebrovascular disease, mainly when within the classification there is an association between hypertension and smoking habit in patients over 65.

Palabras clave : CEREBROVASCULAR DISORDERS; PRIMARY HEALTH CARE; PHYSICIANS, FAMILY.

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