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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

BEMBIBRE TABOADA, Rubén; CRUZ DE LOS SANTOS, Héctor  y  RODRIGUEZ AMADOR, Laydami. Aplicación de puntaje en pacientes con enfermedad cerebrovascular. Rev cubana med [online]. 2002, vol.41, n.3, pp.136-140. ISSN 0034-7523.

A prospective and descriptive case-series study was conducted. 192 patients discharged with diagnosis of stroke from "Dr. Gustavo Aldereguia Lima" Clinical and Surgical Hospital between March 1 and August 31, 1999, were analyzed. A score was applied to stroke with forms that were later processed by computer in EXCEL system by SPSS package. It was found that ischemic strokes accounted for 75.5 % and arterial hypertension for 69.7 %. There was a predominance of patients over 50. 65.1 % had index of Katz A, whereas 78.6 % had Rankin 1. It was proved that 56.2 % of the patients were discharged with sequelae, 17.7 % without sequelae and 26 % died. Those who were admitted with score £ 5, low risk group, represented 36.9 % and none died. 56.2 % corresponded to mean risk patients and 19.2 % of them died. This group showed 3 times more the possibility of discharging dead patients with a PR = 3. No patient from the high risk group was discharged alive. They represented 6.7 % of the total of patients. The prevalence ratio showed that the probability of dying was 65 times higher (PR = 65) among patients with a score over 20 on admission.

Palabras clave : CEREBROVASCULAR ACCIDENT [diagnosis]; INJURY SEVERITY SCORE; EPIDEMIOLOGY DESCRIPTIVE; PROSPECTIVE STUDIES; INDICATORS OF MORBIDITY AND MORTALITY.

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