Epidemiologia dos acidentes vasculares encefálicos na cidade do salvador: aspectos clínicos

Lessa, Inês

doi:10.1590/S0004-282X1985000200002

Resumos

Foram analisados os principais achados clínicos de 1089 pacientes atendidos com quadro agudo de acidente vascular encefálico (AVE) entre 01-07-79 e 30-06-80, na cidade do Salvador, Bahia-Brasil. Os casos procederam de todos os hospitais e serviços de urgência públicos, privados ou previdençiários que efetuavam internamento para AVE. Observou-se predominância de hemiplegias e distúrbios da linguagem em ambos os sexos. Para 167 pacientes havia história de AVE prévio (23,03%); 34,93% dos pacientes foram atendidos em coma, sendo que 80,87% deles tiveram êxito letal. Comentou-se a qualidade da atenção médica prestada e sugeriu-se melhor organização dos serviços de prevenção terciária, visando extensão da cobertura e maior adesão dos pacientes a este nível de prevenção.

The major clinical findings of acute cerebrovascular accidents (CVA) were analyzed for 1089 patients from Salvador City (Bahia, Brazil) who attended to medical services from 1 July 1979 to 30 June 1980. Data were collected from all hospitals and emergency services, from private and public sectors, which admitted patients with CVA. Hemiplegies and speech disturbances were the most commonly observed findings in both sexes. In 167 patients (23.03%) a reference to an early episode of CVA was found; 34.93% of the patients were in coma at the time of admission and the lethality rate in this group was 80.87%. The quality of the medical attention provided to these patients was commented. A better organization of the services for tertiary prevention is needed in order to improve patient's adhesion and quality of life.

Epidemiologia dos acidentes vasculares encefálicos na cidade do salvador: aspectos clínicos

Epidemiology of acute cerebrovascular accidents in Salvador City: clinical aspects

Inês Lessa

Professor Adjunto, bolsista do Conselho Nacional de Pesquisas. Departamento de Medicina Preventiva da Faculdade de Medicina da Universidade Federal da Bahia

RESUMO

Foram analisados os principais achados clínicos de 1089 pacientes atendidos com quadro agudo de acidente vascular encefálico (AVE) entre 01-07-79 e 30-06-80, na cidade do Salvador, Bahia-Brasil. Os casos procederam de todos os hospitais e serviços de urgência públicos, privados ou previdençiários que efetuavam internamento para AVE. Observou-se predominância de hemiplegias e distúrbios da linguagem em ambos os sexos. Para 167 pacientes havia história de AVE prévio (23,03%); 34,93% dos pacientes foram atendidos em coma, sendo que 80,87% deles tiveram êxito letal. Comentou-se a qualidade da atenção médica prestada e sugeriu-se melhor organização dos serviços de prevenção terciária, visando extensão da cobertura e maior adesão dos pacientes a este nível de prevenção.

SUMMARY

The major clinical findings of acute cerebrovascular accidents (CVA) were analyzed for 1089 patients from Salvador City (Bahia, Brazil) who attended to medical services from 1 July 1979 to 30 June 1980. Data were collected from all hospitals and emergency services, from private and public sectors, which admitted patients with CVA. Hemiplegies and speech disturbances were the most commonly observed findings in both sexes. In 167 patients (23.03%) a reference to an early episode of CVA was found; 34.93% of the patients were in coma at the time of admission and the lethality rate in this group was 80.87%. The quality of the medical attention provided to these patients was commented. A better organization of the services for tertiary prevention is needed in order to improve patient's adhesion and quality of life.

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Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia - Vale do Canela - 40.000, Salvador, BA - Brasil.

1. AHO, K.; KARMSEN, P.; HATANO, S.; MARQUARDSEN, J.; SMIRNOV, V.B. & STRASSER, T. - Cerebrovascular disease in the community: results of a WHO collaborative study. Bull. World Health Organ. 58:113, 1980.
2. EISENBERG, H.; MORRISON, J.T.; SULLIVAN, P.; FRANKLIN, M.I. - Cerebrovascular accidents: incidence and survival rates in a defined population, Middlesex County, Connecticut. J. amer. med. Assoc., 189:833, 1964.
3. HATANO, S. - Experiences with community strokes registers. In S. Hatano, I. Shigematsu & T. Strasser (eds.): Hypertension and Stroke Control in the Community, WHO, Geneva, 1976, pg. 117.
4. ISOMURA, K. - Problems of stroke control in rural settings in Japan. In S. Hatano, I. Shigematsu & T. Strasser (eds.): Hypertension and Stroke Control in the Community. WHO, Geneva, 1976, pg. 141.
^I; J.; SPIERS, P.; ROBINSON, À.G.; CURRY, H.; LILENFELD, A.M.; SELTSER, R. - Nationwide cerebrovascular disease mortality study. IV Comparision of the different clinical types of cerebrovascular disease. Amer. J. Epid. 90:567, 1969.
6. LESSA, I. - Acidentes vascularis encefálicos na cidade do Salvador: aspectos clínicos e epidemiológicos. Tese. Faculdade de Medicina da Universidade Federal da Bahia. Salvador, 1981.
⁷
OMS - Enfermedades cerebrovascular es: prevención, tratamiento y rehabilitación. Ser. Inf. Tecn. 469, Ginebra, 1971.
8. PRINEAS, J. & MARSHALL, J. - Hypertension and cerebral infarction. Brit, med. J. 1:14, 1966.
9. SVENIUS, J.; PYROLALA, K.; RIEKKINEN, P.J.; HEINONEN, O.; SALLONEN, J. - Incidence of stroke in Kuopio area, Finland. Acta neurol. scand. (suppl. 78)62:193, 1980.
10. TIBBLIN, H.G. - A stroke register in Goteborg, Sweden. Acta neurol. scand. 191:463, 1972.
11. WALLACE, D.C. - A study of the natural history of cerebrovascular disease. Med. J. Austr. 54:90, 1967.
12. WALTIOMI, O.; KASTE, M.; AHO, K. & KITIZA, M. - Outcome of stroke in the Espoo-kauniainen area, Finland. Acta neurol. scand. (suppl. 78)62:194, 1980.
13. WOLF, P.; KANNEL, W.B.; McNAMARA, P.M. & DAWBER; T.R. - The natural history of stroke: The Frammingham study. Circulation (suppl.) 4:49, 1970.

Datas de Publicação

Publicação nesta coleção
10 Ago 2012
Data do Fascículo
Jun 1985

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. AHO, K.; KARMSEN, P.; HATANO, S.; MARQUARDSEN, J.; SMIRNOV, V.B. & STRASSER, T. - Cerebrovascular disease in the community: results of a WHO collaborative study. Bull. World Health Organ. 58:113, 1980.

[2] 2. EISENBERG, H.; MORRISON, J.T.; SULLIVAN, P.; FRANKLIN, M.I. - Cerebrovascular accidents: incidence and survival rates in a defined population, Middlesex County, Connecticut. J. amer. med. Assoc., 189:833, 1964.

[3] 3. HATANO, S. - Experiences with community strokes registers. In S. Hatano, I. Shigematsu & T. Strasser (eds.): Hypertension and Stroke Control in the Community, WHO, Geneva, 1976, pg. 117.

[4] 4. ISOMURA, K. - Problems of stroke control in rural settings in Japan. In S. Hatano, I. Shigematsu & T. Strasser (eds.): Hypertension and Stroke Control in the Community. WHO, Geneva, 1976, pg. 141.

[5] ^I; J.; SPIERS, P.; ROBINSON, À.G.; CURRY, H.; LILENFELD, A.M.; SELTSER, R. - Nationwide cerebrovascular disease mortality study. IV Comparision of the different clinical types of cerebrovascular disease. Amer. J. Epid. 90:567, 1969.

[6] 6. LESSA, I. - Acidentes vascularis encefálicos na cidade do Salvador: aspectos clínicos e epidemiológicos. Tese. Faculdade de Medicina da Universidade Federal da Bahia. Salvador, 1981.

[7] ⁷
OMS - Enfermedades cerebrovascular es: prevención, tratamiento y rehabilitación. Ser. Inf. Tecn. 469, Ginebra, 1971.

[8] 8. PRINEAS, J. & MARSHALL, J. - Hypertension and cerebral infarction. Brit, med. J. 1:14, 1966.

[9] 9. SVENIUS, J.; PYROLALA, K.; RIEKKINEN, P.J.; HEINONEN, O.; SALLONEN, J. - Incidence of stroke in Kuopio area, Finland. Acta neurol. scand. (suppl. 78)62:193, 1980.

[10] 10. TIBBLIN, H.G. - A stroke register in Goteborg, Sweden. Acta neurol. scand. 191:463, 1972.

[11] 11. WALLACE, D.C. - A study of the natural history of cerebrovascular disease. Med. J. Austr. 54:90, 1967.

[12] 12. WALTIOMI, O.; KASTE, M.; AHO, K. & KITIZA, M. - Outcome of stroke in the Espoo-kauniainen area, Finland. Acta neurol. scand. (suppl. 78)62:194, 1980.

[13] 13. WOLF, P.; KANNEL, W.B.; McNAMARA, P.M. & DAWBER; T.R. - The natural history of stroke: The Frammingham study. Circulation (suppl.) 4:49, 1970.