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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.52 no.3 São Paulo Sept. 1994 

Stroke study group: preliminary results early intensive care improves functional outcome


Acidente vascular encefálico isquêmico: protocolo para atendimento precoce; redução da mortalidade e morbidade



Fernando Faria Andrade Figueira

M.D., Department of Neurology, Hospital da Penitência, Rio de Janeiro




Early and intensive care seems to positively affect outcome in stroke patients. A standardized protocol, costly adjusted to our reality and suitable for application by non-specialist at Emergency Room, proved effective, reflecting in diagnosis reliability, reducing time for beginning therapy, leading to low mortality rates and better functional outcomes at discharge.

Key words: stroke, treatment, functional outcome, mortality.


Evidências atuais enfatizam a necessidade de tratamento precoce para os acidentes vasculares encefálicos isquêmicos, numa tentativa de reverter o quadro metabólico que se desenvolve nas primeiras horas após sua instalação. Objetivando reduzir custos, aumentar a eficiência das medidas diagnósticas e terapêuticas, além de reduzir o tempo de início do tratamento, um protocolo de ação vem sendo sistematicamente aplicado em nosso Hospital desde setembro-1992. Após seu primeiro ano de uso, com 157 pacientes consecutivos atendidos, houve uma redução na mortalidade imediata e, principalmente, significativa redução na morbidade, com evidente melhora na qualidade de sobrevida de nossos pacientes.

Palavras chave: acidente vascular encefálico isquêmico, tratamento, morbidade, mortalidade.



Texto completo disponível apenas em PDF.

Full text available only in PDF format.



Acknowledgements - I wish to extend my gratitude to all members of study group, whose active participation rendered possible this paper; to my son, Rafael, for his technical assistance and patience; and to Dr. Vladimir Hashinski M.D., for his inestimable comments on our protocol and, above all, for his inspiration.



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Aceite: 17-dezembro-1993.



Dr. Fernando Faria de Andrade Figueira - Departamento de Neurologia, Hospital da Penitência - Rua Conde de Bonfim 1033 - 20530-160 Rio de Janeiro RJ - Brasil.

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