Abstract

MORALES-PLAZA, Cristhian David; AGUIRRE-CASTANEDA, Claudio  and  MACHADO-ALBA, Jorge Enrique. Predictors of stroke mortality in the Hospital Universitario San Jorge of Pereira (Colombia). Salud, Barranquilla [online]. 2016, vol.32, n.1, pp.56-64. ISSN 0120-5552.  https://doi.org/10.14482/sun.32.1.8520.

Objective: Identify predictors of stroke mortality (ACV) at the Hospital Universitario San Jorge de Pereira, between January 2008 and December 2011. Materials and methods: Cross sectional study, realized in patients with a diagnosis of stroke. Information was obtained from medical records taking into account patient age, sex, type of stroke (ischemic or hemorrhagic), associated disorder, personal history associated with stroke mortality. We applied logistic regression models to determine which variables were significantly associated with mortality. Results: 350 patients evaluated. Mean age 69.2 years + / -11.6 years, 51.4 % of the participants were women; 57.4 % had a sudden episode, 78.6 % of ischemic ACV and 21.4 % was bleeding. Disorders in order of appearance were: Motor deficit (80.9 %), language deficits (43.4 %), headache (35.7 %), and cranial nerve disorder (28.3 %). Comorbidities were hypertension (72.6 %), dyslipidemia (47.7 %), diabetes mellitus (19.7 %), smoking (17.4 %), ischemic heart disease (9.4%), previous ACV (6 %) and atrial fibrillation (6 %); 16 % of patients died from stroke, of these, 74.6 % were bleeding. Statistically significant association was found between mortality from stroke and sudden onset (OR 0.65; IC 95%:0.021-0.200, p <0.001), intraparenchymal hemorrhage (OR: 91.3; IC95 %:20.6-403.7; p<0.001) and age between 40 and 55 years (OR: 2.91; IC95 %:2.07-5.18; p<0.001). Discussion: Since the variables associated with death are not modifiable at patient's admission to hospital, should reinforce the public health measures to prevent the occurrence of stroke.

Keywords : stroke; comorbidity; middle aged; risks factors; cerebral hemorrhage; mortality; Source: MeSH.

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