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Acta Neurológica Colombiana
Print version ISSN 0120-8748
Abstract
CASTANEDA CARDONA, Camilo et al. Experience with intravenous thrombolysis for stroke in the Hospital Universitario San Ignacio 2011-2013 (EXTRO HUSI). Acta Neurol Colomb. [online]. 2014, vol.30, n.1, pp.16-21. ISSN 0120-8748.
Objective. To describe the impact of stroke handled with IV thrombolysis, considering the patients' short and long-term functionality and costs for the health system. Materials and methods. We conducted a descriptive study of 24 patients with stroke thrombolysis with IV rtPA in HUSI (July 2011 - January 2013). It was a description of demographics, risk factors, information attack, hospitalization and three months telephone follow. Results. The age was between 65 and 79 years, with 19 females. Hypertension was the most common risk factor (18/24), followed by atrial fibrillation (7/24) and smoking (6/24). The stroke of the second portion of the middle cerebral artery was the most frequent (12/24), with the stroke of cardioembolic the main etiology (11/24). 3 months after discharged the most of patients had a modified Rankin score (mRs) between 0 and 2. The average hospital stay in general wards was 10.8 days in the ICU was 4 days. The average stay cost was 16.844.127 COP. Conclusions. EXTRO seeks to initiate the creation of statistics for clinical and epidemiological knowledge of stroke in the country, taking into account the impact on the quality of life of patients in the short and long term and the costs for the health system.
Keywords : Stroke; Thrombolytic Therapy; Costs; Risk Factors; Health System.