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AVC Hemorrágico: Perfil Clínico dos Doentes Internados numa Unidade de AVC ao Longo de 11 Anos
Haemorrhagic Stroke: Clinical Characterization of Hospitalized Patients in a Stroke Unit for 11 Years
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Diogo Dias [dddias@hevora.min-saude.pt]
Serviço de Medicina Interna, Unidade Local de Saúde do Alentejo Central, Hospital do Espírito Santo de Évora, Évora, Portugal.
Largo Senhora da Pobreza, 7000-811 Évora
Abstract
Introduction: Up to 10%-15% of strokes are hemorrhagic. Its incidence is rising due to an elderly population and an increasing use of anticoagulation. Risk factor control is crucial to reduce comorbidity, mortality, and costs of hemorrhagic stroke.
Methods: Patients with hemorrhagic stroke hospitalized during a period of 11 years were analysed.
Conclusion: Hemorrhagic stroke prevalence was inferior to that described in the literature. Arterial hypertension was the main risk factor, which is concordant with deep hemorrhages as the main localization. Only 14% of patients were anticoagulated, which is lower than we expected given the comorbidities we identified. Although impaired consciousness was not a common clinical feature, the degree of disability was significant. The mortality rate reported was lower than that previously reported in the literature. The stroke unit admits patients with better premorbid functional status who could have better outcomes than those admitted to the ward, introducing a possible selection bias.
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