PMID: 9542175May 16, 1998Paper

Prospective registry of cerebrovascular diseases. Characterization of patients and methodology evaluation

Acta Médica Portuguesa
B NunesS Lopes

Abstract

Hospital-based stroke data banks can contribute to a better management of stroke patients with consequent reduction of associated morbidity and mortality. The characterisation of stroke patients and validation of the hospital stroke registry. Hospital S.Pedro, Vila Real, a secondary neurological referral centre for 450.000 inhabitants of interior north Portugal. Analysis of data collected over one year of a prospective computerised stroke registry. Evaluation of completeness of the registry by independent analysis from emergency room data files and percentage of items entirely filled up. in a one year period were registered 349 patients (186 F; 163 M) with a mean age at stroke of 69 years. The majority (73.3%) lived in the hospital district. Most patients went directly to the hospital from their homes, and in the first 24 hours of symptoms onset. Cerebral infarction was diagnosed in 35.2% of patients, followed from lacunas in 24.6% and hypertensive haemorrhages in 22.3%. Arterial hypertension was found in 60.1% of cases, there were 11.4% of deaths and a Rankin score > 3 was present at hospital discharge in 39.5% of patients. There was a decrease in the register during the one-year period, evaluated comparing two months of emerg...Continue Reading

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