Stroke management in a university hospital in the largest South American city.
OBJECTIVE
To describe characteristics and provision of care for patients admitted with cerebrovascular disorders (CVD), focusing on ischemic stroke (IS), in a large, public, academic hospital in São Paulo, Brazil.


METHODS
We retrieved information about 357 patients with CVD admitted to the Neurology Emergency Department (NED) and Neurology Ward (NW) of our institution. We described patient characteristics and management of IS in NED and in NW.


RESULTS
IS was diagnosed in 79.6% of CVD patients admitted to NED; 2.7% were submitted to thrombolysis. Extent of IS investigation and management were significantly different in NED and NW.


CONCLUSIONS
IS patients in our center were younger than in developed countries. IS management was significantly influenced by patient characteristics. This information can aid in planning strategies to decrease stroke burden.
Conforto
Adriana Bastos
AB
Neurology Department, Clinics Hospital, São Paulo University, SP, Brazil. abconf@yahoo.com
Paulo
Rodrigo Bomeny de
RB
Patroclo
Cristiane Borges
CB
Pereira
Samira Luísa dos Apóstolos
SL
Miyahara
Helder de Souza
Hde S
Fonseca
Camila Barião da
CB
Yamamoto
Fabio Iuji
FI
Marchiori
Paulo Eurípides
PE
Evaristo
Eli Faria
EF
Scaff
Milberto
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D019049:Developed Countries; D004632:Emergency Medical Services / Q000592:standards* / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital; D004812:Epidemiologic Methods; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006785:Hospitals, University; D006801:Humans; D002546:Ischemic Attack, Transient / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D020521:Stroke / Q000188:drug therapy* / Q000453:epidemiology; D015912:Thrombolytic Therapy; D055815:Young Adult