Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993)
Autor(a) principal: | |
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Data de Publicação: | 1994 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/2447 |
Resumo: | Objective: To evaluate the experience of a de partment of internal medicine in relation to cerebrovascular disease highlightning the importance of risk factors associated with this disease. Design: Retrospective review of medical records from 1986 to 1993. Setting: Department of Internal Medicine in a tertian care Hospital. Patients: One thousand three hundred and se venty three (1373) patients admitted with the diagnosis ofcerebrovasculardisease in which the Jollowing parameters were evaluated: Distribution by sex, age and season, individual risk factors (hypertension, diabetes mellitus, hyperlipidemia and cardiovascular diseases), localization of lesion, type of cerebro vascular disease, morbidity and mortality. Interventions: Since 1992 we administered nimodipina to our patients at a dose of 240mg P.O./day with subarachnoide hemorraghea and 120mg P.O./day with cerebrovascular disease of ischemic etiology. Measurements and main results: There was a greater incidence of cerebrovascular disease infemales and in the age group between 71 and 80 years. It occured more Jfemia were the most Jrequent risk Jactors representing 67,3% and 41% of the total. The left hemisphere of the brain was the most often involved and cerebrovascular disease of ischemic etiology the most frequent, represen ting 78,2% of the total Mortality was 17,9%, we would like to stress that during the eight years studied the morta lity rate reduced with a significant decrease since 1992. Conclusions: Cerebrovascular diseases was the most common cause of admission between 1986 and 1993. Taking into account the importance of the riskfactor we would like to stress that the incidence of cerebrovascular disease maybe reduced if we ali cooperate towards a better prevention of some of the risk factors associated with this disease, namely hypertension, hyperlipidemia and diabetes mellitus. |
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Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993)..Objective: To evaluate the experience of a de partment of internal medicine in relation to cerebrovascular disease highlightning the importance of risk factors associated with this disease. Design: Retrospective review of medical records from 1986 to 1993. Setting: Department of Internal Medicine in a tertian care Hospital. Patients: One thousand three hundred and se venty three (1373) patients admitted with the diagnosis ofcerebrovasculardisease in which the Jollowing parameters were evaluated: Distribution by sex, age and season, individual risk factors (hypertension, diabetes mellitus, hyperlipidemia and cardiovascular diseases), localization of lesion, type of cerebro vascular disease, morbidity and mortality. Interventions: Since 1992 we administered nimodipina to our patients at a dose of 240mg P.O./day with subarachnoide hemorraghea and 120mg P.O./day with cerebrovascular disease of ischemic etiology. Measurements and main results: There was a greater incidence of cerebrovascular disease infemales and in the age group between 71 and 80 years. It occured more Jfemia were the most Jrequent risk Jactors representing 67,3% and 41% of the total. The left hemisphere of the brain was the most often involved and cerebrovascular disease of ischemic etiology the most frequent, represen ting 78,2% of the total Mortality was 17,9%, we would like to stress that during the eight years studied the morta lity rate reduced with a significant decrease since 1992. Conclusions: Cerebrovascular diseases was the most common cause of admission between 1986 and 1993. Taking into account the importance of the riskfactor we would like to stress that the incidence of cerebrovascular disease maybe reduced if we ali cooperate towards a better prevention of some of the risk factors associated with this disease, namely hypertension, hyperlipidemia and diabetes mellitus.Objectivo: Avaliar a experiência de um serviço de Medicina Interna em Doenças Cerebrovasculares (D.C.V.) realçando a importância dos factores de risco associados a estas doenças. Tipo de estudo: Estudo retrospectivo do serviço de Medicina I do Centro Hospitalar do Funchai (C.H.F.) durante 8 anos compreendidos entre 1986 e 1993. Local: serviço de Medicina I do C.H.F. - Madeira. Doentes: Foram submetidos a revisão, os processos clínicos de 1373 doentes internados com o diagnóstico de D.C.V. e avaliados os seguintes parâmetros: Distribuição por sexo, anos e estações do ano, factores de risco individuais (hipertensão arterial (HTA), diabetes, hiperlipidémia e doenças cardiovasculares), localização das D.C.V., tipo de D.C.V., morbilidade e mortalidade. Intervenções: Desde 1992 foi administrado aos nossos doentes, a nimodipina na dose de 240mg P.O./dia nas hemorragias subaracnoideias, e de 120mg/dia, nas D.C.V. de etiologia isquémica. Resultados: O nosso trabalho mostrou uma maior incidência no sexo feminino e no grupo etário compreendido entre os 71 e os 80 anos. O maior número de D.C.V. ocorreu durante os meses de Inverno e Verão. A HTA e a hipercolesterolémia foram os factores de risco mais frequentes, representando respectivamente 67,3% e 41% do total. O hemisfério cerebral esquerdo foi o mais envolvido e as D.C.V. de etiologia isquémica, foram as mais frequentes representando 78,2% do total de casos estudados. A mortalidade global foi de 17,9% e salientamos que ao longo dos 8 anos estudados assistiu-se a uma redução progressiva da mortali dade mais evidente desde 1992. Conclusões: s D.CV.foram as patologias que mais motivaram internamentos no nosso ser viço durante o período referido. Tendo em conta a importância dosfactores de risco nos doentes estudados, queríamos salientar que a incidência das D.C.V. poderá ser reduzida se todos nós médicos colaborarmos no sentido de uma melhor prevenção de alguns factores de risco associados a estas doenças, nomeadamente a H.T.A., dislipidémia e diabetes mellitus.Sociedade Portuguesa de Medicina Interna1994-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/2447Internal Medicine; Vol. 1 No. 2 (1994): Abril/ Junho; 90-98Medicina Interna; Vol. 1 N.º 2 (1994): Abril/ Junho; 90-982183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/2447https://revista.spmi.pt/index.php/rpmi/article/view/2447/1780Direitos de Autor (c) 1994 Medicina Internainfo:eu-repo/semantics/openAccessReis Brazão, LuzGraça Vieira, RitaNóbrega, José JúlioFreitas, DeclaReis, Ana PaulaAndrade, José LuísTeixeira, ChavesTranquada, JoãoNóbrega Araújo, Jorge2023-10-07T06:21:38Zoai:oai.revista.spmi.pt:article/2447Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:39.916210Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
title |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
spellingShingle |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) Reis Brazão, Luz . . |
title_short |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
title_full |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
title_fullStr |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
title_full_unstemmed |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
title_sort |
Doenças cerebrovasculares - Experiência de um servicço de Medicina Interna durante 8 anos (1986 - 1993) |
author |
Reis Brazão, Luz |
author_facet |
Reis Brazão, Luz Graça Vieira, Rita Nóbrega, José Júlio Freitas, Decla Reis, Ana Paula Andrade, José Luís Teixeira, Chaves Tranquada, João Nóbrega Araújo, Jorge |
author_role |
author |
author2 |
Graça Vieira, Rita Nóbrega, José Júlio Freitas, Decla Reis, Ana Paula Andrade, José Luís Teixeira, Chaves Tranquada, João Nóbrega Araújo, Jorge |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Reis Brazão, Luz Graça Vieira, Rita Nóbrega, José Júlio Freitas, Decla Reis, Ana Paula Andrade, José Luís Teixeira, Chaves Tranquada, João Nóbrega Araújo, Jorge |
dc.subject.por.fl_str_mv |
. . |
topic |
. . |
description |
Objective: To evaluate the experience of a de partment of internal medicine in relation to cerebrovascular disease highlightning the importance of risk factors associated with this disease. Design: Retrospective review of medical records from 1986 to 1993. Setting: Department of Internal Medicine in a tertian care Hospital. Patients: One thousand three hundred and se venty three (1373) patients admitted with the diagnosis ofcerebrovasculardisease in which the Jollowing parameters were evaluated: Distribution by sex, age and season, individual risk factors (hypertension, diabetes mellitus, hyperlipidemia and cardiovascular diseases), localization of lesion, type of cerebro vascular disease, morbidity and mortality. Interventions: Since 1992 we administered nimodipina to our patients at a dose of 240mg P.O./day with subarachnoide hemorraghea and 120mg P.O./day with cerebrovascular disease of ischemic etiology. Measurements and main results: There was a greater incidence of cerebrovascular disease infemales and in the age group between 71 and 80 years. It occured more Jfemia were the most Jrequent risk Jactors representing 67,3% and 41% of the total. The left hemisphere of the brain was the most often involved and cerebrovascular disease of ischemic etiology the most frequent, represen ting 78,2% of the total Mortality was 17,9%, we would like to stress that during the eight years studied the morta lity rate reduced with a significant decrease since 1992. Conclusions: Cerebrovascular diseases was the most common cause of admission between 1986 and 1993. Taking into account the importance of the riskfactor we would like to stress that the incidence of cerebrovascular disease maybe reduced if we ali cooperate towards a better prevention of some of the risk factors associated with this disease, namely hypertension, hyperlipidemia and diabetes mellitus. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994-06-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2447 |
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https://revista.spmi.pt/index.php/rpmi/article/view/2447 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2447 https://revista.spmi.pt/index.php/rpmi/article/view/2447/1780 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 1994 Medicina Interna info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 1994 Medicina Interna |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
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Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 1 No. 2 (1994): Abril/ Junho; 90-98 Medicina Interna; Vol. 1 N.º 2 (1994): Abril/ Junho; 90-98 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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