Epidemiological profile of patients with Hemorrhagic Stroke in a tertiary care hospital in Western Paraná

• Autor(a) principal: Ledur, Felipe Kochhann
• Data de Publicação: 2021
• Outros Autores: Sehn, Mirela, Molinari Bottega, Luiza, Rauber, Rafael, Almeida, Leandro Pelegrini de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/18879
• topic: Acidente Vascular Cerebral Hemorrágico; Hemorragia Cerebral; Hemorragia Cerebral Parenquimatosa.; Accidente Vascular Hemorrágico Cerebral; Hemorragia Cerebral; Hemorragia Cerebral Parenquimatosa.; Hemorrhagic Stroke; Cerebral Hemorrhage; Parenchymal Cerebral Hemorrhage.

Hemorrhagic Stroke (CVA) consists of blood extravasation from blood vessels to parenchyma, subarachnoid space or cerebral ventricle. It has a strong relationship with previous pathologies such as Systemic Arterial Hypertension (SAH) and has a high morbidity and mortality rate. The aim of this study was to trace the epidemiological profile of patients who presented with CVA, confirm data on the pathology, verify length of stay, mortality rate, aggravation factors and outcomes. This retrospective study was carried through the collection of data obtained from medical records of patients who suffered CVA between 2018-2019 and who were assisted in a tertiary referral hospital in treatment of neurological patients. Pediatric patients and those with a previous history of CVA, traumatic etiologies and secondary hemorrhages (hemorrhagic transformation of cerebral ischemia, intracranial aneurysm, intracranial neoplasms, cerebral venous thrombosis, arteriovenous malformation, cavernoma, coagulopathy, vasculitis or others) were excluded. Thus, there was 26 eligible patients. It was found that most patients were male (57,69%), with a mean age of 61 years. Most had a CVA score (ICH) of 1 (26,92%), remained hospitalized for up to 10 days (57,69%) and not required surgical evacuation of the hematoma (57,69%). There was a predominance in the lobal location (80,79%) and mortality was higher in females (63,63%). Midline deviation was significantly correlated with mortality (p=0,04). Patients with affected basal ganglia remained hospitalized for more than 20 days (p=0,052). Having ICH 4-5 represented 100% mortality (p=0,039) and ICH 2-3 configured hospital stay longer than 10 days (p=0,001). The study identified the general profile of hemorrhagic CVA patients and also evaluated and ratified high ICH as a factor associated with a worse outcome in patients with this pathology.