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Revista Médica del Uruguay

On-line version ISSN 1688-0390

Abstract

LEGNANI, Eduardo J et al. Centro especializado primario en ataque cerebrovascular: Primera experiencia en Uruguay - Informe preliminar. Rev. Méd. Urug. [online]. 2009, vol.25, n.2, pp.92-101. ISSN 1688-0390.

Summary Introduction: health care centers specialized in cerebrovascular accidents (CVA) or strokes (CES) aim to improve prevention, health care assistance and rehabilitation of patients affected by CVA. Objetives: we present our experience along with the strengths and weaknesses found at the First Primary Care Center Specialized in Stroke (CEPS) in Uruguay, developed at the Canelones Medical Cooperative (COMECA) during the first year of work. Methods: the center provides health care services to adult patients, both in acute phases and during intra-hospital and extra-hospital follow-up. Inclusion criteria: adult patient who were hospitalized at COMECA’s Sanatorio , under three days after the presentation of symptoms, all severity severity levels. It includes subarachnoid hemorrhage (SAH), parenchymatous hemorrhage (PH) and cerebral infarction (INF). The center is multidisciplinary; activities are completely protocolized and computerized. Results: 45 patients were included: INF 69%, PH 20% and SAH 11%. Early mortality was 13%, mainly associated to PH and greater severity at stroke onset. Average length of hospital stay was nine days. Conclusions: the population characteristics and mortality figures are comparable to those of other centers. Length of stay is similar to the best international results. Current results lack epidemiological value, which will be achieved after a certain time.

Keywords : STROKE; INTENSIVE CARE UNITS.

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