<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972017000200033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados Funcionales y Complicaciones en pacientes asistidos en UDA-ACV Rehabilitación Instituto de Neurología - Hospital de Clínicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Functional Results and Complications in Assisted Patients in UDA-ACV Rehabilitation Institute of Neurology - Hospital de Clínicas]]></article-title>
<article-title xml:lang="pt"><![CDATA[Resultados Funcionais e Complicações em Pacientes Assistidos no Instituto de Neurologia de Reabilitação UDA-ACV - Hospital de Clínicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Virginia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Katz]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarot]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>2</volume>
<numero>2</numero>
<fpage>33</fpage>
<lpage>42</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972017000200033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972017000200033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972017000200033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: el ataque cerebrovascular (ACV) es un importante problema de salud por su alta morbi-mortalidad; en Uruguay representa la primera causa de discapacidad en el adulto. La atención en unidades interdisciplinarias, especializadas en ACV (UACV) se vincula con una disminución en la morbi-mortalidad y mejoría en la independencia al alta.  Objetivo: Evaluar el impacto del programa de abordaje precoz, protocolizado y sostenido, en pacientes con ACV asistidos por el Equipo de Rehabilitación integrado a la UACV del HC.  Material y método: Se realizó un estudio prospectivo, descriptivo, de cohorte; con un grupo de usuarios de la UACV (n=79) versus grupo histórico (GH) de población asistida fuera del contexto de UACV (n=77). Se tomaron como indicadores: días de internación, complicaciones e impacto funcional del ACV.  Resultados:  ambas muestras fueron estadísticamente comparables, considerando &#945;&lt;0.05. En la modalidad UACV hubo una franca disminución de las complicaciones extra-neurológicas (21.5% vs 58% del GH), en especial de las infecciosas: urinarias (3.8% vs 21.8% GH) y respiratorias bajas (17.7% vs 27.3% GH); la mortalidad (5.06% vs 10.4% GH) y los días de internación (17.2 días vs 33.5 días del GH). Los pacientes presentaron mejores resultados funcionales al alta, requiriendo menor prescripción de ayudas técnicas: silla de ruedas (18% vs. 45.9% GH), andador o bastón (18% vs 21.6% GH).  Conclusiones: el abordaje mediante la modalidad de UACV exhaustiva, influye positivamente en la independencia, calidad asistencial, costos asistenciales y sociales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: stroke is an important health problem due to its high morbidity and mortality; In Uruguay it represents the first cause of disability in the adult. Attention in interdisciplinary stoke units (SU), is associated with a decrease in morbi-mortality and improvement in independence at hospital discharged.  Objective: evaluation of the impact of an early, protocolized and sustained rehabilitation program, at the stroke unit where rehabilitation team take part.  Material and method:  We carried out a prospective, descriptive, cohort study; with a group of SU patients (n = 79) versus historical group (HG) assisted in general hospital (n = 77). The following indicators were taken: hospitalization days, complications and functional impact of stroke.  Results: Both samples were statistically comparable, considering &#945;&lt;0.05. In SU modality there was a frank reduction of extra-neurological complications (21.5% vs 58% of GH), especially of the urinary tract infections (3.8% vs. 21.8% HG) and respiratory infections (17.7% vs 27.3% HG); Mortality (5.06% vs 10.4% HG) and days of hospitalization (17.2 days vs 33.5 days of HG). The patients presented better functional results at hospital discharge requiring less prescription of technical aids: wheelchair (18% vs. 45.9% HG), walker or walking stick (18% vs 21.6% HG).  Conclusions: the approach through an exhaustive SU modality has positive effects in patient independence, assistance quality, care and social costs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o ataque cerebrovascular (CVA) é um importante problema de saúde devido à sua alta morbidade e mortalidade; No Uruguai, representa a primeira causa da deficiência no adulto. A atenção em unidades interdisciplinares, especializadas em LCA (UACV), está associada a uma diminuição da morbi-mortalidade e à melhoria da independência na alta.  Objetivo:  Avaliar o impacto do programa de tratamento precoce, protocolizado e sustentado em pacientes com AVC assistidos pela Equipe de Reabilitação Integrada à UACV do HC.  Material e método:  Realizamos estudo prospectivo, descritivo e de coorte; com um grupo de usuários UACV (n = 79) versus grupo histórico (GH) de população assistida fora do contexto UACV (n = 77). Foram utilizados os seguintes indicadores: dias de hospitalização, complicações e impacto funcional do AVC.  Resultados:  Ambas as amostras foram estatisticamente comparáveis, considerando &#945;&lt;0,05. Na modalidade UACV houve uma clara diminuição nas complicações extra neurológicas (21,5% vs 58% da GH), especialmente nas infecciosas: urinária (3,8% vs 21,8% GH) e baixa respiratória (17,7% vs 27,3% GH) ; mortalidade (5.06% vs 10.4% GH) e dias de internação (17.2 dias vs 33.5 dias de GH). Os pacientes apresentaram melhores resultados funcionais na alta, exigindo menos prescrição de auxiliares técnicos: cadeira de rodas (18% vs. 45,9% de GH), andador ou bastão (18% contra 21,6% de GH).  Conclusões:  a abrangente abordagem UACV influencia positivamente a independência, a qualidade dos cuidados, os custos sociais e de bem-estar.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ACV]]></kwd>
<kwd lng="es"><![CDATA[unidades de ACV]]></kwd>
<kwd lng="es"><![CDATA[Rehabilitación.]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[stroke units]]></kwd>
<kwd lng="en"><![CDATA[rehabilitation.]]></kwd>
<kwd lng="pt"><![CDATA[ACV]]></kwd>
<kwd lng="pt"><![CDATA[unidades ACV]]></kwd>
<kwd lng="pt"><![CDATA[reabilitação.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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