Abstract

SANCLEMENTE ANSO, C. et al. Cerebrovascular accidents in Osona borough: Cardiovascular risk factors. An. Med. Interna (Madrid) [online]. 2004, vol.21, n.4, pp.9-17. ISSN 0212-7199.

Introduction: Cerebrovascular disease (CVD) is the second cause of hospitalization in the order of frequency in our service, thus reflecting this pathology’s high incidence in our borough. This study analyzes clinical and biological characteristics, cardiovascular risk factors and actions taken in hospital discharge in the internal medicine department of a borough hospital (the reference hospital in Osona borough), as well as other characteristics of the hospitalized CVD patients from January 2001 to December 2001. Method: This study was performed by revising each patient’s hospital discharge report. 277 patients were hospitalized for CVD. Results: Biological and demographic characteristics, as well as cardiovascular risk factors analyzed (arterial hypertension, diabetes, smoking, or dyslipidemy) were similar to other series. Incidence of hemorrhagic and cardio-embolic CVD was slightly lower, taken into account that hemorrhagic episodes that needed neurosurgical intervention were transferred to a higher-level center with a department of neurosurgery. Age was neither a factor for bad prediction leading to bad sequels after the episode nor a cause of an increased mortality. This data differs from others series. Conclusions: Actions taken on discharge, on cardiovascular risk factors and on hygienic-dietetic recommendations were deficient. Average stay was higher when compared to average stay in specialized ictus units.

Keywords : Acute cerebrovascular accident; Cerebrovascular disease; Cardiovascular risk factors; Hypercholesterolemia; Neuroepidemiology; Secondary prevention.

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