Stroke in the state of Alagoas, Brazil: a descriptive analysis of a northeastern scenario

Abstract: Background There is little information available on stroke epidemiology in the northeast of Brazil. Objective Our objective was to investigate the prevalence of the stroke subtypes, prevalence of cerebrovascular risk factors and patterns of management in a public neurovascular outpatient referral service, in Alagoas. Methods Data were prospectively collected from consecutive patients with stroke who were treated in a specialized neurovascular clinic between November 2016 and June 2018. Recurrence was evaluated by telephone 12 months after patients had been included in the study. Results We evaluated 190 patients (mean age, 60.22 (13.29 years; 60.5% males). Ischemic stroke was the most frequent subtype (85.2%). Sedentary lifestyle was the most common risk factor (71.6%), followed by hypertension (62.6%) and stroke family history (41.1%). Only 21.5% of the patients were transported by ambulance to the hospital, and 42.6% received medical support in hospital units or emergency units with no imaging support. The median NIHSS was 2.5 (IQR, 1-5) and mRS was 2 (IQR, 1-3). We found a high rate of undetermined stroke (35.8%), and few patients completed the etiological investigation. One year after inclusion in the study, 12 patients (6.3%) had died and 14 (7.3%) had had another stroke. Conclusions The prevalence of cerebrovascular risk factors and clinical presentation were similar to what had been seen in previous series. A notable number of patients received medical support in institutions with no imaging equipment. The high number of cases of undetermined stroke etiology shows the difficulty in accessing healthcare services in Alagoas.

Weitere Titel
Acidente vascular cerebral no estado de Alagoas, Brasil: análise descritiva de um cenário do nordeste brasileiro
Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Stroke in the state of Alagoas, Brazil: a descriptive analysis of a northeastern scenario ; volume:80 ; number:06 ; year:2022 ; pages:550-556
Arquivos de neuro-psiquiatria ; 80, Heft 06 (2022), 550-556

Beteiligte Personen und Organisationen
Rocha, Letícia Januzi de Almeida
Silva, Kauan Araújo da
Chagas, Arthur de Lima
Veras, Arthur de Oliveira
Souto, Vitor Gustavo Leão
Valente, Maria Clara Motta Barbosa
Baggio, Jussara Almeida de Oliveira

DOI
10.1590/0004-282X-ANP-2021-0194
URN
urn:nbn:de:101:1-2023032311240848453480
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 11:02 MESZ

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Beteiligte

  • Rocha, Letícia Januzi de Almeida
  • Silva, Kauan Araújo da
  • Chagas, Arthur de Lima
  • Veras, Arthur de Oliveira
  • Souto, Vitor Gustavo Leão
  • Valente, Maria Clara Motta Barbosa
  • Baggio, Jussara Almeida de Oliveira

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