Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department
Introduction: Stroke is a leading cause of morbidity and long-term disability worldwide, significantly impacting health systems and personal lives. Disparities in European access to stroke care suggest an increased burden on individuals and society. Effective management of acute stroke in emergency...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Instituto Politécnico de Viseu
2025-01-01
|
| Series: | Millenium |
| Subjects: | |
| Online Access: | https://revistas.rcaap.pt/millenium/article/view/36532 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595656456273920 |
|---|---|
| author | Sandra Domingues Tiago Barros João Correia Arlindo Cruz Nuno Araújo Liliana Silva |
| author_facet | Sandra Domingues Tiago Barros João Correia Arlindo Cruz Nuno Araújo Liliana Silva |
| author_sort | Sandra Domingues |
| collection | DOAJ |
| description |
Introduction: Stroke is a leading cause of morbidity and long-term disability worldwide, significantly impacting health systems and personal lives. Disparities in European access to stroke care suggest an increased burden on individuals and society. Effective management of acute stroke in emergency departments is critical, requiring a rapid and coordinated response to optimize clinical outcomes.
Objective: Characterize the hospital approach to acute stroke patients attended through the Stroke Pathway (Via Verde AVC) protocol in a Medical-Surgical Emergency Department in northern Portugal.
Methods: Retrospective observational study of 1153 patients admitted through the Acute Stroke Care Pathway from 2019 to 2023. Data on patient demographics, clinical characteristics, treatments, and outcomes were collected from electronic medical records. Statistical analysis included chi-square tests, ANOVA, Kruskal-Wallis tests, trend analysis, and logistic regression.
Results: Stroke Pathway activations increased from 0.28% in 2019 to 0.31% in 2023 (p<0.05). Ischemic stroke was most common (64.8%, 95% CI: 62.1-67.4%). Thrombolysis rates increased from 21.96% to 27.27% (p<0.01), and thrombectomy from 4.67% to 21.21% (p<0.001). Age >70 years (OR 1.8, 95% CI: 1.3-2.5) and arrival within 3 hours (OR 2.3, 95% CI: 1.7-3.1) predicted reperfusion therapy. Female patients surpassed males in 2023 (51.01% vs 48.99%).
Conclusion: The Emergency Department demonstrated improvement in acute stroke care. Enhanced systematic data recording and new technologies are needed to optimize care. Future research should focus on long-term outcomes and quality-of-life measures.
|
| format | Article |
| id | doaj-art-fb7e27f3b0a442e4b7ffc0fc3598d428 |
| institution | Kabale University |
| issn | 0873-3015 1647-662X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Instituto Politécnico de Viseu |
| record_format | Article |
| series | Millenium |
| spelling | doaj-art-fb7e27f3b0a442e4b7ffc0fc3598d4282025-01-18T09:53:47ZengInstituto Politécnico de ViseuMillenium0873-30151647-662X2025-01-012610.29352/mill0226.36532Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency DepartmentSandra Domingues0Tiago Barros1João Correia2Arlindo Cruz3Nuno Araújo4Liliana Silva5Unidade Local de Saúde de Matosinhos, Matosinhos, PortugalUnidade Local de Saúde de Matosinhos, Matosinhos, PortugalUnidade Local de Saúde de Matosinhos, Matosinhos, PortugalUnidade Local de Saúde de Matosinhos, Matosinhos, PortugalCooperativa de Ensino Superior Politécnico e Universitário (CESPU), Gandra, PortugalUnidade Local de Saúde de Matosinhos, Matosinhos, Portugal | Tecnologias para a Educação e Simulação na Saúde (Tech4edusim), Porto, Portugal | Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), Porto, Portugal Introduction: Stroke is a leading cause of morbidity and long-term disability worldwide, significantly impacting health systems and personal lives. Disparities in European access to stroke care suggest an increased burden on individuals and society. Effective management of acute stroke in emergency departments is critical, requiring a rapid and coordinated response to optimize clinical outcomes. Objective: Characterize the hospital approach to acute stroke patients attended through the Stroke Pathway (Via Verde AVC) protocol in a Medical-Surgical Emergency Department in northern Portugal. Methods: Retrospective observational study of 1153 patients admitted through the Acute Stroke Care Pathway from 2019 to 2023. Data on patient demographics, clinical characteristics, treatments, and outcomes were collected from electronic medical records. Statistical analysis included chi-square tests, ANOVA, Kruskal-Wallis tests, trend analysis, and logistic regression. Results: Stroke Pathway activations increased from 0.28% in 2019 to 0.31% in 2023 (p<0.05). Ischemic stroke was most common (64.8%, 95% CI: 62.1-67.4%). Thrombolysis rates increased from 21.96% to 27.27% (p<0.01), and thrombectomy from 4.67% to 21.21% (p<0.001). Age >70 years (OR 1.8, 95% CI: 1.3-2.5) and arrival within 3 hours (OR 2.3, 95% CI: 1.7-3.1) predicted reperfusion therapy. Female patients surpassed males in 2023 (51.01% vs 48.99%). Conclusion: The Emergency Department demonstrated improvement in acute stroke care. Enhanced systematic data recording and new technologies are needed to optimize care. Future research should focus on long-term outcomes and quality-of-life measures. https://revistas.rcaap.pt/millenium/article/view/36532Stroke; Emergency Service; health care; Acute Stroke Treatment Protocol; quality of health care |
| spellingShingle | Sandra Domingues Tiago Barros João Correia Arlindo Cruz Nuno Araújo Liliana Silva Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department Millenium Stroke; Emergency Service; health care; Acute Stroke Treatment Protocol; quality of health care |
| title | Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department |
| title_full | Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department |
| title_fullStr | Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department |
| title_full_unstemmed | Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department |
| title_short | Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department |
| title_sort | acute stroke in northern portugal outcomes and characteristics of patients in a medical surgical emergency department |
| topic | Stroke; Emergency Service; health care; Acute Stroke Treatment Protocol; quality of health care |
| url | https://revistas.rcaap.pt/millenium/article/view/36532 |
| work_keys_str_mv | AT sandradomingues acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment AT tiagobarros acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment AT joaocorreia acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment AT arlindocruz acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment AT nunoaraujo acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment AT lilianasilva acutestrokeinnorthernportugaloutcomesandcharacteristicsofpatientsinamedicalsurgicalemergencydepartment |