Mundo real do atendimento na urgência do acidente vascular encefálico isquêmico em 2023 no Brasil

Abstract

Stroke is a very common pathology in hospitals around the world, and especially in Brazil. The time between the onset of symptoms and specific treatment is fundamental in the evolution and prognosis of these affected patients. The need to know real data regarding this health condition in the emergency department and the implementation of specific training in neurointerventional procedures for ischemic stroke has a relevant impact on the survival and functional outcome of patients. data Data from eight hundred and forty-one patients treated in the emergency department of large hospitals in Brazil (private and public), specialized in ischemic stroke, in the year 2023 were analyzed. In the general analysis, there was a predominance of affected patients who were female and in the range aged between the seventh and eighth decades of life. Of the patients evaluated, only 14% received some type of reperfusion treatment (chemical, mechanical thrombectomy or both). In the public hospital, of the few patients who received treatment, only chemical thrombolysis was prescribed, as there is no endovascular treatment. In private hospitals, despite the availability of endovascular treatment, the percentage of patients who received some type of intervention was lower than the Comprehensive Stroke Centers in the world. Real data on emergency ischemic stroke care in large hospitals in Brazil in 2023 demonstrate that, still, few patients benefit from adequate treatment for this pathology.