PATIENTS TREATED WITH SUSPECTED STROKE: ANALYSIS OF THE ASSOCIATION BETWEEN DIAGNOSIS AND CLINICAL OUTCOME
Description
This is a cross-sectional and observational study, with secondary data and a quantitative approach, carried out on visits to patients with suspected ischemic or hemorrhagic stroke, treated in an emergency department of a high-complexity hospital. The research was carried out in October 2019 at the Hospital do Coração de Natal, a private institution in the city of Natal, State of Rio Grande do Norte, Brazil and comprised the data recorded in electronic medical records from March to August 2019 (period of six months). The hypothesis proposed for the study was that there was an association between the type of stroke diagnosis and its clinical outcomes. The objective of this research was to verify the association between diagnosis and clinical outcomes in suspected cases of stroke, treated in the emergency room of a high complexity hospital. Of the total of 50 consultations, it was observed that among the diagnoses of cerebrovascular accident, the ischemic with 18 cases (36%) and the hemorrhagic with five (10%) stood out, and this represented the highest proportion of deaths, with a total of three (6%). Within the sample, 24 (48%) had no confirmation of stroke, without any occurrence of death (p-value= 0.001). The research showed, in the sample studied, the association between the diagnosis in patients with suspected stroke and its clinical outcome, which had hospital discharge as the main outcome, but with a high percentage of deaths among hospitalizations. In this sense, the hypothesis proposed in the study was accepted.