Characterization of acute ischemic cerebrovascular disease patients Caracterización de pacientes con enfermedad cerebrovascular isquémica aguda

Abstract

Introduction: due to the high mortality rates associated with cerebrovascular disease, knowledge on its clinical characteristics, risk factors, possible causes, time to initial care and treatment is required in order to implement measures to improve detection and treatment. Objective: to characterize adult patients admitted to Hospital de San José of Bogotá diagnosed with ischemic cerebrovascular disease between June 1 2017 and May 31 2018. Methodology: a descriptive cross-sectional study. Patients older than 18 years diagnosed with cerebrovascular disease were included. Relevant data was collected from clinical records and descriptive statistics were used for data analysis. Results: 160 patients were included. The median progression was 9.9 hours, 85% of patients were admitted presenting no alteration of consciousness and mild severity. The median door-to- imaging time was 36 minutes and door-to-thrombolytic therapy 72.5 minutes. Sixty-five percent of patients received neuroimaging within the first hour of admission, endovenous recanalization procedures were conducted in 13%; of cardiac arrhythmias to 96% and of carotid vessels to 93 %; 82.4% received antiplatelet therapy and 76% were able to walk more than 10 meters at dismissal. Discussion and Conclusions: reducing time until initial medical care is required to meet the currently established international guidelines.