Perfil do atendimento a vítima de Acidente Vascular Encefálico isquêmico em fase aguda em uma unidade de referência do SUS-Bahia antes e após publicação das Portarias 664 e 665 de 12 de abril de 2012

Abstract

Introduction: The term ischemic cerebrovascular accident (EVA) refers to brain damage from inadequate blood supply to brain structures. One of the techniques used to re-establish flow is chemical thrombolysis. In order to promote early detection and adequate management of victims, the Ministry of Health published Portariaes 664 and 665 of April 12, 2012. Objective: This research aimed to establish the profile of victims of acute stroke in A unit of the Unified Health System of the city of Salvador-Bahia before and after 2012, in which government measures fostered and publicized the importance of agile care. Methodology: This is a serial cross-sectional study using retrospective data to estimate the incidence of stroke, through the collection of secondary data from the medical records of the Hospital del Subúrbio. Results: The sample consisted of 368 individuals: 104 from the year 2011, 134 from the year 2013 and 130 from the year 2015. The majority of the individuals were 65 years of age or older, black or brown, retired, native to Salvador And residents in the peri-hospital area. Of the patients who died, an age above 65 years was related to a higher risk of death (p = 0.008). Another relationship with death was observed in the variables: score less than eight in the Glasgow Coma Scale (p = 0.006) and red color in the emergency room (p≤0.001). (P = 0.016), older than 65 years (p = 0.017), who lived near the hospital (p = 0.003) or who used their own means of locomotion (p = 0.017). In 2011 three thrombolysis were performed and in 2015 five. Conclusion: There was an absolute increase in the number of visits from 2011 to 2015, in addition to an increase in the number of individuals that arrived within 4h30min after the onset of signs and symptoms. There was also progression in the number of thrombolysis performed. Maintenance of the demographic profile with regard to gender and age and an increase in the proportion of color / white race patients (from 2.4% to 42.4%) and the demand for care of victims residing outside Brazil were observed. Peri-hospital area.