Dificultades más comunes en el manejo de pacientes que han presentado un evento cerebrovascular en el Hospital General Liborio Panchana Sotomayor durante el 2019-2023.

Abstract

Introduction: Cerebrovascular events (CVD) are a public health problem worldwide. Cases of CVD increase annually due to multiple social, economic and behavioural factors. The lack of specialized personnel, diagnostic support equipment, and modern infrastructure limits the clinical-therapeutic management of these patients and in turn impacts quality of life, prognosis, and survival. Objective: To determine the most common difficulties in the management of patients who have presented a cerebrovascular event at the Liborio Panchana Sotomayor General Hospital during 2019-2023. Methodology: This is a descriptive, retrospective and cross-sectional study that includes 100 patients diagnosed with a cerebrovascular event. Data were collected through medical records and a telephone survey. Results: It was found that the clinical-demographic characteristics are: male sex, age of 51-60 years, low socioeconomic status and ischemic CVD, presence of toxic habits. High blood pressure and diabetes mellitus are the main risk factors. A high rate of disability and a low mortality rate were observed. Conclusion: The barriers that hinder the management of patients with CVD are related to the level of knowledge of the disease, availability of neuroimaging and post-hospital care.