Mortalidad y discapacidad posterior a un primer episodio de enfermedad cerebro vascular en la ciudad de Guayaquil en el periodo 2016-2017, estudio multicéntrico.

Abstract

Objective: Identify the disability and mortality after a first episode of stroke. Methods: An observational, analytical and cohort study of 152 patients with diagnosis of first episode of stroke treated at the Teodoro Maldonado Carbo Hospital and Abel Gilbert Pontón Hospital were evaluated between October-December 2016 with a follow-up at 6 months. Data were collected by reviewing clinical records and surveys based on the Modified Rankin scale. Variables such as risk factors, sociodemographic data, mortality, degree of disability and rehabilitation assistance were measured. Results: Most patients diagnosed were males (61.84%); the most prevalent risk factor was hypertension (57.24%). It was observed that 39.47% of patients died within the period of our study. We found a higher percentage of pati ents with moderate disability (29.35%) and rehabilitation assistance (52.17%). In addition, each time the patient attends physical therapy, the Rankin grade decreases by 0.63 (OR= 0.63) (p = 0.34). Conclusions: This study determined that there is a significant percentage of post stroke disability and that rehabilitation has a beneficial effect on patients. Intervening in our risk factors would reduce the incidence of this disease.