FACTORES EPIDEMIOLÓGICOS Y CLÍNICOS ASOCIADOS A MORTALIDAD EN PACIENTES CON ICTUS AGUDO ATEROTROMBÓTICO EN HOSPITAL “ARNALDO MILIÁN CASTRO” EN VILLA CLARA, CUBA

Introduction.   Ischemic stroke represents an important cause of morbidity and mortality.

Objective.   Determine factors associated with mortality in patients with Acute Atherothrombotic Ischemic Stroke.

Methodology.   Observational, analytical, cross-sectional study. The universe consisted of all hospitalized patients with a diagnosis of Cerebral Infarction in the Neurology Service of the Hospital; the sample was selected through non-probabilistic sampling. Descriptive statistical analysis was performed for each variable, in a frequency distribution. Bivariate group analysis was applied, comparing epidemiological and clinical variables with patient mortality.

Results.   The male sex predominated (60.0%), patients over 70 years of age (80.0%) and those discharged alive from the Hospital (66.0%). There were no significant differences between deceased patients of both sexes (p>0.05), the opposite being demonstrated in the different age groups (p<0.05). The main clinical findings on admission were: motor defect (94.0%), language disorders (82.0%), and altered state of consciousness (46.0%), being very significantly related to mortality (p <0.01), as well as non-neurological complications (p<0.01).

Conclusion.   Advanced age, motor defects on admission, language disorders, altered state of consciousness, prolonged hospitalization and in-hospital complications are poor prognostic factors in patients with Atherothrombotic Cerebral Infarction.

Keywords:
Ischemic cerebrovascular accident; atherothrombotic; state of consciousness; mortality