Prevalencia de la enfermedad cerebrovascular isquémica y factores asociados, según la clasificación TOAST, en el Hospital José Carrasco Arteaga del año 2013-2014

Abstract

The Ischemic Stroke is one of the worldwide leading cause of causes of death. In spite of the increases rated in our country, still there’s a lack of epidemiological update data and their etiology base on “Trial of Org 10172 in Acute Stroke Treatment” (TOAST) classification for Ischemic Stroke. OBJECTIVE: Determine the predominance of the stroke as the classification TOAST and associate factors in the Hospital José Carrasco Arteaga of 2013 - 2014. METHODOLOGY: Transverse descriptive study, sample of 137 patients. It was used: frequencies, percentages and Odds Ratio (OR). RESULTS: The ischemic stroke get a prevalence of 54%, the major presentation was in the feminine sex (64,96%), 28,47% took place between 80 and 89 years old. Between the risk factors, the arterial hypertension prevailed in 64,23% (OR:3.5918), and the diabetes in 27,74% (OR:1,9840) of the cases. According to the TOAST classification, the types of ECV more prevalent were the stroke for indeterminate cause (normal studies) (28,46%), and the cardioembolic stroke (24,81%). CONCLUSIONES: The ischemic stroke get a prevalence of 539 cases per patients/year admit in the neurologic service in this institution, and in accordance with the classification TOAST were; the stroke for indeterminate cause by normal studies with 28,46%, followed by the cardioembolic stroke with 24,81%, the two variants of major presentation in this study. The Arterial Hypertension was the associate factor most prevalent with 64,23% (OR: 3,5918)