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Stroke Research and Treatment
Volume 2014, Article ID 194768, 6 pages
http://dx.doi.org/10.1155/2014/194768
Research Article

Outcome Determinants of Stroke in a Brazilian Primary Stroke Center

1Hospital Paulistano, 01321-001 São Paulo, SP, Brazil
2Stroke Integrated Program (PIAVEN), Amil Stroke Network, 01321-001 São Paulo, SP, Brazil
3Department of Neurology, Faculdade de Medicina do ABC, 09060-650 Santo André, SP, Brazil
4Department of Neurology, Federal University of São Paulo (UNIFESP), 04021-001 São Paulo, SP, Brazil
5Neurosciences Program, Federal University of Minas Gerais (UFMG), 31270-901 Belo Horizonte, MG, Brazil

Received 1 November 2014; Accepted 26 November 2014; Published 11 December 2014

Academic Editor: Graeme Hankey

Copyright © 2014 Gustavo W. Kuster et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Stroke mortality in Brazil is one of the highest among Western countries. Nonetheless, stroke outcome determinants are still poorly known in this country. In this study we evaluate outcome determinants of stroke in a primary stroke center in São Paulo, Brazil. Methods. We evaluated demographic, clinical, and outcome data of patients with ischemic stroke (IS), transient ischemic attack (TIA), and intracerebral hemorrhage (ICH) admitted at “Hospital Paulistano,” São Paulo, Brazil. In-hospital mortality and functional outcome determinants were assessed. Univariate and binary logistic regression analysis were performed. Results. Three hundred forty-one patients were included in the study, 52.2% being male with years. The stroke type distribution was IS: 59.2%, TIA: 29.6%, and ICH: 11.1%. ICH was associated with greater severity and poorer functional outcome. The determinants of poorer functional outcome were higher NIHSS, lower Glasgow score, and lower oxygen saturation level. The most important mortality determinant was the presence of visual symptoms. Conclusions. The stroke mortality and stroke outcome determinants found in the present study do not remarkably differ from studies carried out in developed countries. Stroke prognosis studies are crucial to better understand the high burden of stroke in Brazil.