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- Title
Factores de mal pronóstico en pacientes con Accidente Cerebrovascular Isquémico Agudo.
- Authors
Bosch Rodríguez, Bettsy Bell; Guevara Rodríguez, Marbelys; Bordón Hernández, Mercedes; Luna Molinero, Rolando
- Abstract
Objective: To determine factors of bad prognosis in patients with Cerebral Infarction, at the Arnaldo Milián Castro Hospital, Villa Clara, in 2019. Methods: Observational, analytical, transversal study, during January-December 2019, at “Arnaldo Milián Castro” Hospital in Villa Clara, Cuba. The universe was made up of all the patients who were admitted with a diagnosis of Cerebral Infarction in the Neurology ward of the Hospital, in 2019. Through simple random sampling, 153 patients were selected. The information was stored and processed in SPSS v.21. Descriptive statistical analysis was performed for each study variable, in a frequency distribution; A bivariate analysis of groups was applied, comparing epidemiological and clinical variables. Finally, as a mortality predictor model in these patients, a Multilayer Perceptron neural network was created. Results: 65.6% of the patients were discharged alive from the Hospital. There was a total of 48 deaths (31.4%); Of these, all had some motor defect at the time of admission, and in most of them there were disorders of language and state of consciousness. These variables were highly significantly associated from the statistical point of view with patient mortality (p=0.000). The mortality predictor model created showed an average accuracy ± standard deviation of 89 ± 6%. Conclusion: Advanced age, motor defect on admission, language disorders, impaired level of consciousness, as well as neurological and non-neurological complications, are poor prognostic factors and determine higher mortality in the acute phase of ischemic stroke.
- Publication
Galicia Clínica, 2023, Vol 84, Issue 2, p21
- ISSN
0304-4866
- Publication type
Article
- DOI
10.22546/69/3972