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- Title
Acute Stroke Care in Mexico City: The Hospital Phase of a Stroke Surveillance Study.
- Authors
Aguilar-Salas, Emmanuel; Rodríguez-Aquino, Guadalupe; García-Domínguez, Katya; Garfias-Guzmán, Catalina; Hernández-Camarillo, Erika; Oropeza-Bustos, Nayeli; Arguelles-Castro, Rubí; Mitre-Salazar, Ameyalli; García-Torres, Gloria; Reynoso-Marenco, Marco; Morales-Andrade, Eduardo; Gervacio-Blanco, Luis; García-López, Víctor; Valiente-Herves, Gabriel; Martínez-Marino, Manuel; Flores-Silva, Fernando; Chiquete, Erwin; Cantú-Brito, Carlos
- Abstract
Background: Acute stroke care has greatly improved in recent decades. However, the increasing stroke mortality in low-to-middle income countries suggests that progress has not been reached completely by these populations. Here we present the analysis of the hospital phase of the first population-based stroke surveillance study. Methods: A daily hospital surveillance method was used to identify adult patients with acute stroke during 18 months in six hospitals. We abstracted data on demographics, vascular risk factors, neuroimaging-confirmed stroke types, and clinical data. Results: A total of 1361 adults with acute stroke were identified (mean age 69.2 years; 52% women) with transient ischemic attack (5.5%), acute ischemic stroke (68.6%), intracerebral hemorrhage (23.1%), cerebral venous thrombosis (0.2%), and undetermined stroke (2.6%). The main risk factors were hypertension (80.7%) and diabetes mellitus (47.6%). The usage rate of thrombolysis was 3.6%, in spite of the fact that 37.2% of acute ischemic stroke patients arrived in <4.5 h. The 30-day case fatality rate was 32.6%, higher in hemorrhagic than ischemic stroke. Conclusion: We identified limitations in acute stroke care in the Mexico City, including neuroimaging availability and thrombolysis usage. The door-to-door phase will help to depict the acute stroke burden in Mexico.
- Subjects
MEXICO City (Mexico); STROKE units; URBAN hospitals; TRANSIENT ischemic attack; CEREBRAL embolism &; thrombosis; ISCHEMIC stroke; HYPERTENSION risk factors
- Publication
Brain Sciences (2076-3425), 2022, Vol 12, Issue 7, pN.PAG
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci12070865