Naslov
Stroke lethality in emergency unit in Baranya (east Croatia)

Autori
Marjanovic K ; Kralj M ; Butković-Soldo Silva ; Gmajnić , Rudika ; Marjanovic M ; Dmitrovic , Branko ; Ivanovic M

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Skup
The second Mediterranean emergency medicine congress

Mjesto i datum
Barcelona, Španjolska; Sitges, Španjolska, 13.09.2003. - 17.09.2003

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
Stroke; ischemic; hemorrhagic; death; Osijek

Sažetak
This retrospective study was undenaken to identify the cause of death in patients hospitalized at the Osijek University Hospital, referred by the psysicians from the Beli Manastir Health Center Emergency Unit to the Osijek Department of Neurology for a clinical manifestations of cerebrovascular disease (CVD). From November 1, 1997 (the time of Baranya reintegration after the war) til December 31, 2001, 229 patients with symptoms of CVD were referred to the Osijek University Hospital from Baranya and 89 of them died in hospital. Among these 89 patients, there were 53 men and 36 women, mean age 68, 73 years. The majority of patients were in the 61-70 (n=34) and 71-80 (n=34) age groups. The cause of death was determined on the basis of clinical diagnosis, computed tomography finding, and autopsy finding. Stroke, as the eause of death, was identified in 81 deceased patients, with lethality of 38, 38%, whereas the remaining 8 deceased patients with the symptoms of CVD died of some other disease (plasmocytoma, glioblastoma, cerebral metestases, fracture of the first cervical vertebra, acute myocardial infarction, acute appendicitis, chronical ishemic heart disease and bleeding gastric ulcer). Out of 81 stroke patients, ischemic stroke was diagnosed in 59 and hemorrhaglc stroke in 22 patients. Comparison of referral diagnoses and causes of death showed that of 72 patients referred with a diagnosis of nonspecified stroke, 47 died from ischemic strake, 18 from hemorrhagic stroke and 7 from other diseases. Out of seven patients referred as ischemic stroke, ischemic stroke was the cause of death in 6 and hemorrhagic stroke in one patient. Out of five patients referred as hemorrhagic stroke, hemorrhagic type was cause of death in 3, ischemic stroke in one and other disease in one patient. In the patients referred with diagnosis of transient ischemic attack (n=1), hypertensive encelophathy (n=2) and late stroke sequel (n=2), the cause of death was ischemic stroke.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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