CEREBROVASCULAR ACCIDENT: CLINICAL ASPECTS AND NEUROLOGICAL REPERCUSSIONS

Abstract

The aim of this study was to analyze the clinical, sociodemographic, and care factors associated with hospital death in patients hospitalized for stroke in a public hospital in northern Espírito Santo. Methods: A cross-sectional study was conducted with 196 patients hospitalized for ischemic or hemorrhagic stroke at the Roberto Arnizaut Silvares Hospital. Data were collected using an electronic medical record and a standardized form. Demographic variables, comorbidities, type of stroke, initial symptoms, time to care, length of stay, and hospital outcome were evaluated. Descriptive analysis and logistic regression were performed to estimate crude and adjusted odds ratios (OR) (95% CI), adopting p<0.05. Results: The majority of patients were male (55.9%), aged between 61 and 80 years. Ischemic stroke was predominant (85.1%), but hemorrhagic stroke was associated with higher mortality. After adjustment, hemorrhagic stroke (ORa=3.53; 95% CI:1.61–7.71), decreased level of consciousness (ORa=4.52; 95% CI:1.98–10.29), and length of stay ≥3 days (ORa=3.93; 95% CI:1.14–13.56) remained associated with death. Conclusion: Hemorrhagic stroke, decreased level of consciousness, and longer length of stay were independent predictors of hospital death. The findings reinforce the need to improve care protocols in regional contexts, although the cross-sectional design limits causal inferences.