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CC BY 4.0 · Arq Neuropsiquiatr 2023; 81(08): 707-711
DOI: 10.1055/s-0043-1770350
Original Article

The effects of the healthcare line in a stroke unit: three years' experience of a center in the Northeast of Brazil

Efeitos da linha de cuidado em saúde em uma unidade de AVC: três anos de experiência de um centro no nordeste do Brasil
Deborah Moreira Rangel 
1   Hospital Geral de Fortaleza, Fortaleza CE, Brazil.
,
Anna Karuza Nogueira Feitosa 
2   Instituto de Saúde e Gestão Hospitalar, Hospital Regional do Sertão Central, Serviço de AVC, Quixeramobim CE, Brazil.
,
Flaviane Melo Araújo 
2   Instituto de Saúde e Gestão Hospitalar, Hospital Regional do Sertão Central, Serviço de AVC, Quixeramobim CE, Brazil.
,
Mara Cibelly da Silva Pinheiro 
2   Instituto de Saúde e Gestão Hospitalar, Hospital Regional do Sertão Central, Serviço de AVC, Quixeramobim CE, Brazil.
,
Alan Alves de Lima Cidrão 
2   Instituto de Saúde e Gestão Hospitalar, Hospital Regional do Sertão Central, Serviço de AVC, Quixeramobim CE, Brazil.
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Abstract

Background Treatment at an organized stroke unit center (SUC) improves survival after stroke. Stroke mortality has decreased worldwide in recent decades.

Objective This study shows the experience of a SUC in the Northeast of Brazil, comparing its first, second, and third years.

Methods We compared data on the SUC prospectively collected from 31 July 2018 to 31 July 2019 (year 1), August 1st, 2019, to July 31st, 2020 (year 2), and August 1st to July 31st, 2021 (year 3).

Results There was an expertise evolution through the years, with good outcomes in spite of the coronavirus disease 2019 pandemic in the 3rd year. Also, in the 1st year, the median (interquartile range) door-to-needle time was 39.5 (29.5–60.8) minutes evolving to 22 (17–30) minutes, and then to 17 (14–22) minutes in the last year.

Conclusion This was the first report on a SUC's outcome in the Brazil's Central Arid Northeast countryside, and it shows the improvement in care for patients with stroke through an effective healthcare line.

Resumo

Antecedentes O tratamento em um centro organizado com Unidade de acidente vascular cerebral (AVC) melhora a sobrevida após o AVC. A mortalidade por AVC diminuiu em todo o mundo nas últimas décadas.

Objetivo Este estudo mostra a experiência de um centro de AVC no Nordeste brasileiro, comparando o primeiro, segundo e terceiro anos do serviço.

Métodos Nós comparamos dados coletados prospectivamente na Unidade de AVC de 31 de julho de 2018 a 31 de julho 2019 (ano 1), 1° de agosto de 2019 a 31 de julho de 2020 (ano 2) e 1° de agosto a 31 de julho de 2021 (ano 3).

Resultados Houve uma evolução na conhecimento especializado ao longo dos anos, com bons desfechos apesar da pandemia de coronavirus disease 2019 no terceiro ano. Além disso, no primeiro ano a mediana do tempo porta–agulha foi de 39.5 (29.5–60.8) minutos, evoluindo para 22 (17–30) minutos, e então 17 (14–22) minutos no último ano.

Conclusão Este foi o primeiro relato sobre o desempenho de um serviço de AVC do interior do Nordeste brasileiro e evidencia a melhoria assistencial aos pacientes com AVC por meio de uma efetiva linha de cuidado em saúde.

Keywords

Cerebrovascular Disorders - Mortality - Risk Factors - Stroke - Thrombolytic Therapy

Palavras-chave

Transtornos Cerebrovasculares - Mortalidade - Fatores de Risco - Acidente Vascular Cerebral - Terapia Trombolítica

Authors' Contributions

DMR, AALC: conceptualization, data curation, formal analysis, investigation, methodology, project administration, supervision, validation, writing – original draft, and writing – review & editing; AKNF, FMA, MCSP: conceptualization, formal analysis, investigation, methodology, and writing – original draft.




Publication History

Received: 16 November 2022

Accepted: 16 March 2023

Article published online:
30 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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