EPIDEMIOLOGICAL PROFILE AND OUTCOMES OF STROKE VICTIMS IN A REFERRAL EMERGENCY HOSPITAL

Abstract

Introduction: Stroke is a condition that causes significant brain damage, affecting the patient's ability to perform basic daily activities. Therefore, restoring and maximizing functionality is one of the main goals of post-stroke treatment. Objective: To assess the epidemiological profile, clinical outcomes, and functional prognosis of stroke patients treated at a public reference hospital in Goiânia. Methods: This is a cross-sectional study conducted between April and August 2024, using data from 133 patients extracted from electronic medical records. Results: The findings showed a predominance of males (61.7%) with a mean age of 66.32 years. Ischemic Stroke was the most prevalent type (72.2%) and was associated with better clinical outcomes, with 69.8% of hospital discharges. In contrast, Hemorrhagic Stroke was more severe, presenting a higher mortality rate (51.4%). Early mobilization was recorded in 87.3% of cases and was associated with better functional milestones, such as bedside sitting (59.5%) and standing (35.1%). Higher scores on the Scandinavian Stroke Scale (SSS) and National Institutes of Health Stroke Scale (NIHSS) correlated with worse outcomes, including higher mortality. Conclusion: The use of scales such as SSS and NIHSS proved crucial for severity stratification and clinical management planning. The study highlights the importance of early mobilization and multidisciplinary interventions in improving functionality and reducing mortality in stroke patients.