Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
1.
J Stroke Cerebrovasc Dis ; 27(2): 445-453, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29103861

RESUMO

BACKGROUND AND AIMS: Mortality and bad outcome by stroke are higher in developing countries than in industrialized countries. Health-care system efficiency could explain these disparities. Our objective was to identify the impact on short- and middle-term outcomes of patients with acute ischemic stroke (AIS) among public and private Mexican medical care. METHODS: We analyzed data from patients with AIS included in the Primer Registro Mexicano de Isquemia Cerebral (PREMIER) study. Transient ischemic attacks (TIAs) and ambulatory patients were excluded. Mortality and good outcome were assessed by the modified Rankin Scale (mRS) and analyzed at 1, 3, and 12 months of follow-up. RESULTS: From 1246 patients with AIS included in the registry, 1123 were hospitalized, either in public (n = 881) or in private (n = 242) hospitals. There were no significant differences regarding age and gender. In private settings, patients had a higher educational level, a major frequency of dyslipidemia, a previous stroke and TIA, less overweight and obesity, a sedentary lifestyle, and diabetes; stroke severity, the rate of systemic complications, the length of stay, and in-hospital mortality were also lower; a major frequency of thrombolysis was observed when compared with public hospitals. Our study showed a better outcome (mRS score ≤2) in private scenarios and a higher mortality in patients treated in public hospitals at short- and middle-term follow-ups. CONCLUSIONS: A polarized medical practice was observed in the AIS care in this large multicenter cohort of Mexico. There is evidence of an advantage for private scenarios, possibly related with an optimal infrastructure or with a strong patient's economic status.


Assuntos
Isquemia Encefálica/terapia , Disparidades em Assistência à Saúde , Hospitais Privados , Hospitais Públicos , Acidente Vascular Cerebral/terapia , Adulto , Idoso , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/mortalidade , Isquemia Encefálica/fisiopatologia , Comorbidade , Avaliação da Deficiência , Escolaridade , Feminino , Mortalidade Hospitalar , Humanos , Estilo de Vida , Masculino , México , Pessoa de Meia-Idade , Indicadores de Qualidade em Assistência à Saúde , Recuperação de Função Fisiológica , Recidiva , Sistema de Registros , Fatores de Risco , Índice de Gravidade de Doença , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/mortalidade , Acidente Vascular Cerebral/fisiopatologia , Fatores de Tempo , Resultado do Tratamento
3.
Neuromuscul Disord ; 30(7): 590-592, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32600829

RESUMO

Sensory ataxic neuropathy with dysarthria and ophthalmoparesis (SANDO) is an adult onset sensory ataxic neuropathy, dysarthria and chronic progressive external ophthalmoplegia associated with mutations in POLG1. We report a 38-year-old woman with a history of progressive gait instability and bilateral ptosis. Neurological examination found ataxia, ophthalmoplegia, and dysarthria. MRI showed bilateral thalamic and cerebellar lesions. A POLG related disorder was suspected and after DNA sequencing a SANDO with a novel mutation in POLG was confirmed.


Assuntos
DNA Polimerase gama/genética , Doenças Mitocondriais/diagnóstico por imagem , Mutação/genética , Adulto , DNA Mitocondrial/genética , Feminino , Humanos , Imageamento por Ressonância Magnética , Doenças Mitocondriais/genética , Oftalmoplegia Externa Progressiva Crônica/genética
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA