Associated factors with Mortality in Patients with Acute Ischemic Cardioembolic Stroke

Authors

  • Bettsy Bosch Rodrigez
  • Marbelys Guevara Rodríguez
  • Mercedes Bordón Hernández
  • Arlet López Quintanilla
  • Eldis Daniel Rodríguez León

Keywords:

cerebral cardioembolism, mortality, hemorrhagic transformation.

Abstract

Introduction: Cerebral cardioembolism is the most severe and disabling variant of ischemic stroke.

Objective: To determine factors associated with mortality in patients with Cardioembolic Cerebral Infarction at the Arnaldo Milián Castro Hospital, in Villa Clara, Cuba.

Methods: Observational, analytical, transversal study, from January-December 2019, at “Arnaldo Milián Castro” Hospital. The universe was made up of all hospitalized patients with a diagnosis of Cerebral Infarction in the Neurology Service of the Hospital, and the sample was selected through non-probabilistic sampling. The information was stored and processed in SPSS v.21. Descriptive statistical analysis was performed for each variable, in a frequency distribution. Bivariate group analysis was applied, comparing epidemiological and clinical variables with patient mortality.

Results: The female sex prevailed (57,3%), patients older than 80 years (48,5%) and hospital discharge patients (69,9%). There were no significant differences between deceased patients of both sexes (p ˃ 0,05), showing the opposite in the different age groups (p ˂ 0,05). The most frequent clinical finding on admission was a motor defect (98,1%), being very significantly associated with mortality (p < 0,01), as well as language disorders, altered consciousness and neurological complications. and not neurological.

Conclusions: Age over 70 years, motor defect on admission, language disorders, alterations in the state of consciousness, and complications in the acute phase, mainly hemorrhagic transformation, are poor prognostic factors and are associated with higher mortality in patients with Cardioembolic Cerebral Infarction.

 

Downloads

Download data is not yet available.

Downloads

Published

2023-07-07

How to Cite

1.
Bosch Rodrigez B, Guevara Rodríguez M, Bordón Hernández M, López Quintanilla A, Rodríguez León ED. Associated factors with Mortality in Patients with Acute Ischemic Cardioembolic Stroke. Rev Cubana Med [Internet]. 2023 Jul. 7 [cited 2025 Apr. 3];62(3). Available from: https://revmedicina.sld.cu/index.php/med/article/view/3141

Issue

Vol. 62 No. 3 (2023): julio-septiembre (en progreso)

Section

Original articles

License

The Cuban Journal of Medicine protects the author's patrimonial rights. However, it is licensed under a Creative Commons Licensehttps://creativecommons.org/licenses/by-nc/4.0/deed.es_ES which permits unrestricted non-commercial use, distribution and reproduction in any medium, provided that the primary source of publication is duly cited. The author always retains his moral rights.

 

You are free to:

- Share - copy and redistribute the material in any medium or format.

- Adapt - remix, transform and build upon the material

- The license cannot revoke these freedoms as long as you follow the terms of the license.

Under the following terms:

- Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is supported by the licensor.

- Non-Commercial Purpose- You may not make use of the material for commercial purposes.

- No Additional Restrictions - You may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.