VALORACIÓN PRONÓSTICA DE LA ENFERMEDAD CEREBROVASCULAR CON ESCALA DE NIHSS. HOSPITAL UNIVERSITARIO GUAYAQUIL. ABRIL 2016 A ABRIL 2017

Abstract

Introduction: CVD is one of the main causes of death and disability, with mortality, prevalence and incidence rates that increase as the age of the population increases worldwide. Objective: To evaluate the prognosis of patients diagnosed with cerebrovascular disease by applying the NIHSS Scale. Methodology: Observational, retrospective and cross-sectional study performed in patients with a diagnosis of CVD at the University Hospital of the City of Guayaquil in the Emergency Service, Neurology and Neurosurgery. A clinical record was applied to obtain the variables of interest and assessment by NIHSS scale. The data obtained were stored in an Excel database and oriented with the SPSS software applying frequency, percentage and Chi-square measures. Results: A sample of 108 patients who met the inclusion criteria was obtained. The most frequent age group was 41-50 years with 31.5%, being the male predominant with 53.7. Mixed complications were more frequent (20.9%), while 20.4% did not report complications. The evaluation of the neurological deficit of patients with CVD indicated that 37.0% of the participants presented a moderate deficit, followed by 32.4% with a mild level. We report a significant relationship between the degree of neurological deficit and the presence of complications. Conclusions: there is a relationship between prognostic assessment and the manifestation of complications after CVD in the study population.