Epidemiology of the
haemorrhagic
cerebrovascular
disease in the
central region of
Cuba
NOTE: Translated
using software of
translation of
Spanish to English
Summary.
Introduction.
Cerebrovascular diseases are the third most important cause of death in
Cuba. Among the programmes given priority by the Cuban Ministry of Public
Health and the World Health Organization (WHO), hemorrhagic disorders are
the most ‘lethal’. Objective. To determine the ‘behaviour’ of
hemorrhagic cerebrovascular disease in the central region of Cuba.
Patients and methods. An exploratory, descriptive, retrospective study in
which 1,401 clinical histories were reviewed. The variables being
investigated were then processed using the computer data processor EPINFO
6.0 to determine the mean, standard deviation and chi squared. Results. An
annual incidence rate of 84.03 per 100,000 persons was seen for
hemorrhagic cerebrovascular disease; 54.16 and 29.86 per 100,000 persons
respectively for intracerebral hemorrhage and subarachnoid hemorrhage; and
total mortality of 68.95%. The disorder was associated with possible
meteorological factors and the highest percentage was due to intracerebral
hemorrhage with 64.45%. Arterial hypertension was the most intensely
studied risk marker (p< 0.01). Most cases were elderly (p< 0.001).
Surgical treatment was given to 81 patients with subarachnoid hemorrhage,
with a predominance of malformations of the middle and anterior cerebral
arteries. Treatment was based on depletion using Manitol and calcium
antagonists. A considerable number of patients required mechanical
ventilation and vaso-active drug support. Most were attended in
Intermediate Polyvalent Treatment Units and the main complication was
sepsis. Conclusions. There is a high mortality from hemorrhagic
cerebrovascular disease in the central region of Cuba, and once the
diagnosis has been made the prognosis is usually poor. The patients
included in the programme of attention for subarachnoid haemorrhage showed
promising results.
Autor:
Ecuadorian
magazine of neurology
