Abstract Details

Title Inpatient Complications and Mortality of Stroke in Costa Rica: A seven-year hospital-based acute stroke registry of 1319 patients

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P15 - Poster Session 15 (12:00 PM-1:00 PM)

Poster/Presentation
Number 4-014

Objective To evaluate inpatient complications and mortality rate of stroke as part of the Costa Rican Stroke Registry Program (CRSRP).

Background Limited data on inpatient stroke complications and mortality exists for Costa Rica. Therefore, we created a stroke registry, the CRSRP, out of stroke patients seen in the Acute Stroke Unit of the Hospital Dr. Rafael A. Calderón Guardia.

Design/Methods We analyzed 1319 patients over a seven-year period, including demographic, clinical, laboratory and neuroimaging data.

Results Mean age of stroke was 68.0 ? 15.5 years. 725 were men and age range was 13 to 104 years. We documented 962 (72.9%) ischemic and 270 (20.5%) hemorrhagic strokes. Only 58.6% of patients with previous stroke/TIA had antithrombotic therapy and only 18.7% of patients with known atrial fibrillation were on anticoagulation. The three main complications reported were pneumonia, mechanical ventilation and urinary tract infections (UTIs). Men were significantly more likely to have pneumonia (5.0% vs 2.2%, p=0.008) and women more likely to have UTIs (4.0% vs 1.2%, p=0.001). Overall in-hospital mortality was 1.4%. Higher NIHSS scores and hemorrhagic strokes were independent predictors for poor outcomes while a high NIHSS, diabetes and cardioembolic strokes were independent predictors for mortality. Most patients (78.9%) returned to their own homes on discharge, 8.7% went to a relative’s home, 1.8% were institutionalized and only 0.6% went to a specialized physical rehabilitation center.

Conclusions We report a low inpatient complication yield and low inpatient mortality. However, primary and secondary prevention guidelines have not been adequately followed, impacting on the incidence of stroke in our population.

Authors/Disclosures
Cesar E. Escamilla-Ocanas, MD PRESENTER	Dr. Escamilla-Ocanas has nothing to disclose.
Gabriel Torrealba Acosta, MD (Duke University Medical Center)	Dr. Torrealba Acosta has nothing to disclose.
Rahul Damani	Rahul Damani has nothing to disclose.
	No disclosure on file
	No disclosure on file
	No disclosure on file
Kenneth Carazo	No disclosure on file
Huberth Fernandez	No disclosure on file

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Abstract Details