Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal
| Main Author: | |
|---|---|
| Publication Date: | 2021 |
| Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Article |
| Language: | por |
| Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Download full: | http://hdl.handle.net/10362/127061 |
Summary: | Publisher Copyright: Copyright Ordem dos M dicos 2021. |
| id |
RCAP_9bcb55730b8c3adeb9249eb8608b33f0 |
|---|---|
| oai_identifier_str |
oai:run.unl.pt:10362/127061 |
| network_acronym_str |
RCAP |
| network_name_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| repository_id_str |
https://opendoar.ac.uk/repository/7160 |
| spelling |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugalNationwide access to endovascular treatment for acute ischemic stroke in portugalEndovascular proceduresIschemic strokeMechanical thrombolysisPortugalThrombectomyMedicine(all)Publisher Copyright: Copyright Ordem dos M dicos 2021.Introduction: Since the publication of endovascular treatment trials and European Stroke Guidelines, Portugal has re-organized stroke healthcare. The nine centers performing endovascular treatment are not equally distributed within the country, which may lead to differential access to endovascular treatment. Our main aim was to perform a descriptive analysis of the main treatment metrics regarding endovascular treatment in mainland Portugal and its administrative districts. Material and Methods: A retrospective national multicentric cohort study was conducted, including all ischemic stroke patients treated with endovascular treatment in mainland Portugal over two years (July 2015 to June 2017). All endovascular treatment centers contributed to an anonymized database. Demographic, stroke-related and procedure-related variables were collected. Crude endovascular treatment rates were calculated per 100 000 inhabitants for mainland Portugal, and each district and endovascular treatment standardized ratios (indirect age-sex standardization) were also calculated. Patient time metrics were computed as the median time between stroke onset, first-door, and puncture. Results: A total of 1625 endovascular treatment procedures were registered. The endovascular treatment rate was 8.27/100 000 inhabitants/year. We found regional heterogeneity in endovascular treatment rates (1.58 to 16.53/100 000/year), with higher rates in districts closer to endovascular treatment centers. When analyzed by district, the median time from stroke onset to puncture ranged from 212 to 432 minutes, reflecting regional heterogeneity. Discussion: Overall endovascular treatment rates and procedural times in Portugal are comparable to other international registries. We found geographic heterogeneity, with lower endovascular treatment rates and longer onset-to-puncture time in southern and inner regions. Conclusion: The overall national rate of EVT in the first two years after the organization of EVT-capable centers is one of the highest among European countries, however, significant regional disparities were documented. Moreover, stroke-onset-to-first-door times and in-hospital procedural times in the EVT centers were comparable to those reported in the randomized controlled trials performed in high-volume tertiary hospitalsNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNDias, Mariana CarvalhoDos Reis, Ricardo SoaresSantos, João VascoNunes, Ana PaivaFerreira, PatríciaMaia, BrunoFragata, IsabelReis, JoãoLopes, Joana RamosCruz, LuísSanto, GustavoMacHado, EgídioGabriel, DenisFelgueiras, RuiDória, Hugo MotaCarneiro, ÂngeloCorreia, ManuelVeloso, Luís MiguelBarros, PedroGregório, TiagoCarvalho, AndreiaRibeiro, ManuelTeotónio, PedroNeto, LiaMelo1, Teresa Pinho E.Canhão, PatríciaFilipe, João PedroMoreira, GoretiAzevedo, ElsaSilva, Maria LuísCosta, Elisa CamposOliveira, GuilhermePereira, LilianaNeves, LígiaRodrigues, MiguelMarto, João PedroCalado, SofiaGrenho, FátimaBranco, GabrielBaptista, TiagoRocha, JaimeFerreira, CarlaPinho, JoãoAmorim, José ManuelAraújo, José ManuelNeiva, Rui ManuelViana, JoãoLobo, MarianaFreitas, AlbertoCruz, Vítor TedimSargento-Freitas, JoãoLopes, José Castro2021-11-03T05:02:54Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/127061por0870-399XPURE: 34297698https://doi.org/10.20344/amp.15031info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-07-22T01:36:19Zoai:run.unl.pt:10362/127061Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:27:58.090120Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal Nationwide access to endovascular treatment for acute ischemic stroke in portugal |
| title |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| spellingShingle |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal Dias, Mariana Carvalho Endovascular procedures Ischemic stroke Mechanical thrombolysis Portugal Thrombectomy Medicine(all) |
| title_short |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| title_full |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| title_fullStr |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| title_full_unstemmed |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| title_sort |
Acesso a tratamento endovascular para acidente vascular cerebral isquémico em portugal |
| author |
Dias, Mariana Carvalho |
| author_facet |
Dias, Mariana Carvalho Dos Reis, Ricardo Soares Santos, João Vasco Nunes, Ana Paiva Ferreira, Patrícia Maia, Bruno Fragata, Isabel Reis, João Lopes, Joana Ramos Cruz, Luís Santo, Gustavo MacHado, Egídio Gabriel, Denis Felgueiras, Rui Dória, Hugo Mota Carneiro, Ângelo Correia, Manuel Veloso, Luís Miguel Barros, Pedro Gregório, Tiago Carvalho, Andreia Ribeiro, Manuel Teotónio, Pedro Neto, Lia Melo1, Teresa Pinho E. Canhão, Patrícia Filipe, João Pedro Moreira, Goreti Azevedo, Elsa Silva, Maria Luís Costa, Elisa Campos Oliveira, Guilherme Pereira, Liliana Neves, Lígia Rodrigues, Miguel Marto, João Pedro Calado, Sofia Grenho, Fátima Branco, Gabriel Baptista, Tiago Rocha, Jaime Ferreira, Carla Pinho, João Amorim, José Manuel Araújo, José Manuel Neiva, Rui Manuel Viana, João Lobo, Mariana Freitas, Alberto Cruz, Vítor Tedim Sargento-Freitas, João Lopes, José Castro |
| author_role |
author |
| author2 |
Dos Reis, Ricardo Soares Santos, João Vasco Nunes, Ana Paiva Ferreira, Patrícia Maia, Bruno Fragata, Isabel Reis, João Lopes, Joana Ramos Cruz, Luís Santo, Gustavo MacHado, Egídio Gabriel, Denis Felgueiras, Rui Dória, Hugo Mota Carneiro, Ângelo Correia, Manuel Veloso, Luís Miguel Barros, Pedro Gregório, Tiago Carvalho, Andreia Ribeiro, Manuel Teotónio, Pedro Neto, Lia Melo1, Teresa Pinho E. Canhão, Patrícia Filipe, João Pedro Moreira, Goreti Azevedo, Elsa Silva, Maria Luís Costa, Elisa Campos Oliveira, Guilherme Pereira, Liliana Neves, Lígia Rodrigues, Miguel Marto, João Pedro Calado, Sofia Grenho, Fátima Branco, Gabriel Baptista, Tiago Rocha, Jaime Ferreira, Carla Pinho, João Amorim, José Manuel Araújo, José Manuel Neiva, Rui Manuel Viana, João Lobo, Mariana Freitas, Alberto Cruz, Vítor Tedim Sargento-Freitas, João Lopes, José Castro |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
Dias, Mariana Carvalho Dos Reis, Ricardo Soares Santos, João Vasco Nunes, Ana Paiva Ferreira, Patrícia Maia, Bruno Fragata, Isabel Reis, João Lopes, Joana Ramos Cruz, Luís Santo, Gustavo MacHado, Egídio Gabriel, Denis Felgueiras, Rui Dória, Hugo Mota Carneiro, Ângelo Correia, Manuel Veloso, Luís Miguel Barros, Pedro Gregório, Tiago Carvalho, Andreia Ribeiro, Manuel Teotónio, Pedro Neto, Lia Melo1, Teresa Pinho E. Canhão, Patrícia Filipe, João Pedro Moreira, Goreti Azevedo, Elsa Silva, Maria Luís Costa, Elisa Campos Oliveira, Guilherme Pereira, Liliana Neves, Lígia Rodrigues, Miguel Marto, João Pedro Calado, Sofia Grenho, Fátima Branco, Gabriel Baptista, Tiago Rocha, Jaime Ferreira, Carla Pinho, João Amorim, José Manuel Araújo, José Manuel Neiva, Rui Manuel Viana, João Lobo, Mariana Freitas, Alberto Cruz, Vítor Tedim Sargento-Freitas, João Lopes, José Castro |
| dc.subject.por.fl_str_mv |
Endovascular procedures Ischemic stroke Mechanical thrombolysis Portugal Thrombectomy Medicine(all) |
| topic |
Endovascular procedures Ischemic stroke Mechanical thrombolysis Portugal Thrombectomy Medicine(all) |
| description |
Publisher Copyright: Copyright Ordem dos M dicos 2021. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-11-03T05:02:54Z 2021 2021-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/127061 |
| url |
http://hdl.handle.net/10362/127061 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
| dc.relation.none.fl_str_mv |
0870-399X PURE: 34297698 https://doi.org/10.20344/amp.15031 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.source.none.fl_str_mv |
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia instacron:RCAAP |
| instname_str |
FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
| instacron_str |
RCAAP |
| institution |
RCAAP |
| reponame_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| collection |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| repository.name.fl_str_mv |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
| repository.mail.fl_str_mv |
info@rcaap.pt |
| _version_ |
1833596713560965120 |