Impact of Emergency Care Units and SAMU on the treatment of acute stroke

• DOI: https://doi.org/10.22533/at.ed.159410424131216

• Palavras-chave: Stroke, Emergency Care Units, SAMU, Outcome

• Keywords: Stroke, Emergency Care Units, SAMU, Outcome

• Abstract:

  Early treatment of stroke has a positive impact on the patient's functional outcome. Emergency transport services are of fundamental importance for rapid assessment and transfer to a referral center for stroke treatment. At the Hospital das Clínicas de Ribeirão Preto (Emergency Unit), patients are admitted regulated from a primary medical assessment unit or are brought directly via the Mobile Emergency Care Service (SAMU). Objective: to assess the impact of primary care units on the rate of thrombolysis and the final outcome of stroke treatment. Methodology: Patients admitted to the Emergency Unit over a period of one year, brought in by the SAMU or regulated from another care unit, were retrospectively evaluated. Data on reperfusion therapy (thrombolysis/thrombectomy) and stroke severity was collected from the REAVER (Ribeirão Preto Stroke Registry). Results: There was a higher prevalence of atrial fibrillation (37.5% versus 15.3% with p<0.001) and heart disease (39.4% versus 21.5% with p=0.007) in patients admitted to the SAMU. Patients admitted by the SAMU were significantly more severe NIH 16 [5-22] versus NIH 5 [3-13], with p<0.001. At hospital discharge, patients admitted by the SAMU also had a higher NIH (3 [1-11] versus 2 [0-6]). Conclusion: The results show that SUS patients with ischemic stroke referred via the SAMU receive reperfusion therapy more often.