The statement "time is brain" is particularly relevant in the immediate aftermath of a stroke, when the therapeutic measures taken in the shortest possible time are crucial for functional recovery and quality of life.

Since Portugal continues to have the highest incidence of stroke in the European Union, the degree of temporary or permanent psychological suffering and physical/functional dependence has a profound impact on the quality of life of patients and their family members, also becoming relevant in socioeconomic and health care terms.

Health care stabilizes the patient, prevents potential complications, and initiates secondary prevention and rehabilitation processes. Time and organization, among other factors, are fundamental throughout the therapeutic process. Some difficulties arise when stroke patients are discharged from the hospital. These difficulties include having to remain in hospital while waiting for family members to be able to care for them or waiting for a place in the (overburdened) national long-term care network, which leads to further problems and increased suffering, thus affecting quality of life.

This project prospectively studies patients who have suffered a first episode of ischemic stroke, taking into account the length of hospitalization beyond what is clinically necessary and life after stroke care.

Objectivos específicos:

1 – Avaliar e comparar a evolução dos parâmetros/ indicadores de funcionalidade e de qualidade de vida, obtidos na admissão, na alta clínica, aos 30 e 90 dias após o AVC.

2 – Analisar esta evolução em função do nº de dias decorridos entre a alta e a saída efectiva do doente.

3 – Analisar esta evolução em função do destino após a alta.

População

Doentes vítimas de acidente vascular cerebral isquémico

Pertinência no quadro atual das prioridades de saúde:

Programa Nacional para as Doenças Cérebro-cardiovasculares

(http://www.portaldasaude.pt/portal/conteudos/a+saude+em+portugal/politica+da+saude/programas+nacionais/programas+prioritarios.htm#a3)

Descrição

Desta conjugação será possível obter uma redução significativa da carga global de doença cérebro-cardiovascular com relevante impacto social.

Objetivos de impacto:

Redução da mortalidade intra hospitalar global por acidente vascular cerebral para 13% em 2016.

Objetivos operacionais:

Publicação anual de Indicadores Assistenciais Vias Verdes coronárias e do Acidente vascular cerebral (AVC).

Incremento do número de admissões através das vias verdes por enfarte agudo do miocárdio e acidente vascular cerebral em 10% (total nacional) até 2016.

Incremento do número global de doentes submetidos a terapêutica fibrinolítica no acidente vascular cerebral em 30% até 2016.

Awaiting information from the PI