APPEARANCE, THERAPY AND OUTCOME OF ISCHEMIC CEREBRAL VASCULAR INCIDENT AT THE CLINICAL HOSPITAL TETOVO DURING JANUARY 2022 - JANUARY 2023

Bajram KAMBERI

Abstract

Background: Republic of North Macedonia faced with the demographic, economic and social transition for more than two decades. At the crossroads of this transition it is also the population of Tetovo with its surroundings. The neurology department in Clinical Hospital Tetovo faces challenges to provide adequate care to stroke patients. Aim: To determine the number and distribution of stroke patients, to evaluate the treatment and outcomes and to determine with whom the patients in the period of January 2022 - January 2023 were relieved from this neurology department. Methods: The present study was a descriptive as well as a comparative study. Target parameters were collected from medical documentation that was generated during patient treatment. Results: For the specified period, a total of 286 patients, 152 males and 134 women were hospitalized. The most frequent neurological diseases were acute strokes (71.68%), TIA (3.49%) and other cerebrovascular diseases (4.89%), while 38 (18.54%) patients died, and 13 (6.34%) patients were taken home in serious health condition. Acute ischemic stroke (AIS) was the first most common cause of stroke, account for 81.95% of hospital admission for stroke, while acute hemorrhagic stroke (AHS) was the second most common cause of stroke, account for 18.05%. According to estimates, only two thrombolysis procedures were performed due to meeting the criteria for thrombolysis. Conclusion: AIS in hospitalized patients is more likely to occur in elderly patients with cardiovascular comorbidities. Aging, comorbidities and acute stroke on admission along with impaired level of consciousness contribute to the fatal outcome.

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