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Background: The main origin of func onal dependence in Brazil and the world is the ischemic stroke. The early thromboly c treatment reduces this morbidity. However, the extended in-hospital delay is the main risk factor for the subop mal number of ischemic stroke pa ents who receive this treatment. Objec ve: To describe the management of pa ents admi ed with ischemic stroke in two Brazilian public hospitals. Methods: This crosssec onal study was carried out in two emergency units in 2016 in Campos dos Goytacazes: Hospital Ferreira Machado (HFM) and Hospital Geral de Guarus (HGG). We analyzed the prevalence of sex, age, risk factors, me of first symptoms, prescrip on of thromboly c therapy and contraindica ons to its use. Results: None of the 130 pa ents with ischemic stroke received a prescrip on of rt-PA, even though HFM had rt-PA available throughout the period of the study. HGG does not keep this data documented. Of all, 41 pa ents died (31,54%). Advancing age (p < 0.0005) and atrial fibrilla on 3.458 (CI = 95%, 1.239 to 10.16, p = 0.0238) were risks factors for the mortality in this popula on. Conclusions: The lack of informa on in medical records reveals that low staff training may be the main reason why thromboly c therapy was not prescribed. The elevated mortality rate shows that medical care for pa ents admi ed with ischemic stroke in our region is far from ideal.

Epidemiology and outcomes of ischemic stroke treatment in two public hospitals of Campos dos Goytacazes, RJ.