Stroke management and quality of care in low and middle-income countries: an integrative literature review / Manejo do AVC e qualidade da assistência em países de baixa e média renda: uma revisão integrativa da literatura

Bruno Bastos Godoi, Bárbara Fernandes Diniz Vianna, Delba Fonseca Santos


Stroke is the principal world mortality cause and is associated with specific risk factor in Latin America. Brazil is the country that have higher rates of incidence, mortality and morbidity of stroke of Latin America. Rates of stroke varies in accordance with socioeconomic area status. This can be exampled by higher rates in lower socioeconomic Brazilian regions, like north and northeast. The main objective of this integrative literature review is to carry out a summary of acute stroke, how to manage this issue at emergency department and the diversity of risk factors involved on the developing acute stroke. Were evaluated 28 articles in accordance with 6 groups of keywords used at the research on the data bases. These six groups were divided into 4 categories: 1. Global Burden of Stroke (groups 1, 2 and 4); 2. Risk factors and Prevention (Group 6); 3. Quality of care in acute stroke (Group 3) and 4. Economic burden of stroke (group 5). For effective and sustainable control of stroke, specific control measures should be developed in conjunction with other integrated inter-sectoral public policies, improvements in social conditions, improved access to health care services and health education.



Stroke;Brazil; Risk Factors; Quality of Health Care; Outcome assessment (Health Care).

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