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

Abstract


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.

 


Keywords


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

Full Text:

PDF

References


Feigin, V. L. et al. Prevention of stroke: A strategic global imperative. Nature Reviews Neurology (2016). doi:10.1038/nrneurol.2016.107

William J. Powers. In Light of New Guidelines, Here Are Three Things Everyone Should Know About Stroke - Health Metrics. (2018). Available at: https://healthmetrics.heart.org/in-light-of-new-guidelines-here-are-three-things-everyone-should-know-about-stroke/. (Accessed: 9th December 2018)

Zhang, J. et al. Clinical factors in patients with ischemic versus hemorrhagic stroke in East China. World J. Emerg. Med.2, 18–23 (2011).

Avezum, Á., Costa-Filho, F. F., Pieri, A., Martins, S. O. & Marin-Neto, J. A. Stroke in Latin America: Burden of Disease and Opportunities for Prevention. Global Heart (2015). doi:10.1016/j.gheart.2014.01.006

Adami, F. et al. Mortality and Incidence of Hospital Admissions for Stroke among Brazilians Aged 15 to 49 Years between 2008 and 2012. PLoS One11, e0152739 (2016).

Christensen, M. C. et al. Acute Treatment Costs of Stroke in Brazil. Neuroepidemiology32, 142–149 (2009).

Martins, S. C. O. et al. Past, present, and future of stroke in middle-income countries: The Brazilian experience. Int. J. Stroke8, 106–111 (2013).

Whittemore, R. & Knafl, K. The integrative review: updated methodology. J. Adv. Nurs.52, 546–553 (2005).

Botelho, L. L. R., Cunha, C. C. D. A. & Macedo, M. O Método Da Revisão Integrativa Nos Estudos Organizacionais. Gestão e Soc.5, 1–16 (2011).

Redeker, N. S. Sleep in Acute Care Settings: An Integrative Review. J. Nurs. Scholarsh.32, 31–38 (2000).

Arnao, V., Acciarresi, M., Cittadini, E. & Caso, V. Stroke incidence, prevalence and mortality in women worldwide. International Journal of Stroke (2016). doi:10.1177/1747493016632245

Sanya, E. O. et al. Prevalence of stroke in three semi-urban communities in middle-belt region of Nigeria: a door to door survey. Pan Afr. Med. J.20, 33 (2015).

Catalá-López, F. et al. The national burden of cerebrovascular diseases in Spain: A population-based study using disability-adjusted life years. Med. Clin. (Barc). (2014). doi:10.1016/j.medcli.2013.11.040

Viswanathan, A. et al. The Influence of Vascular Risk Factors and Stroke on Cognition in Late Life: Analysis of the NACC Cohort. Alzheimer Dis. Assoc. Disord.29, 287–93 (2015).

Kamalakannan, S., Gudlavalleti, A. S. V, Murthy Gudlavalleti, V. S., Goenka, S. & Kuper, H. Incidence & prevalence of stroke in India: A systematic review. doi:10.4103/ijmr.IJMR_516_15

Olaiya, M. T. et al. S urvivors of stroke or transient ischemic attack (TIA) are at great risk of having severe or fatal secondary vascular events Community-Based Intervention to Improve Cardiometabolic Targets in Patients With Stroke A Randomized Controlled Trial. doi:10.1161/STROKEAHA.117.017499.)doi:10.1161/STROKEAHA

de Campos, L. M. et al.How Many Patients Become Functionally Dependent after a Stroke? A 3-Year Population-Based Study in Joinville, Brazil. PLoS One12, e0170204 (2017).

Phan, H. T. et al. Sex Differences in Long-Term Mortality After Stroke in the INSTRUCT (INternational STRoke oUtComes sTudy): A Meta-Analysis of Individual Participant Data. Circ. Cardiovasc. Qual. Outcomes10, e003436 (2017).

De Mello, R. F. et al.Major Depression as a Predictor of Poor Long-Term Survival in a Brazilian Stroke Cohort (Study of Stroke Mortality and Morbidity in Adults) EMMA study. J. Stroke Cerebrovasc. Dis. (2016). doi:10.1016/j.jstrokecerebrovasdis.2015.11.021

Liebeskind, D. S., Sanossian, N., Fu, K. A., Wang, H.-J. & Arab, L. The coffee paradox in stroke: Increased consumption linked with fewer strokes. Nutr. Neurosci. (2016). doi:10.1179/1476830515Y.0000000035

Lopes, J. M. et al. Hospitalização por acidente vascular encefálico isquêmico no Brasil: estudo ecológico sobre possível impacto do Hiperdia. Rev. Bras. Epidemiol.19, 122–134 (2016).

Passos, V. M. A. et al. Consistent declining trends in stroke mortality in Brazil: mission accomplished? Arq. Neuropsiquiatr.74, 376–381 (2016).

George, M. G. et al. CDC Grand Rounds: Public Health Strategies to Prevent and Treat Strokes. MMWR. Morb. Mortal. Wkly. Rep.66, 479–481 (2017).

Sunol, R. et al. Implementation of departmental quality strategies is positively associated with clinical practice: Results of a multicenter study in 73 hospitals in 7 european countries. PLoS One10, 1–16 (2015).

Hsieh, F. I. et al. Quality improvement in acute ischemic stroke care in Taiwan: The breakthrough collaborative in stroke. PLoS One11, 1–12 (2016).

Langhorne, P. et al. Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE): an international observational study. Lancet391, 2019–2027 (2018).

Baatiema, L. et al. Towards best practice in acute stroke care in Ghana: A survey of hospital services. BMC Health Serv. Res.17, 1–11 (2017).

Fraser, A., Baeza, J. I. & Boaz, A. ‘Holding the line’: A qualitative study of the role of evidence in early phase decision-making in the reconfiguration of stroke services in London. Heal. Res. Policy Syst.15, 1–9 (2017).

Fulop, N. J. et al. Explaining outcomes in major system change: A qualitative study of implementing centralised acute stroke services in two large metropolitan regions in England. Implement. Sci.11, 1–13 (2016).

Scholten, N., Pfaff, H., Lehmann, H. C., Fink, G. R. & Karbach, U. Who does it first? The uptake of medical innovations in the performance of thrombolysis on ischemic stroke patients in Germany: A study based on hospital quality data. Implement. Sci.10, 1–9 (2015).

Jennum, P., Iversen, H. K., Ibsen, R. & Kjellberg, J. Cost of stroke: A controlled national study evaluating societal effects on patients and their partners. BMC Health Serv. Res.15, 1–10 (2015).

Xu, X.-M. et al. The economic burden of stroke care in England, Wales and Northern Ireland: Using a national stroke register to estimate and report patient-level health economic outcomes in stroke. Eur. Stroke J.3, 82–91 (2018).

T., S. et al. Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke? PLoS One12, 1–11 (2017).

Hunter, R. M. et al. The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England. Heal. Res. Policy Syst.16, 1–14 (2018).

Bray, B. D. et al. Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. Lancet388, 170–177 (2016).

Khatib, R., Arevalo, Y. A., Berendsen, M. A., Prabhakaran, S. & Huffman, M. D. Presentation, Evaluation, Management, and Outcomes of Acute Stroke in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Neuroepidemiology51, 104–112 (2018).

Benjamin, E. J. et al. Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association. Circulation135, (2017).

Krishnamurthi, R. V et al. Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet Glob. Heal.1, e259–e281 (2013).

O’Donnell, M. J. et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet376, 112–123 (2010).

Powers, W. J. et al. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke49, (2018).

World Health Organization. Prevention of Cardiovascular Disease Guidelines for assessment and management of cardiovascular risk WHO Library Cataloguing-in-Publication Data. (2007).

Strazzullo, P. et al. Excess Body Weight and Incidence of Stroke. Stroke41, (2010).

Coutts, S. B. et al. Canadian Stroke Best Practice Recommendations: Secondary Prevention of Stroke Guidelines, Update 2014. Int. J. Stroke10, 282–291 (2015).

Wein, T. et al. Canadian stroke best practice recommendations: Secondary prevention of stroke, sixth edition practice guidelines, update 2017. Int. J. Stroke13, 420–443 (2018).

Reeves, M. J. et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. Lancet Neurol.7, 915–926 (2008).

Seshadri, S. et al. The Lifetime Risk of Stroke. Stroke37, 345–350 (2006).

Johnson, S. Diabetes as a Risk Factor for Stroke in Women Compared With Men: A Systematic Review and Meta-Analysis of 64 Cohorts, Including 775,385 Individuals and 12,539 Strokes. J. Emerg. Med.47, 384 (2014).

Kalantarian, S., Stern, T. A., Mansour, M. & Ruskin, J. N. Cognitive Impairment Associated With Atrial Fibrillation. Ann. Intern. Med.158, 338 (2013).

Lisabeth, L. D. et al. Age at Natural Menopause and Risk of Ischemic Stroke. Stroke40, 1044–1049 (2009).

Krueger, H. et al. Cost Avoidance Associated With Optimal Stroke Care in Canada. Stroke43, 2198–2206 (2012).

Jewett, L. et al. Secondary stroke prevention services in Canada: a cross-sectional survey and geospatial analysis of resources, capacity and geographic access. C. Open6, E95–E102 (2018).

Edwards, J. D., Kapral, M. K., Fang, J., Saposnik, G. & Gladstone, D. J. Underutilization of Ambulatory ECG Monitoring After Stroke and Transient Ischemic Attack. Stroke47, 1982–1989 (2016).

Wolfe, C. D. A. et al. Cluster Randomized Controlled Trial of a Patient and General Practitioner Intervention to Improve the Management of Multiple Risk Factors After Stroke. Stroke41, 2470–2476 (2010).

Muruet, W., Rudd, A., Wolfe, C. D. A. & Douiri, A. Long-Term Survival After Intravenous Thrombolysis for Ischemic Stroke. Stroke49, 607–613 (2018).

Hackett, M. L. & Pickles, K. Part I: Frequency of Depression after Stroke: An Updated Systematic Review and Meta-Analysis of Observational Studies. Int. J. Stroke9, 1017–1025 (2014).

Bartoli, F. et al. Depression after Stroke and Risk of Mortality: A Systematic Review and Meta-Analysis. Stroke Res. Treat.2013, 1–11 (2013).

Bidassie, B., Williams, L. S., Woodward-Hagg, H., Matthias, M. S. & Damush, T. M. Key components of external facilitation in an acute stroke quality improvement collaborative in the Veterans Health Administration. Implement. Sci.10, 1–9 (2015).




DOI: https://doi.org/10.34117/bjdv6n3-354

Refbacks

  • There are currently no refbacks.