A Stepwise Approach to Stroke Surveillance in Brazil: the EMMA (Estudo de Mortalidade E Morbidade Do Acidente Vascular Cerebral) Study

@article{Goulart2010ASA,
  title={A Stepwise Approach to Stroke Surveillance in Brazil: the EMMA (Estudo de Mortalidade E Morbidade Do Acidente Vascular Cerebral) Study},
  author={Alessandra Carvalho Goulart and Iara R Bustos and Ivana M Abe and Alexandre da Costa Pereira and Ligia Maria Giongo Fedeli and Isabela Judith Martins Bense{\~n}or and Paulo Andrade Lotufo},
  journal={International Journal of Stroke},
  year={2010},
  volume={5},
  pages={284 - 289}
}
Background: Stroke mortality rates in Brazil are the highest in the Americas. Deaths from cerebrovascular disease surpass coronary heart disease. Aim: To verify stroke mortality rates and morbidity in an area of São Paulo, Brazil, using the World Health Organization Stepwise Approach to Stroke Surveillance. Methods: We used the World Health Organization Stepwise Approach to Stroke Surveillance structure of stroke surveillance. The hospital-based data comprised fatal and nonfatal stroke (Step 1… 
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"EMMA Study: a Brazilian community-based cohort study of stroke mortality and morbidity".
  • A. Goulart
  • Medicine
    Sao Paulo medical journal = Revista paulista de medicina
  • 2016
TLDR
Over the long term, the EMMA database will provide additional information for planning resources destined for the public healthcare system as Stroke subtype was better defined in the hospital setting than in the local community.
Low Education as a Predictor of Poor One-Year Stroke Survival in the EMMA Study (Study of Stroke Mortality and Morbidity in Adults), Brazil
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Concluding, stroke survival was directly related to years of education, especially for ischaemic stroke, and absence of education was a significant marker of fatal stroke in persons under age 68 years, who live alone, and who smoked.
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Stroke Care Services in Brazil
TLDR
Although much has improved, Brazil still has major social inequalities and further measures are needed to guarantee a high-quality stroke care.
Public hospitalizations for stroke in Brazil from 2009 to 2016
TLDR
The results showed that the annual age-adjusted hospitalization and in-hospital mortality rates decreased by 11.8% and 12.6%, respectively, but the case fatality rate increased for patients older than 70 years.
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.
Multimorbidities Are Associated to Lower Survival in Ischaemic Stroke: Results from a Brazilian Stroke Cohort (EMMA Study)
TLDR
A high burden of comorbidities represented an independent predictor of poor prognosis increasing the risk of dying by 2 to 3 times among ischaemic stroke patients up to 9 years in the EMMA study.
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Aspectos clínicos relevantes de pacientes com acidente vascular cerebral na emergência hospitalar: implicações para o serviço público de saúde Relevant clinical features of patients with cerebrovascular accident in hospital emergency: implications for public health service
TLDR
The stroke patients upon arrival at the hospital proved to be seriously affected by high levels of disability and dependence, which led to a higher frequency of severe disability.
Validation of a stroke symptom questionnaire for epidemiological surveys.
TLDR
The stroke symptom questionnaire is a useful tool and can be applied by trained interviewers with the aim of identifying community-dwelling stroke patients, through the structure of the Family Health Program.
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TLDR
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