Tendência das taxas de internação por acidente vascular cerebral em unidades de terapia intensiva

Marcelo Veronez; Maicon Henrique Lentsck; Bruna Eloise Lenhani; Dyenily Alessi Sloboda; Pollyanna Bahls de Souza; Tatiana da Silva Melo Malaquias; Tatiane Baratieri

doi:10.36517/2175-6783.20262797137

Authors

Marcelo Veronez Universidade Estadual do Centro-Oeste https://orcid.org/0009-0004-2882-4092
- Conceptualization
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Data Curation
- Formal Analysis
- Writing – Review & Editing
- Project Administration
Maicon Henrique Lentsck Universidade Estadual do Centro-Oeste https://orcid.org/0000-0002-8912-8902
- Methodology
- Project Administration
- Supervision
- Writing – Original Draft Preparation
- Conceptualization
- Formal Analysis
Bruna Eloise Lenhani Universidade Estadual do Centro-Oeste https://orcid.org/0000-0002-6009-3400
- Writing – Original Draft Preparation
- Writing – Review & Editing
Dyenily Alessi Sloboda Universidade Estadual do Centro-Oeste https://orcid.org/0000-0002-3019-1659
- Writing – Original Draft Preparation
Pollyanna Bahls de Souza Universidade Estadual do Centro-Oeste https://orcid.org/0000-0002-8983-0179
- Writing – Review & Editing
- Supervision
Tatiana da Silva Melo Malaquias Universidade Estadual do Centro-Oeste https://orcid.org/0000-0001-5541-441X
- Writing – Review & Editing
Tatiane Baratieri Universidade Estadual do Centro-Oeste https://orcid.org/0000-0002-0270-6395
- Writing – Review & Editing

DOI:

https://doi.org/10.36517/2175-6783.20262797137

Keywords:

Stroke; Intensive Care Units; Epidemiology; Temporal Distribution.

Abstract

Objective: to analyze the profile and temporal trend corresponding to hospitalizations in intensive care units due to strokes. Methods: an ecological study with data from the Hospital Information System managed by the Unified Health System, referring to intensive care hospitalizations. Age, gender and stroke types were analyzed. The hospitalization rates were calculated and assessed by means of generalized linear regression models and the Prais-Winsten procedure (statistical significance: p<0.05). Results: an increase in hospitalization rates was observed during the period, with predominance of the male gender and the age group above 60 years old. An upward trend was recorded for unspecified strokes (6.9%; p<0.001) and for reduction in the number of transient events (-7.8%; p<0.001) in men and women alike. Hemorrhagic strokes and sequelae remained stable. Conclusion: the hospitalizations in intensive care units due to strokes were more frequent among men and aged individuals. An increase in the number of unspecified cases was observed, as well as a reduction in transient ischemic events, with stability in the other subtypes, suggesting limitations in diagnostic coding. Contributions to practice: epidemiological monitoring, assistance planning and preventive strategies targeted at at-risk population groups, in addition to helping understand similar scenarios in other Brazilian regions.

Downloads

Download data is not yet available.

References

1. National Heart, Lung, and Blood Institute (NIH). Stroke [Internet]. 2023 [cited Jun 1, 2026]. Available from: https://www.nhlbi.nih.gov/health/stroke

2. Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, et al. World Stroke Organization (WSO): global stroke fact sheet 2022. Int J Stroke. 2022;17(1):18-29. doi: https://dx.doi.org/10.1177/17474930211065917

3. Sonneville R, Mazighi M, Collet M, Gayat E, Degos V, Duranteau J, et al. One-year outcomes in patients with acute stroke requiring mechanical ventilation. Stroke. 2023;54(9):2328-37. doi: https://doi.org/10.1161/STROKEAHA.123.042910

4. Isokuortti H, Virta JJ, Curtze S, Tiainen M. One-year survival of ischemic stroke patients requiring mechanical ventilation. Neurocrit Care. 2023;39(2):348-56. doi: http://doi.org/10.1007/s12028-023-01674-9

5. Premraj L, Camarda C, White N, Godoy DA, Cuthbertson BH, Rocco PRM, et al. Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression. Crit Care. 2023;27(1):132. doi: https://doi.org/10.1186/s13054-023-04417-6

6. Carval T, Garret C, Guillon B, Lascarrou JB, Martin M, Lemarié J, et al. Outcomes of patients admitted to the ICU for acute stroke: a retrospective cohort. BMC Anesthesiol. 2022;22(1):235. doi: https://doi.org/10.1186/s12871-022-01777-4

7. Kurtz P, Bastos LSL, Zampieri FG, Freitas GR, Bozza FA, Soares M, et al. Trends in intensive care admissions and outcomes of stroke patients over 10 years in Brazil: impact of the COVID-19 pandemic. Chest. 2023;163(3):543-53. doi: https://doi.org/10.1016/j.chest.2022.10.033

8. Réa-Neto A, Bernardelli RS, Oliveira MC, David-João PG, Kozesinski-Nakatani AC, Falcão ALE, et al. Epidemiology and disease burden of patients requiring neurocritical care: a Brazilian multicentre cohort study. Sci Rep. 2023;13(1):18595. doi: https://doi.org/10.1038/s41598-023-44261-w

9. Goulart TO, Marazzi TBM, Monteiro RA, Camilo MR, Pontes-Neto OM. Ischemic stroke in Brazil (2017–2025): Trends in admissions, thrombolysis, craniectomy, costs, and COVID-19 disruption. J Stroke Cerebrovasc Dis. 2026;35(6):108631. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108631

10. Bonfim S, Massago M, Giacomin VL, Beltrame MHA, Dutra AC, Costa WF, et al. Spatiotemporal analysis of hospitalizations, mortality and access to intravenous thrombolysis for ischemic stroke in Southern Brazil. BMC Public Health. 2026;26:1413. doi: http://doi.org/10.1186/s12889-026-27097-7

11. Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2022: população residente e domicílios – primeiros resultados do universo [Internet]. 2023 [cited Jan 12, 2026]. Available from: https://sidra.ibge.gov.br/pesquisa/censo-demografico/demografico-2022/primeiros-resultados-populacao-e-domicilios

12. Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, et al. Heart disease and stroke statistics—2023 update: a report from the American Heart Association. Circulation. 2023; 147(8):e93-e621. doi: https://doi.org/10.1161/CIR.0000000000001123

13. Cheng Y, Lin Y, Shi H, Cheng M, Zhang B, Liu X, et al. Projections of the stroke burden at the global, regional, and national levels up to 2050 based on the Global Burden of Disease Study 2021. J Am Heart Assoc. 2024;13(23):e036142. doi: https://doi.org/10.1161/JAHA.124.036142

14. Chang Y, Hwang SH, Bai H, Park S, Cho E, Kim D, et al. The impact of COVID-19 on admissions and in-hospital mortality of patients with stroke in Korea: an interrupted time series analysis. J Prev Med Public Health. 2025;58(1):60-71. doi: https://doi.org/10.3961/jpmph.24.432

15. Gunnarsson K, Tofiq A, Mathew A, Cao Y, von Euler M, Ström JO. Changes in stroke and transient ischemic attack admissions during the COVID-19 pandemic: a meta-analysis. Eur Stroke J. 2024;9(1):78-87. doi: http://doi.org/10.1177/23969873231204127

16. Puy L, Parry-Jones AR, Sandset EC, Dowlatshahi D, Ziai W, Cordonnier C. Intracerebral haemorrhage. Nat Rev Dis Primers. 2023;9(1):14. doi: https://doi.org/10.1038/s41572-023-00424-7

17. Hwang DY, Kim KS, Muehlschlegel S, Wartenberg KE, Rajajee V, Alexander SA, et al. Guidelines for neuroprognostication in critically ill adults with intracerebral hemorrhage. Neurocrit Care. 2024;40(2):395-414. doi: https://dx.doi.org/10.1007/s12028-023-01854-7

18. Hirsch JL, Burke JF, Hailat R, Kerber KA. Validity of nonspecific stroke location ICD-10 subcodes: A descriptive study. Cerebrovasc Dis Extra. 2026;16(1):9-18. doi: https://dx.doi.org/10.1159/000549823

19. Ryan OF, Riley M, Cadilhac DA, Andrew NE, Breen S, Paice K, et al. Factors associated with stroke coding quality: a comparison of registry and administrative data. J Stroke Cerebrovasc Dis. 2021; 30(2):105469. doi: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.105469

20. Zhang N, Guo J, Liu W, Wu J, Jiang N. Prevalence and incidence of transient ischaemic attack: a systematic review and meta-analysis. BMC Neurol. 2026;26(1):226. doi: http://dx.doi.org/10.1186/s12883-026-04770-3

21. Greenberg SM, Ziai WC, Cordonnier C, Dowlatshahi D, Francis B, Goldstein JN, et al. 2022 guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2022;53(7):e282-e361. doi: http://doi.org/10.1161/STR.0000000000000407

22. Souza OF, Araújo ACB, Vieira LB, Bachur JA, Lopez AGP, Gonçalves TG, et al. Sex disparity in stroke mortality among adults: a time series analysis in the Greater Vitória region, Brazil (2000–2021). Epidemiologia. 2024;5(3):402-10. doi: http://doi.org/10.3390/epidemiologia5030029

23. Amoah D, Schmidt M, Mather C, Prior S, Herath MP, Bird ML. An international perspective on young stroke incidence and risk factors: a scoping review. BMC Public Health. 2024;24(1):1627. doi: https://doi.org/10.1186/s12889-024-19134-0

24. Bukhari S, Yaghi S, Bashir Z. Stroke in young adults. J Clin Med. 2023;12(15):4999. doi: https://dx.doi.org/10.3390/jcm12154999

25. Salerno PRVO, Cotton A, Nascimento BR, Chen Z, Pereira GTR, Abizaid AA, et al. Forecasting ischemic heart disease, stroke, and peripheral artery disease mortality in Brazil through 2040: a Bayesian modeling approach. Arq Bras Cardiol. 2025;122(11):e20250189. doi: https://dx.doi.org/10.36660/abc.20250189i