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March 21, 2026Arquivos de Neuro-PsiquiatriaOpen Access

Developing a stroke center in a Brazilian university hospital: implementation, challenges, and outcomes

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Authors

LFLuciano Talma FerreiraVMVinícius Viana Abreu MontanaroMNMárcia Silva Santos Neiva

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Overview

Observational study evaluates performance of stroke center in hospitalized acute ischemic stroke patients, indicating effective specialized care.

Key Points

  • This research aims to assess the implementation and performance of a stroke center in a Brazilian university hospital for acute ischemic stroke patients.
  • Conducted an observational, retrospective, and analytical study.
  • Evaluated 19 patients diagnosed with acute ischemic stroke receiving intravenous thrombolysis.
  • Measured performance indicators such as door-to-CT and door-to-needle times.
  • Compared outcome metrics with national and international standards.
  • 84% of patients had door-to-CT time under 25 minutes.
  • 63% of patients achieved door-to-needle time under 60 minutes.
  • Mean NIH Stroke Scale score decreased from 12.4 at admission to 1.6 at discharge.
  • 76% of patients achieved a modified Rankin Scale score of 0 to 2.
  • Complication rates included 5.3% hemorrhagic transformation and 10.5% in-hospital mortality.

Cite This Study

Ferreira et al. (2026) studied this question.

synapsesocial.com/papers/69be35a96e48c4981c67401ahttps://doi.org/10.1055/s-0046-1817021
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