Silva Luana Karoline Castro, Sousa Cristian Douglas Dantas de, Viana Ramon Távora, Jucá Renata Viana Brígido de Moura, Lopes Johnnatas Mikael, Faria Christina Danielli Coelho de Morais, Castro Shamyr Sulyvan de, Lima Lidiane Andrea Oliveira
Universidade Federal do Ceará, Programa de Pós-Graduação em Fisioterapia e Funcionalidade, Fortaleza CE, Brazil.
Universidade Federal do Ceará, Departamento de Fisioterapia, Fortaleza CE, Brazil.
Arq Neuropsiquiatr. 2024 Dec;82(12):1-11. doi: 10.1055/s-0044-1792094. Epub 2024 Dec 20.
Stroke remains a public health problem, reported as the third cause of disability. Among survivors, the ability to perform usual daily activities may be reduced, requiring rehabilitation.
To investigate the prevalence of self-reported stroke, the accessibility of healthcare, and the degree and percentage of patients with limitations in usual activities who are unassisted by physiotherapeutic treatment in different regions of the country.
This cross-sectional study was conducted using data from the 2019 National Health Survey. Participants aged 15 years or older from all five geographic regions of Brazil who reported a diagnosis of stroke were included. The data were analyzed using sample weighting and expressed as estimates along with a 95% confidence interval (CI).
The national prevalence of self-reported stroke in Brazil was 1.9% (95%CI 1.7-2.0), equivalent to 1,975 individuals with diagnosis. Of these, 50.2% reported limitations in their daily activities, and more than half (54.6%) had regular follow-ups with healthcare professionals. However, only 24.6% reported having access to rehabilitation, while 73.4% of individuals with activity limitations received no physiotherapeutic treatment.
The prevalence of' self-reported stroke in the Brazilian population was 1.9%, with more than half experiencing limitations in their activities. While more than half of the stroke patients underwent follow-ups from a health professional, only ¼ of them reported having access to rehabilitation. Government interventions are necessary to ensure effective access to healthcare, including rehabilitation for the Brazilian population.
中风仍然是一个公共卫生问题，据报道是导致残疾的第三大原因。在幸存者中，进行日常活动的能力可能会下降，需要康复治疗。
调查自我报告的中风患病率、医疗保健的可及性，以及该国不同地区在日常活动中存在限制且未接受物理治疗辅助的患者的受限程度和比例。
本横断面研究使用了2019年全国健康调查的数据。纳入了来自巴西所有五个地理区域、年龄在15岁及以上且报告有中风诊断的参与者。使用样本加权对数据进行分析，并以估计值及95%置信区间（CI）表示。
巴西自我报告的中风全国患病率为1.9%（95%CI 1.7 - 2.0），相当于1975名确诊个体。其中，50.2%报告日常活动受限，超过一半（54.6%）的人与医疗保健专业人员进行定期随访。然而，只有24.6%报告能够获得康复治疗，而73.4%活动受限的个体未接受物理治疗。
巴西人群中自我报告的中风患病率为1.9%，超过一半的人活动受限。虽然超过一半的中风患者接受了医疗专业人员的随访，但只有四分之一的人报告能够获得康复治疗。政府干预对于确保巴西民众有效获得包括康复治疗在内的医疗保健是必要的。
