<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152025000100203</article-id>
<article-id pub-id-type="doi">10.29352/mill0226.36532</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute Stroke in northern Portugal: outcomes and characteristics of patients in a Medical-Surgical Emergency Department]]></article-title>
<article-title xml:lang="pt"><![CDATA[AVC agudo no norte de Portugal: resultados e características dos doentes num Serviço de Urgência Médico-Cirúrgica]]></article-title>
<article-title xml:lang="es"><![CDATA[Ictus agudo en el norte de Portugal: resultados y características de los pacientes en un Servicio de Urgencias Médico-Quirúrgicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domingues]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[Arlindo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos  ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Cooperativa de Ensino Superior Politécnico e Universitário  ]]></institution>
<addr-line><![CDATA[Gandra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Tecnologias para a Educação e Simulação na Saúde  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro de Investigação em Tecnologias e Serviços de Saúde  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<numero>26</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152025000100203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152025000100203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152025000100203&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Stroke is a leading cause of morbidity and long-term disability worldwide, significantly impacting health systems and personal lives. Disparities in European access to stroke care suggest an increased burden on individuals and society. Effective management of acute stroke in emergency departments is critical, requiring a rapid and coordinated response to optimize clinical outcomes.  Objective:  Characterize the hospital approach to acute stroke patients attended through the Stroke Pathway (Via Verde AVC) protocol in a Medical-Surgical Emergency Department in northern Portugal.  Methods:  Retrospective observational study of 1153 patients admitted through the Acute Stroke Care Pathway from 2019 to 2023. Data on patient demographics, clinical characteristics, treatments, and outcomes were collected from electronic medical records. Statistical analysis included chi-square tests, ANOVA, Kruskal-Wallis tests, trend analysis, and logistic regression.  Results:  Stroke Pathway activations increased from 0.28% in 2019 to 0.31% in 2023 (p&lt;0.05). Ischemic stroke was most common (64.8%, 95% CI: 62.1-67.4%). Thrombolysis rates increased from 21.96% to 27.27% (p&lt;0.01), and thrombectomy from 4.67% to 21.21% (p&lt;0.001). Age &gt;70 years (OR 1.8, 95% CI: 1.3-2.5) and arrival within 3 hours (OR 2.3, 95% CI: 1.7-3.1) predicted reperfusion therapy. Female patients surpassed males in 2023 (51.01% vs 48.99%).  Conclusion:  The Emergency Service demonstrated improvement in acute stroke care. Enhanced systematic data recording and new technologies are needed to optimize care. Future research should focus on long-term outcomes and quality-of-life measures.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O Acidente Vascular Cerebral (AVC), é uma das principais causas de morbilidade e incapacidade a longo prazo em todo o mundo, com impacto significativo nos sistemas de saúde e vidas pessoais. As disparidades no acesso aos cuidados de AVC na Europa sugerem um aumento do ónus para indivíduos e sociedade. A gestão eficaz do AVC agudo nos serviços de urgência é crucial, exigindo uma resposta rápida e coordenada para otimizar os resultados clínicos.  Objetivo:  Caracterizar a abordagem hospitalar a doentes com AVC agudo atendidos através do protocolo Via Verde AVC num Serviço de Urgência Médico-Cirúrgica, no norte de Portugal.  Métodos:  Estudo observacional retrospetivo de 1153 doentes admitidos através da Via Verde AVC, período temporal de 2019 a 2023. Dados demográficos, características clínicas, tratamentos e resultados foram recolhidos de registos médicos eletrónicos. A análise estatística incluiu testes qui-quadrado, ANOVA, testes de Kruskal-Wallis, análise de tendências e regressão logística.  Resultados:  As ativações da Via Verde AVC aumentaram de 0,28% em 2019 para 0,31% em 2023 (p&lt;0,05). O AVC isquémico foi o mais comum (64,8%, IC 95%: 62,1-67,4%). As taxas de trombólise aumentaram de 21,96% para 27,27% (p&lt;0,01), e a trombectomia de 4,67% para 21,21% (p&lt;0,001). Idade &gt;70 anos (OR 1,8, IC 95%: 1,3-2,5) e chegada em 3 horas (OR 2,3, IC 95%: 1,7-3,1) previram terapia de reperfusão. As doentes do sexo feminino ultrapassaram os doentes do sexo masculino em 2023 (51,01% vs 48,99%).  Conclusão:  O Serviço de Urgência demonstrou melhoria nos cuidados ao AVC agudo. É necessário melhorar o registo sistemático de dados e implementar novas tecnologias para otimizar os cuidados. Investigações futuras devem focar-se em resultados a longo prazo e medidas de qualidade de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El ictus es una de las principales causas de morbilidad y discapacidad a largo plazo en todo el mundo, con un impacto significativo en los sistemas de salud y las vidas personales. Las disparidades en el acceso a la atención del ictus en Europa sugieren una carga creciente para individuos y sociedad. El manejo efectivo del ictus agudo en los servicios de urgencias es crítico, requiriendo una respuesta rápida y coordinada para optimizar los resultados clínicos.  Objetivo:  Caracterizar el enfoque hospitalario para pacientes con ictus agudo atendidos a través del protocolo Vía Rápida del Ictus en un Servicio de Urgencias Médico-Quirúrgicas en el norte de Portugal.  Métodos:  Estudio observacional retrospectivo de 1153 pacientes admitidos a través de la Vía Rápida del Ictus desde ano 2019 hasta lo ano 2023. Se recopilaron datos demográficos, características clínicas, tratamientos y resultados de registros médicos electrónicos. El análisis estadístico incluyó pruebas de chi-cuadrado, ANOVA, pruebas de Kruskal-Wallis, análisis de tendencias y regresión logística.  Resultados:  Las activaciones de la Vía Rápida del Ictus aumentaron del 0,28% en 2019 al 0,31% en 2023 (p&lt;0,05). El ictus isquémico fue el más común (64,8%, IC 95%: 62,1-67,4%). Las tasas de trombólisis aumentaron del 21,96% al 27,27% (p&lt;0,01), y la trombectomía del 4,67% al 21,21% (p&lt;0,001). Edad &gt;70 años (OR 1,8, IC 95%: 1,3-2,5) y llegada dentro de 3 horas (OR 2,3, IC 95%: 1,7-3,1) predijeron la terapia de reperfusión. Las pacientes femeninas superaron a los hombres en 2023 (51,01% vs 48,99%).  Conclusión:  El Servicio de Urgencias demostró una mejora en la atención del ictus agudo. Se necesita mejorar el registro sistemático de datos e implementar nuevas tecnologías para optimizar la atención. La investigación futura debe centrarse en los resultados a largo plazo y las medidas de calidad de vida.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[Emergency Service]]></kwd>
<kwd lng="en"><![CDATA[health care]]></kwd>
<kwd lng="en"><![CDATA[Acute Stroke Treatment Protocol]]></kwd>
<kwd lng="en"><![CDATA[quality of health care]]></kwd>
<kwd lng="pt"><![CDATA[Acidente Vascular Cerebral]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de Urgência]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de saúde]]></kwd>
<kwd lng="pt"><![CDATA[protocolo de tratamento do AVC agudo]]></kwd>
<kwd lng="pt"><![CDATA[qualidade dos cuidados de saúde]]></kwd>
<kwd lng="es"><![CDATA[Ictus]]></kwd>
<kwd lng="es"><![CDATA[Servicio de Urgencias]]></kwd>
<kwd lng="es"><![CDATA[atención sanitaria]]></kwd>
<kwd lng="es"><![CDATA[Protocolo de Tratamiento del Ictus Agudo]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención sanitaria]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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