[en] Background and purpose. The aim of this study is to analyse the impact of the incorporation of Cardiology into the Stroke Unit of the Hospital Universitario Donostia (HUD), an intervention recommended in the most up-to-date clinical guidelines but which has not yet taken place in most healthcare centres. For this purpose, patients treated in the Stroke Unit diagnosed with established ischaemic stroke or transient ischaemic attack during one year (six months before the incorporation of a cardiologist to the team and six months afterwards) were analysed and compared. Methods. Patients seen between 1 September 2020 and 31 August 2021 were retrospectively reviewed and divided into two groups: the ones preceding the incorporation of Cardiology ("non-cardiology") and the post-incorporation (from March 2021, "yes-cardiology" group). Results. Of the 572 patients studied, 283 (49.4%) belonged to the "non-cardiology" group and 289 (50.4%) to the "yes-cardiology" group. No changes were observed in the percentages of aetiological diagnosis (p 0.062). In the "yes-cardiology" group, the use of transthoracic echocardiography was reduced (36.3% vs 47%, p 0.01) and the use of transesophageal echocardiography was increased (5.2% vs 1.4%, p 0.012). There was no change in Holter-ECG requests (p 0.084). Mean hospital stay was reduced in the "yes-cardiology" group (7.46 ± 4.083 vs 8.61 ± 5.274, p 0.006) and total costs were also lower (14,06%). Conclusions. Although the aetiological diagnosis showed similar percentages to other publications and no improvement was seen, the remaining procedural indicators and costs support the advantages of multidisciplinary management including Cardiology in the Stroke Unit.

[eu] Helburuak. Lan honen helburua Donostiako Unibertsitate Ospitaleko (DUOko) Iktus Unitatean Kardiologia barneratu izanak eduki duen eragina neurtzea izan da. Neurri hau gida kliniko eguneratuenetan gomendatzen da, baina, oraindik, gutxi dira beren egunerokotasunean barneratu duten osasungintza-zentroak. Honetarako, Iktus Unitatean urtebetean zehar iktus iskemiko ezarriaren edo istripu iskemiko iragankorraren diagnostikoarekin artatuak izan ziren pazienteak analizatu eta alderatu dira, Kardiologiaren gehitzearen aurretiko eta ondorengo sei hilabeteetan banatuta. Materialak eta metodoak. 2020ko irailaren 1atik 2021eko abuztuaren 31ra artatutako pazienteen atzera-begirako behaketa egin zen eta bi taldetan banatu ziren: kardiologoaren gehitzearen aurrekoak ("kardiologia-ez") eta ondorengoak (2021eko martxotik aurrerakoak, "kardiologia-bai"). Emaitzak. Aztertutako 572 pazienteetatik 283 (%49,4) "kardiologia-ez" taldekoak izan ziren eta 289 (%50,4) "kardiologia-bai" taldekoak. Ez zen aldaketarik kusi diagnostiko etiologikoaren ehunekoetan (p 0,062). "Kardiologia-bai" taldean torax-zeharreko ekokardiografiaren erabilera murriztu zen (%36,3 vs %47, p 0,01) eta hestegorri-zeharrekoarena handitu (%5,2 vs %1,4, p 0,012). Holter-EKGren erabileran ez zen aldaketarik ikusi (p 0,084). Ospitaleratze egunen batez bestekoa txikiagoa izan zen "kardiologia-bai" taldean (7,46 ± 4,083 vs 8,61 ± 5,274, p 0,006), baita kostu totalen gehiketa ere (14,06%). Ondorioak. Diagnostiko etiologikoan beste argitalpenen antzeko portzentajeak lortu diren eta hobekuntzarik ikusi ez den arren, gainontzeko prozedura-indikatzaileek eta kostuek Iktus Unitatean Kardiologia barneratzen duen diziplinarteko lanaren abantailak nabarmendu dituzte.