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Characteristics of hospitalizations due to acute stroke in the Silesian Province, Poland, between 2009 and 2015
Affiliations- Department of Neurology, Independent Public Clinical Hospital No. 1 in Zabrze, Medical University of Silesia, Katowice, Poland
- Department of Basic Medical Sciences, Faculty of Public Health, Medical University of Silesia, Katowice, Poland
- Department of Biostatistics, Faculty of Public Health, Medical University of Silesia, Katowice, Poland
- Department of Neurology, School of Health Sciences, Medical University of Silesia, Medical Centre of Upper Silesia, Katowice, Poland
- 3rd Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Silesian Center for Heart Diseases in Zabrze, Poland
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Abstract
The available data on acute stroke (AS) in Poland come mainly from non-representative cohorts or are outdated. Therefore, the current study was done to access the most recent data on AS in the industrial region that covers 12% (4.6mln) of the country's population.
ObjectiveTo evaluate the epidemiological data of AS in the Silesian Province, Poland.
Patients and methodsAnalysis of the data from stroke questionnaires, obligatory for all patients hospitalized due to AS and administered by the only public health insurer in Poland (the National Health Fund) between 2009 and 2015 (n=81,193).
ResultsThe annual number of hospitalizations due to AS in the analyzed period was between 239 and 259 per 100,000 inhabitants of the Silesian Province. Haemorrhagic stroke constituted 13.3%, ischaemic stroke – 85.5%, and unspecified stroke – 1.2%. The average age of patients was 71.6±12.2 years (M 68.2±11.9, F 74.8±11.9, P<0.05). The mean duration of hospitalization was 17±16 days for haemorrhagic stroke, and 14±11 days for ischaemic stroke. Large-artery atherosclerosis (36.1%) and cardioembolism (18.7%) constituted the main causes of ischaemic stroke. Overall hospital mortality for AS was 18% (haemorrhagic – 40.8%, ischaemic – 14.9%). A decreasing trend in mortality was observed in ischaemic but not in haemorrhagic stroke. In-hospital mortality was significantly higher in women than in men (P<0.05).
ConclusionsThis comprehensive long-term analysis of the epidemiological situation related to AS in the industrial region of Poland should encourage further development of educational and treatment programmes for improvement in the health status of the population.
Abstract
The available data on acute stroke (AS) in Poland come mainly from non-representative cohorts or are outdated. Therefore, the current study was done to access the most recent data on AS in the industrial region that covers 12% (4.6mln) of the country's population.
ObjectiveTo evaluate the epidemiological data of AS in the Silesian Province, Poland.
Patients and methodsAnalysis of the data from stroke questionnaires, obligatory for all patients hospitalized due to AS and administered by the only public health insurer in Poland (the National Health Fund) between 2009 and 2015 (n=81,193).
ResultsThe annual number of hospitalizations due to AS in the analyzed period was between 239 and 259 per 100,000 inhabitants of the Silesian Province. Haemorrhagic stroke constituted 13.3%, ischaemic stroke – 85.5%, and unspecified stroke – 1.2%. The average age of patients was 71.6±12.2 years (M 68.2±11.9, F 74.8±11.9, P<0.05). The mean duration of hospitalization was 17±16 days for haemorrhagic stroke, and 14±11 days for ischaemic stroke. Large-artery atherosclerosis (36.1%) and cardioembolism (18.7%) constituted the main causes of ischaemic stroke. Overall hospital mortality for AS was 18% (haemorrhagic – 40.8%, ischaemic – 14.9%). A decreasing trend in mortality was observed in ischaemic but not in haemorrhagic stroke. In-hospital mortality was significantly higher in women than in men (P<0.05).
ConclusionsThis comprehensive long-term analysis of the epidemiological situation related to AS in the industrial region of Poland should encourage further development of educational and treatment programmes for improvement in the health status of the population.
Keywords
Stroke, Epidemiology, Incidence, In-hospital mortality
About this articleTitle
Characteristics of hospitalizations due to acute stroke in the Silesian Province, Poland, between 2009 and 2015
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
252-262
Published online
2017-11-27
Page views
287
Article views/downloads
400
DOI
10.1016/j.pjnns.2017.11.010
Bibliographic record
Neurol Neurochir Pol 2018;52(2):252-262.
Keywords
Stroke
Epidemiology
Incidence
In-hospital mortality
Authors
Anna Starostka-Tatar
Beata Łabuz-Roszak
Michał Skrzypek
Anetta Lasek-Bal
Mariusz Gąsior
Marek Gierlotka
