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open access

Vol 53, No 4 (2019)
Research Paper
Submitted: 2019-03-02
Accepted: 2019-05-01
Published online: 2019-08-22
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Epidemiological analysis of hospitalisations due to recurrent stroke in the Silesian Province, Poland, between 2009 and 2015

Beata Łabuz-Roszak12, Michał Skrzypek3, Anna Starostka-Tatar4, Anetta Lasek-Bal5, Mariusz Gąsior6, Marek Gierlotka7
DOI: 10.5603/PJNNS.a2019.0034
·
Pubmed: 31441494
·
Neurol Neurochir Pol 2019;53(4):277-290.
Affiliations
  1. Department of Basic Medical Sciences, Faculty of Public Health, Medical University of Silesia, Katowice, Poland, Poland
  2. Department of Neurology, WSS im. Św. Jadwigi, Opole, Poland
  3. Department of Biostatistics, Faculty of Public Health, Medical University of Silesia, Katowice, Poland, Poland
  4. Department of Neurology, Independent Public Clinical Hospital No.1 in Zabrze, Medical University of Silesia, Katowice, Poland, Poland
  5. Department of Neurology, School of Health Sciences, Medical University of Silesia, Medical Centre of Upper Silesia, Katowice, Poland
  6. 3rd Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Silesian Centre for Heart Disease in Zabrze, Poland
  7. Department of Cardiology, Institute of Medicine, University of Opole, Opole, Poland

open access

Vol 53, No 4 (2019)
Research papers
Submitted: 2019-03-02
Accepted: 2019-05-01
Published online: 2019-08-22

Abstract

Background and aim. There is a lack of recent epidemiological studies on recurrent stroke (RS) in Poland. The aim of this study was to analyse all hospitalisations related to RS in Silesia – an industrial region covering 12% of the Polish population.

Material and methods. We carried out statistical analysis of data contained in stroke questionnaires transferred to the Polish National Health Fund by hospitals in Silesia, Poland, between 2009 and 2015.

Results. In the analysed period, the number of RS hospitalisations in Silesia was 18,063 (22.2% of all acute strokes). The percentage of RS significantly decreased during the period under consideration (p < 0.001). The same observation concerned recurrent ischaemic stroke (RIS), but not recurrent haemorrhagic stroke (RHS). The median hospitalisation time was 14 days for RHS, and 11 days for RIS. Large-artery atherosclerosis and cardioembolisms were significantly more often recognised in RIS than in first-ever ischaemic stroke (FIS) (consecutively, 38.2% vs 36.0%, and 21% vs 18.1%; p < 0.001). The in-hospital mortality rate was significantly higher for RS than for first-ever stroke (18.4% vs 17.2%; p < 0.001). The same observation was
done for RIS vs FIS (16.2% vs 13.9%; p < 0.001), and for RHS vs FHS (39.8% vs 36%; p = 0.004). The rtPA therapy was applied to 5.3% of FIS and 3.2% of RIS patients (p < 0.001).

Conclusions. This is the first such comprehensive and long-term analysis of recurrent stroke in Silesia, Poland. It could help in the implementation of appropriate educational programmes, and thus help to improve the health status of society.

Abstract

Background and aim. There is a lack of recent epidemiological studies on recurrent stroke (RS) in Poland. The aim of this study was to analyse all hospitalisations related to RS in Silesia – an industrial region covering 12% of the Polish population.

Material and methods. We carried out statistical analysis of data contained in stroke questionnaires transferred to the Polish National Health Fund by hospitals in Silesia, Poland, between 2009 and 2015.

Results. In the analysed period, the number of RS hospitalisations in Silesia was 18,063 (22.2% of all acute strokes). The percentage of RS significantly decreased during the period under consideration (p < 0.001). The same observation concerned recurrent ischaemic stroke (RIS), but not recurrent haemorrhagic stroke (RHS). The median hospitalisation time was 14 days for RHS, and 11 days for RIS. Large-artery atherosclerosis and cardioembolisms were significantly more often recognised in RIS than in first-ever ischaemic stroke (FIS) (consecutively, 38.2% vs 36.0%, and 21% vs 18.1%; p < 0.001). The in-hospital mortality rate was significantly higher for RS than for first-ever stroke (18.4% vs 17.2%; p < 0.001). The same observation was
done for RIS vs FIS (16.2% vs 13.9%; p < 0.001), and for RHS vs FHS (39.8% vs 36%; p = 0.004). The rtPA therapy was applied to 5.3% of FIS and 3.2% of RIS patients (p < 0.001).

Conclusions. This is the first such comprehensive and long-term analysis of recurrent stroke in Silesia, Poland. It could help in the implementation of appropriate educational programmes, and thus help to improve the health status of society.

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Keywords

stroke, epidemiology, ischaemic stroke, haemorrhagic stroke, recurrent stroke

About this article
Title

Epidemiological analysis of hospitalisations due to recurrent stroke in the Silesian Province, Poland, between 2009 and 2015

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 53, No 4 (2019)

Article type

Research Paper

Pages

277-290

Published online

2019-08-22

Page views

1094

Article views/downloads

839

DOI

10.5603/PJNNS.a2019.0034

Pubmed

31441494

Bibliographic record

Neurol Neurochir Pol 2019;53(4):277-290.

Keywords

stroke
epidemiology
ischaemic stroke
haemorrhagic stroke
recurrent stroke

Authors

Beata Łabuz-Roszak
Michał Skrzypek
Anna Starostka-Tatar
Anetta Lasek-Bal
Mariusz Gąsior
Marek Gierlotka

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