Hospitalization rates, stroke unit care, and recurrence rates in Austria's stroke cohort Epidemiologic analysis of 102,107 patients in a nation-wide acute stroke cohort between 2015 and 2019.

Epidemiology medical record-linkage stroke stroke hospitalization rate stroke incidence

Journal

European stroke journal
ISSN: 2396-9881
Titre abrégé: Eur Stroke J
Pays: England
ID NLM: 101688446

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 10 04 2022
accepted: 03 06 2022
entrez: 8 12 2022
pubmed: 9 12 2022
medline: 9 12 2022
Statut: ppublish

Résumé

Continuous analysis of key epidemiologic data is irremissible to adapt health-care systems to trends in stroke epidemiology. We present data from 2015 to 2019 on quality indicators of stroke care, including rates on hospitalization, stroke unit care and recurrence rates using medical record-linkage of in-patient routine documentation. We included stroke/TIA patients admitted to Austrian hospitals between 2015 and 2019 aged ⩾20 years using medical record-linkage. In our cohort of 102,107 patients with 107,055 treatment episodes, we could show a significant decrease in 1-year cumulative age-adjusted hospitalization rates per 100,000 in TIA (86.3 [95% CI 84.1-88.5] vs 75.4 [95% CI 73.4-77.4], RR 0.87 [95% CI 0.85-0.90]), ischemic stroke (187.3 [95% CI 184.0-190.5] vs 173.4 [95% CI 170.4-176.5], RR 0.93 [95% CI 0.91-0.94]), and intracerebral hemorrhage (28.5 [95% CI 27.3-29.8] vs 22.8 [95% CI 21.7-23.9], RR 0.80 [95% CI 0.76-0.84]). In ischemic stroke the rate of stroke unit care increased significantly (55.7% vs 69.3%; RR 1.14 [95% CI 1.12-1.17]), and acute 1-year recurrences decreased significantly. We found a decline of the annual age-adjusted cumulative hospitalization rates in stroke/TIA, a higher age of disease manifestation and less severe strokes, which is probably attributable to improved primary and secondary prevention in Austria. The proportion of patients treated at stroke units increased significantly, however a geographical and age-dependency is still evident. Age-adjusted hospitalization rates of stroke/TIA patients decreased, and stroke unit care is increasing but the goal of the Stroke Action Plan for Europe is yet to be reached.

Identifiants

pubmed: 36478757
doi: 10.1177/23969873221108846
pii: 10.1177_23969873221108846
pmc: PMC9720856
doi:

Types de publication

Journal Article

Langues

eng

Pagination

467-475

Informations de copyright

© European Stroke Organisation 2022.

Déclaration de conflit d'intérêts

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Martin Heidinger (M)

Austrian Federal Ministry for Social Affairs, Health, Care and Consumer Protection, Vienna, Austria.

Christian Boehme (C)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Michael Knoflach (M)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
VASCage - Research Centre on Vascular Ageing and Stroke, Innsbruck, Austria.
Austrian Stroke Society, Vienna, Austria.

Wilfried Lang (W)

Austrian Stroke Society, Vienna, Austria.
Department of Neurology, St. John's of God Hospital, Vienna, Austria.

Stefan Kiechl (S)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
VASCage - Research Centre on Vascular Ageing and Stroke, Innsbruck, Austria.
Austrian Stroke Society, Vienna, Austria.

Peter Willeit (P)

Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Austrian Stroke Society, Vienna, Austria.
Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Rainer Kleyhons (R)

Austrian Federal Ministry for Social Affairs, Health, Care and Consumer Protection, Vienna, Austria.

Silvia Tuerk (S)

Austrian Federal Ministry for Social Affairs, Health, Care and Consumer Protection, Vienna, Austria.

Classifications MeSH