Trends in stroke hospitalisation rates and in-hospital mortality in Aragon, 1998-2010

TitleTrends in stroke hospitalisation rates and in-hospital mortality in Aragon, 1998-2010
Publication TypeJournal Article
Year of Publication2018
AuthorsGimenez-Munoz A., Ara J.R, Diez J.MAbad, I. Morer C, Trullen J.MPerez
JournalNeurologia
Volume33
Issue4
Pagination224-232
Date PublishedMay
ISBN Number0213-4853
Accession Number27554162
KeywordsAge Factors, Aged, Cerebral Hemorrhage/epidemiology, Cerebrovascular disease, Enfermedad cerebrovascular, Epidemiologia, Epidemiology, Female, Hospital Mortality/*trends, Hospital-based registry, Hospitalisation rates, Hospitalization/*statistics & numerical data, Humans, In-hospital mortality, Incidence, Letalidad hospitalaria, Male, Registries, Registros hospitalarios, Retrospective Studies, spain, Stroke/*epidemiology/mortality, Subarachnoid Hemorrhage/epidemiology, Tasas de hospitalizacion, Tendencias temporales, Time trends
Abstract

INTRODUCTION: Despite the impact of cerebrovascular disease (CVD) on global health, its morbidity and time trends in Spain are not precisely known. OBJECTIVE: The purpose of our study was to characterise the epidemiology and trends pertaining to stroke in Aragon over the period 1998-2010. METHODS: We conducted a retrospective, descriptive study using the data of the Spanish health system's Minimum Data Set and included all stroke patients admitted to acute care hospitals in Aragon between 1 January 1998 and 31 December 2010. We present data globally and broken down by stroke subtype, sex, and age group. RESULTS: The number of cases increased by 13% whereas age- and sex-adjusted hospitalisation rates showed a significant decrease for all types of stroke (mean annual decrease of 1.6%). Men and women in younger age groups showed opposite trends in hospitalisation rates for ischaemic stroke. Case fatality rate at 28 days (17.9%) was higher in patients with intracerebral haemorrhage (35.8%) than in those with subarachnoid haemorrhage (26.2%) or ischaemic stroke (13%). CVD case fatality showed a mean annual decline of 2.8%, at the expense of the fatality rate of ischaemic stroke, and it was more pronounced in men than in women. DISCUSSION: Understanding stroke epidemiology and trends at the regional level will help establish an efficient monitoring system and design appropriate strategies for health planning.

URLhttps://www.elsevier.es/en-revista-neurologia-english-edition--495-pdf-S2173580818300403
DOI10.1016/j.nrl.2016.06.013
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Short TitleNeurologia (Barcelona, Spain)Neurologia (Barcelona, Spain)
Alternate JournalNeurologia (Barcelona, Spain)
Original PublicationTendencia de las tasas de hospitalizacion y de letalidad hospitalaria de la enfermedad cerebrovascular aguda en Aragon en el periodo 1998-2010.