Trends in stroke hospitalisation rates in Extremadura between 2002 and 2014: Changing the notion of stroke as a disease of the elderly

TitleTrends in stroke hospitalisation rates in Extremadura between 2002 and 2014: Changing the notion of stroke as a disease of the elderly
Publication TypeJournal Article
Year of Publication2018
AuthorsRamirez-Moreno J.M, Felix-Redondo F.J, Fernandez-Berges D., Lozano-Mera L.
Date PublishedNov - Dec
ISBN Number0213-4853
Accession Number27776958
KeywordsAdult, Aged, Aged, 80 and over, Brain Ischemia/*epidemiology, Cerebrovascular disease, Clasificacion Internacional de Enfermedades, Enfermedad cerebrovascular, Epidemiologia, Epidemiology, Female, Hospitalisation rates, Hospitalization/*trends, Humans, Ictus, Incidence, Incidencia, International Classification of Diseases, Male, Middle Aged, Retrospective Studies, Spain/epidemiology, Stroke, Stroke/*epidemiology, Tasas de hospitalizacion, Young Adult

BACKGROUND: The incidence of stroke in Spain has been evaluated in several studies, whose results are highly variable and not comparable. No studies of stroke have analysed epidemiological changes in younger patients. METHOD: We conducted a retrospective observational study using the Spanish health system's Minimum Data Set and included all patients older than 19 hospitalised due to stroke (ICD-9-CM codes 434.01, 434.11, 434.91, 430, 431, 432.9, 436, and 435) between 2002 and 2013. The analysis was performed using joinpoint regression. RESULTS: A total of 39,321 patients were identified (47.25% were women); 3.73% were aged 20-44, 6.29% were 45-54, 11.49% were 55-64, 23.89% were 65-74, and 54.60% were > 74 years. The hospitalisation rate due to ischaemic stroke has increased significantly in men aged 45-54 (+6.7%; 95% CI, 3.3-10.2) and in women aged 20-44 and 45-54 (+6.1%; 95% CI, 0.8-11.7 and +5.7%; 95% CI, 3.0-8.4, respectively). We also observed a significant increase in the rate of hospitalisation due to ischaemic stroke in men aged over 74 (+4.2%; 95% CI, 1.3-7.2). The rate of hospitalisations due to transient ischaemic attack has also increased significantly whereas the rate of hospitalisations due to brain haemorrhage has stabilised over time. CONCLUSIONS: Our results provide indirect evidence that the epidemiological profile of stroke is changing based on the increase in hospitalisation rates in young adults.


Short TitleNeurologia (Barcelona, Spain)Neurologia (Barcelona, Spain)
Alternate JournalNeurologia (Barcelona, Spain)
Original PublicationTendencias en las tasas de hospitalizacion por ictus en Extremadura en el periodo 2002-2014. Cambiando la idea del ictus como una enfermedad propia de la senectud.