NDLI: Trends in cancer diagnoses among inpatients hospitalized with stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sanossian, Nerses Djabiras, Christina Mack, William J. Ovbiagele, Bruce
Spatial Coverage	United States
Description	Author Affiliation: Sanossian N ( Department of Neurology, University of Southern California, Los Angeles, California. Electronic address: sanossia@yahoo.com.)
Abstract	BACKGROUND: Cancer, by conferring a hypercoagulable state, may lead to an ischemic stroke. Relatively little is known about the prevalence and evolution of cancer among stroke patients over the last decade. METHODS: We used the Nationwide Inpatient Sample to identify discharges with any InternationalClassification of Diseases, Ninth Revision, diagnosis code for cancer and ischemic stroke from 1997 to 2006. We then calculated age-adjusted yearly acute ischemic stroke hospitalization rates among adult populations with and without cancer. RESULTS: Prevalence of cancer among hospitalized stroke patients increased from 1997 to 2006 (N = 31,075 [9.1% of all ischemic stroke hospitalizations] to 34,138 [10.6%], P < .0001). The most common types of cancer among hospitalized stroke patients in 1997 and 2006 were prostate (21% versus 19%), breast (19% versus 19%), gastrointestinal (16% versus 13%), and colorectal (13% versus 13%). Over the decade there was a significant decrease in the prevalence of stroke hospitalizations (slope -3.02, 95% confidence interval -3.69 to -2.34), but not among cancer patients (slope 1.35, 95% confidence interval -0.88 to 3.58). CONCLUSION: About 1 in 10 hospitalized ischemic stroke patients in the United States has comorbid cancer, and there has been a slight rise in this rate over the last decade. This is likely due to enhanced survival from better cancer treatments, but further study is warranted.
File Format	HTM / HTML
ISSN	10523057
Issue Number	7
Volume Number	22
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2013-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Research Support, Non-u.s. Gov't Brain Ischemia Stroke Prevalence Comorbidity United States Humans Middle Aged Hospitalization Aged, 80 And Over Epidemiology Neoplasms Journal Article Inpatients Discipline Cardiology Adult Female Registries Statistics & Numerical Data Aged Trends Diagnosis
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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