NDLI: Trends in risk factors, stroke subtypes and outcome. Nineteen-year data from the Sagrat Cor Hospital of Barcelona stroke registry.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Arboix, Adrià Cendrós, Victòria Besa, Marta García-Eroles, Luís Oliveres, Montserrat Targa, Cecília Balcells, Miquel Comes, Emili Massons, Joan
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Arboix A ( Department of Neurology, Cerebrovascular Division, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Barcelona, Spain. aarboix@hscor.com)
Abstract	BACKGROUND: Prospective stroke registries allow analyzing important aspects of the natural history of acute cerebrovascular events. Using the Sagrat Cor Hospital of Barcelona Stroke Registry, we aimed to determine trends in risk factors, stroke subtypes, prognosis and in-hospital mortality over 19 years in hospitalized stroke patients. METHODS: The study population consisted of 2,416 first-ever stroke patients (ischemic stroke, n = 2,028; intracerebral hemorrhage, n = 334) included in the stroke registry up to December 31, 2004. Temporal trends in stroke patient characteristics for the periods 1986-1992, 1993-1998 and 1999-2004 were assessed. RESULTS: Age was significantly different among the analyzed periods (p < 0.001), showing an increment in older patients throughout time. Hypertension (p = 0.001), diabetes (p = 0.004), ischemic heart disease (p = 0.002) and atrial fibrillation increased (p = 0.000) as opposed to heavy smoking (p = 0.000) and history of TIA (p = 0.025). The mortality rate and the length of hospital stay decreased (p = 0.001), whereas transfer to convalescent/rehabilitation units increased (p = 0.001). CONCLUSIONS: An improvement in acute-stroke management and possibly evolution of cerebrovascular risk factors is reflected by changes in the risk factors and outcome of first-ever stroke patients admitted to a stroke unit over a 19-year time span.
File Format	HTM / HTML
ISSN	10159770
e-ISSN	14219786
Journal	Cerebrovascular Diseases
Issue Number	5
Volume Number	26
Language	English
Publisher	Karger
Publisher Date	2008-01-01
Publisher Place	Switzerland
Access Restriction	Open
Subject Keyword	Discipline Vascular Diseases Discipline Cardiology Stroke Etiology Mortality Atrial Fibrillation Complications Diabetes Complications Hospital Mortality Hypertension Ischemic Attack, Transient Length Of Stay Logistic Models Myocardial Ischemia Odds Ratio Patient Transfer Prospective Studies Registries Risk Assessment Risk Factors Smoking Adverse Effects Spain Epidemiology Therapy Time Factors
Content Type	Text
Resource Type	Article
Subject	Neurology Neurology (clinical) Cardiology and Cardiovascular Medicine

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