Acute Ischemic Stroke Hospital Admissions, Treatment, and Outcomes in Poland in 2009-2013

作者：Chwojnicki Kamil; Ryglewicz Danuta; Wojtyniak Bogdan; Zagozdzon Pawel; Czlonkowska Anna; Jedrzejczyk Tadeusz; Karaszewski Bartosz; Kozera Grzegorz; Gierlotka Marek; Ezzati Majid; Zdrojewski Tomasz

来源：Frontiers in Neurology, 2018, 9: 134.

DOI：10.3389/fneur.2018.00134

• ischemic stroke
• hospitalization
• mortality
• thrombolysis
• outcome

Introduction: lschemic stroke (IS) still constitutes a serious problem for public health worldwide. The data on its burden in Poland before 2009 is limited and came only from a few metropolitan areas.
The aims of the study were: To assess temporal trends in the hospital admissions, treatment, and outcomes of IS in Poland in 2009-2013, to identify risk factors for IS mortality and to compare the results with other countries.
Methods: The data from the Polish Stroke Registry were analyzed. The data concerned all subjects hospitalized due to IS (classified according to the ICD10 classification as 163.0-163.9) as primary diagnosis in Poland in 2009-2013. Temporal trends in treatment and outcome were analyzed. Hospital admissions rates as well as case fatality and 12-month mortality rates were calculated.
Results: Altogether, 360,556 patients (47.5% of males) were hospitalized due to IS in Poland in 2009-2013. The median of age was 75 years, IQR 18 (Women 78, IQR 14 vs. Men 70, IQR 17; p < 0.001). The hospital admissions age-standardized annual rate for IS in Poland in 2013 was 8% lower than in 2009 (169 vs. 157/100,000; p for trend < 0.001). In-hospital case fatality has slightly decreased (from 13.6% in 2009 to 12.9% in 2013; p for trend < 0.001). One-year posthospital mortality rate has not changed (19.3% in 2009 and 2013). The percentage of IS subjects treated with intravenous thrombolysis was low but increased from 1.7% in 2009 to 6.3% in 2013 (p for trend <0.001).
Conclusion: Since 2009, Poland has had national epidemiological data on the hospital admissions, treatment, and outcomes in IS. The data indicate a slow improvement of in-hospital survival and suggest the need for better stroke prevention and further dissemination of reperfusion therapy.

• 出版日期2018-3-13