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Characteristics of in-hospital stroke patients in Sweden: a nationwide register-based study
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Neurovetenskaper.ORCID-id: 0000-0003-2211-7528
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.ORCID-id: 0000-0002-5917-0384
Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.ORCID-id: 0000-0003-3298-1555
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Neurovetenskaper.ORCID-id: 0000-0002-9205-0771
2023 (Engelska)Ingår i: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 8, nr 3, s. 777-783Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Few studies have reported the characteristics of patients with in-hospital stroke (IHS) including the reason for hospitalization and invasive procedures before the stroke. We aimed to extend current knowledge.

PATIENTS AND METHODS: All adult patients with IHS in Sweden during 2010-2019 registered in the Swedish Stroke Register (Riksstroke) were included. The cohort was cross-linked to the National Patient Register and data extracted on background diagnoses, main discharge diagnoses, and procedure codes for the hospitalization when IHS occurred and any hospital-based healthcare contacts within 30 days before IHS.

RESULTS: 231,402 stroke cases were identified of which 12,551 (5.4%) were in-hospital and had corresponding entries in the National Patient Register. Of the IHS patients, 11,420 (91.0%) had ischemic stroke and 1131 (9.0%) hemorrhagic stroke; 5860 (46.7%) of the IHS patients had at least one invasive procedure prior to ictus. 1696 (13.5%) had a cardiovascular procedure and 560 (4.5%) a neurosurgical procedure. 1319 (10.5%) patients only had minimally invasive procedures such as blood product transfusion, hemodialysis, or central line insertion. Common discharge diagnosis in patients with no invasive procedures were cardiovascular disorders, injuries, and respiratory disorders.

DISCUSSION AND CONCLUSION: One in every 17 strokes in Sweden occur in a hospital. In this unselected large cohort the previously reported major causes for in-hospital stroke, cardiovascular and neurosurgical procedures, preceded IHS in only 18.0% of cases suggesting that other etiologies are more common than previously reported. Future studies should aim at determining absolute risks of stroke after surgical procedures and ways of risk reduction.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2023. Vol. 8, nr 3, s. 777-783
Nyckelord [en]
In-hospital stroke, brain, clinical epidemiology, hemorrhagic stroke, in-house stroke, intrahospital stroke, invasive procedures, ischemic stroke, post-operative, reason for hospitalization, stroke and cerebrovascular disorders, surgery and anesthesia
Nationell ämneskategori
Neurologi
Identifikatorer
URN: urn:nbn:se:umu:diva-210073DOI: 10.1177/23969873231182761ISI: 001007141200001PubMedID: 37329299Scopus ID: 2-s2.0-85162694395OAI: oai:DiVA.org:umu-210073DiVA, id: diva2:1769886
Forskningsfinansiär
Region NorrbottenVisare NorrTillgänglig från: 2023-06-19 Skapad: 2023-06-19 Senast uppdaterad: 2023-09-04Bibliografiskt granskad

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Ben-Shabat, IlanDarehed, DavidEriksson, MarieSalzer, Jonatan

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