Characteristics, outcome, and care of stroke associated with atrial fibrillation in Europe: Data from a multicenter multinational hospital-based registry (the European community stroke project)
| Autor: | Stefano Spolveri, Augusto Ghetti, Maria Cristina Baruffi, Domenico Inzitari, Anna Maria Basile, Charles D.A. Wolfe, Paola Vanni, Gloria Trefoloni, Antonio Di Carlo, Giancarlo Landini, Maria Lamassa, Giovanni Pracucci |
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| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Comorbidity Severity of Illness Index Age Distribution Fibrinolytic Agents Predictive Value of Tests Atrial Fibrillation Severity of illness Odds Ratio Humans Medicine Myocardial infarction Sex Distribution Survival rate Stroke Aged Demography Aged 80 and over Advanced and Specialized Nursing business.industry Atrial fibrillation Odds ratio Length of Stay Middle Aged medicine.disease Europe Survival Rate Multivariate Analysis Emergency medicine Physical therapy Health Resources Female Neurology (clinical) Cardiology and Cardiovascular Medicine business Fibrinolytic agent Follow-Up Studies |
| Zdroj: | Scopus-Elsevier |
| Popis: | Background and Purpose —The role of atrial fibrillation (AF) as a determinant of stroke outcome is not well established. Studies focusing on this topic relied on relatively small samples of patients, scarcely representative of the older age groups. We aimed at evaluating clinical characteristics, care, and outcome of stroke associated with AF in a large European sample. Methods —In a European Concerted Action involving 7 countries, 4462 patients hospitalized for first-in-a-lifetime stroke were evaluated for demographics, risk factors, clinical presentation, resource use, and 3-month survival, disability (Barthel Index), and handicap (Rankin scale). Results —AF was present in 803 patients (18.0%). AF patients, compared with those without AF, were older, were more frequently female, and more often had experienced a previous myocardial infarction; they were less often diabetics, alcohol consumers, and smokers (all P P Conclusions —Stroke associated with AF has a poor prognosis in terms of death and function. Prevention and care of stroke with AF is a major challenge for European health systems. |
| Databáze: | OpenAIRE |
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