Trends in treatment and outcome of stroke patients in Finland from 1999 to 2007. PERFECT Stroke, a nationwide register study
| Autor: | Risto O. Roine, Matti Hillbom, Terttu Erilä, Juhani Sivenius, Unto Häkkinen, Atte Meretoja, Markku Kaste, Miika Linna, Reijo J. Marttila, A. Rissanen, Merja Juntunen |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Aspirin Pediatrics medicine.medical_specialty Stroke patient business.industry Hazard ratio General Medicine Odds ratio Length of Stay medicine.disease Stroke Dipyridamole Outcome and Process Assessment Health Care medicine Humans Female Registries cardiovascular diseases business Finland Median survival Register study medicine.drug |
| Zdroj: | Annals of Medicine. 43:S22-S30 |
| ISSN: | 1365-2060 0785-3890 |
| DOI: | 10.3109/07853890.2011.586361 |
| Popis: | This article in this supplement issue on the Performance, Effectiveness, and Costs of Treatment episodes (PERFECT) project describes trends in Finnish stroke treatment and outcome.The PERFECT Stroke study uses multiple national registry linkages at individual patient level to produce a national stroke database with comprehensive follow-up of all hospital-treated stroke patients in Finland.There were 94,316 incident stroke patients treated in Finnish hospitals from 1999 to 2007. Lengths-of-stays decreased after ischemic stroke (IS), and increased after intracerebral (ICH) and subarachnoid (SAH) hemorrhage. Ten-year survival improved in IS (hazard ratio 0.75; 95% CI 0.71-0.79) and ICH patients (0.88; 0.79-0.97), increasing median survival by 2 and 1 life-years respectively. This has translated into more days spent home among IS patients, but not among ICH patients. Treatment by neurologists improved the survival of IS (odds ratio [OR] 1.77; 95% CI 1.70-1.84) and ICH patients (OR 1.55; 95% CI 1.40-1.69), and treatment by neurosurgeons of SAH patients (OR 2.66; 95% CI 2.25-3.16), the effects were further improved by care in specialized stroke centers.The survival of Finnish IS and ICH patients has improved. Specialized acute care was associated with improved outcome. |
| Databáze: | OpenAIRE |
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