Improvement of survival in Polish stroke patients is related to reduced stroke severity and better control of risk factors : the Krakow Stroke Database

2016
journal article
article
6
cris.lastimport.scopus2024-04-07T15:46:46Z
dc.abstract.enIntroduction: In the last decade, the stroke mortality rate in Poland significantly decreased. We hypothesised that stroke severity, the major determinant of outcome, is lowered in Polish stroke patients. Material and methods: We compared the stroke severity in two cohorts of first-ever ischaemic stroke patients admitted within 24 h after stroke onset to the Department of Neurology, Jagiellonian University, Krakow in the years 1994-2000 and 2008-2012. To assess stroke severity we used the National Institute of Health Stroke Scale (NIHSS). We defined mild stroke as an NIHSS score ≤ 4. Results: We included 816 patients hospitalised in the years 1994-2000 and 569 patients hospitalised in the years 2008-2012. NIHSS score on admission was higher in the former (mean: 12.0 ±7.0 vs. 8.0 ±6.0, p < 0.01), and the frequency of mild stroke was higher in the latter (12.7% vs. 41.8%, p < 0.01). Although the frequency of hypertension (67.3% vs. 81.2%, p < 0.01), diabetes mellitus (20.8% vs. 26.4%, p = 0.02) and atrial fibrillation (20.7% vs. 26.2%, p = 0.02) was higher in patients hospitalised in the years 2008- 2012, the systolic and diastolic blood pressure values and the frequency of fasting hyperglycaemia were lower in this cohort. This cohort also less frequently suffered from hypercholesterolaemia (25.4% vs. 16.3%, p < 0.01). Conclusions: Reduced stroke severity is associated with better recognition and control of risk factors and explains the improvement of survival in Polish stroke patients.pl
dc.affiliationWydział Lekarski : Klinika Neurologiipl
dc.affiliationWydział Lekarski : Zakład Neurogenetykipl
dc.cm.date2020-01-07
dc.cm.id78226
dc.contributor.authorSwarowska-Skuza, Martapl
dc.contributor.authorBurkot, Jacekpl
dc.contributor.authorJanowska, Aleksandrapl
dc.contributor.authorKlimkowicz-Mrowiec, Aleksandra - 160111 pl
dc.contributor.authorPera, Joanna - 133117 pl
dc.contributor.authorSłowik, Agnieszka - 133430 pl
dc.contributor.authorDziedzic, Tomasz - 129311 pl
dc.date.accessioned2020-01-17T09:09:03Z
dc.date.available2020-01-17T09:09:03Z
dc.date.issued2016pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number3pl
dc.description.physical552-555pl
dc.description.points30pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume12pl
dc.identifier.doi10.5114/aoms.2016.59928pl
dc.identifier.eissn1896-9151pl
dc.identifier.issn1734-1922pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/138137
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enischaemic strokepl
dc.subject.enstroke severitypl
dc.subject.enrisk factorspl
dc.subject.enhypertensionpl
dc.subject.enhypercholesterolaemiapl
dc.subtypeArticlepl
dc.titleImprovement of survival in Polish stroke patients is related to reduced stroke severity and better control of risk factors : the Krakow Stroke Databasepl
dc.title.journalArchives of Medical Sciencepl
dc.typeJournalArticlepl
dspace.entity.typePublication

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