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

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

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dc.contributor.author Swarowska-Skuza, Marta pl
dc.contributor.author Burkot, Jacek pl
dc.contributor.author Janowska, Aleksandra pl
dc.contributor.author Klimkowicz-Mrowiec, Aleksandra [SAP20011279] pl
dc.contributor.author Pera, Joanna [SAP20002357] pl
dc.contributor.author Słowik, Agnieszka [SAP20000206] pl
dc.contributor.author Dziedzic, Tomasz [SAP20002246] pl
dc.date.accessioned 2020-01-17T09:09:03Z
dc.date.available 2020-01-17T09:09:03Z
dc.date.issued 2016 pl
dc.identifier.issn 1734-1922 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/138137
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/4.0/pl/legalcode *
dc.title Improvement of survival in Polish stroke patients is related to reduced stroke severity and better control of risk factors : the Krakow Stroke Database pl
dc.type JournalArticle pl
dc.description.physical 552-555 pl
dc.abstract.en Introduction: 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.subject.en ischaemic stroke pl
dc.subject.en stroke severity pl
dc.subject.en risk factors pl
dc.subject.en hypertension pl
dc.subject.en hypercholesterolaemia pl
dc.description.volume 12 pl
dc.description.number 3 pl
dc.description.points 30 pl
dc.identifier.doi 10.5114/aoms.2016.59928 pl
dc.identifier.eissn 1896-9151 pl
dc.title.journal Archives of Medical Science pl
dc.language.container eng pl
dc.affiliation Wydział Lekarski : Klinika Neurologii pl
dc.affiliation Wydział Lekarski : Zakład Neurogenetyki pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-SA; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl
dc.cm.id 78226
dc.cm.date 2020-01-07
.pointsMNiSW [2016 A]: 30


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa