Schlaganfallgeschehen in Deutschland – Zur Vergleichbarkeit von Krankenkassen-, Register- und DRG-Daten

Köhler, Martin; Deutschbein, Johannes; Peschke, Dirk; Schenk, Liane

doi:10.1055/s-0034-1385231

Cited by 16 publications

(10 citation statements)

References 3 publications

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“…Previous analyses of the Deutsche BKK data have shown nearly the same distribution of the stroke subtypes as reported in other sources (e.g., regional stroke registers and, in particular, national DRG data). Regarding sex distribution, however, women in the age groups older than 60 years have been found to be overrepresented [ 23 ]. The company health insurance funds have been found to provide among the best representations of the German population with respect to socio-demographic indicators such as age distribution orEast/West ratio [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund

Schnitzer

Knesebeck

Köhler³

et al. 2015

BMC Geriatr

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BackgroundThe objective of this study is to investigate the effect of age on care dependency risk 1 year after stroke. Two research questions are addressed: (1) How strong is the association between age and care dependency risk 1 year after stroke and (2) can this association be explained by burden of disease?MethodsThe study is based on claims data from a German statutory health insurance fund. The study population was drawn from all continuously insured members with principal diagnoses of ischaemic stroke, hemorrhagic stroke, or transient ischaemic attack in 2007 who survived for 1 year after stroke and who were not dependent on care before their first stroke (n = 2864). Data were collected over a 1-year period. People are considered to be dependent on care if they, due to a physical, mental or psychological illness or disability, require substantial assistance in carrying out activities of daily living for a period of at least 6 months. Burden of disease was assessed by stroke subtype, history of stroke, comorbidities as well as geriatric multimorbidity. Regression models were used for data analysis.Results21.6 % of patients became care dependent during the observation period. Post-stroke care dependency risk was significantly associated with age. Relative to the reference group (0–65 years), the odds ratio of care dependency was 11.30 (95 % CI: 7.82–16.34) in patients aged 86+ years and 5.10 (95 % CI: 3.88–6.71) in patients aged 76–85 years. These associations were not explained by burden of disease. On the contrary, age effects became stronger when burden of disease was included in the regression model (by between 1.1 and 28 %).ConclusionsOur results show that age has an effect on care dependency risk that cannot be explained by burden of disease. Thus, there must be other underlying age-dependent factors that account for the remaining age effects (e.g., social conditions). Further studies are needed to explore the causes of the strong age effects observed.

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Section: Discussionmentioning

confidence: 99%

How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund

Schnitzer

Knesebeck

Köhler³

et al. 2015

BMC Geriatr

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“…Allgemeines Jährlich erleiden in Deutschland schätzungsweise 260 000 Menschen einen Schlaganfall [1]. Schlaganfälle stehen statistisch an zweiter Stelle bei den Todesursachen und an dritter Stelle bei der Invalidisierung von Patienten [2].…”

Section: Schwierige Entscheidungen Bei Schlaganfällenunclassified

Schwierige Therapieentscheidungen bei Schlaganfall und Demenz – Aspekte bei schweren vaskulären und fortgeschrittenen degenerativen Hirnerkrankungen

Güldner¹

2020

Dtsch med Wochenschr

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Severe stroke and neurodegenerative diseases often cause limitations in communication and willing capability. Decision processes in these conditions assume primarily a positive medical indication for any intervention. If not obtainable from an individual by itself, by a disposal or by a legal custodian, the presumed will of a patient has to be detected carefully. Evidence can be raised by an interview of relatives or an individual case discussion in a local ethical comitee. Stroke and dementia can raise the need for palliative care, especially a sufficient analgesia as well as other severe illnesses. Pain in demented persons is often underrated and undertreated. The diagnosis of dementia alone does not limit the indication for curative therapy in general. Ethical comitees or ethical visits are helpful instruments to find out an adequate decision in difficult situations.

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“…Die SMD ist ein häufiges Syndrom von Erkrankungen wie einem Schlaganfall, der Multiplen Sklerose oder dem Schädel-Hirn-Trauma. In Deutschland erleiden laut Schätzungen jedes Jahr bis zu 260.000 Menschen einen Schlaganfall [3]. Bei knapp der Hälfte der Überlebenden (bis zu 46%) tritt innerhalb der ersten drei Monate nach dem Schlaganfall eine Spastik auf [4,5].…”

Section: Versorgungssituation Von Patient:innen Mit Spastischer Beweg...unclassified

Versorgungssituation von Patient:innen mit spastischer Bewegungsstörung in stationären Pflegeeinrichtungen in Deutschland

Völkel¹,

Rebscher²,

Rychlik³

2022

MVF

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Schlaganfallgeschehen in Deutschland – Zur Vergleichbarkeit von Krankenkassen-, Register- und DRG-Daten

Cited by 16 publications

References 3 publications

How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund

How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund

Schwierige Therapieentscheidungen bei Schlaganfall und Demenz – Aspekte bei schweren vaskulären und fortgeschrittenen degenerativen Hirnerkrankungen

Versorgungssituation von Patient:innen mit spastischer Bewegungsstörung in stationären Pflegeeinrichtungen in Deutschland

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