Stroke Monitoring on a National Level

Abstract

Background and Purpose-Stroke databases are established to systematically evaluate both the treatment and outcome of stroke patients and the structure and processes of stroke services. Comprehensive data collection on this common disease is resource-intensive, and national stroke databases often include only patients from selected hospitals. Here we describe an alternative national stroke database. Methods-We established a nationwide stroke database with multiple administrative registry linkages at the individualpatient level. Information on comorbidities; treatments before, during, and after stroke; living status; recurrences; case fatality; and costs were collected for each hospital-treated stroke patient. Results-The current database includes 94 316 patients with incident stroke between January 1999 and December 2007, with follow-up until December 2008. Annually, 10 500 new patients are being added. One-year recurrence was 13% and case fatality was 27% during the study period. In 2007, 86% of patients survived 1 month and 77% were living at home at 3 months, but the proportion treated in stroke centers (62%) or with nationally recommended secondary preventive medication after ischemic stroke (49%) was still suboptimal. Conclusions-In comparison with other national stroke databases, our method enables higher coverage and more thorough follow-up of patients. Information on long-term recurrences, case fatality, or costs is not often included in national stroke databases. Our database has low maintenance costs, but it lacks detailed data on in-hospital processes. Use of national administrative data, where such linkage is possible, saves resources, achieves high rates of long-term follow-up, and allows for comprehensive monitoring of the burden of the disease. (Stroke. 2010;41:2239-2246.)

Individual and Regional‐level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries

“…It was demonstrated earlier that national-level health registers can be used to monitor and compare the incidence of, treatment practices for and mortality in cases of cerebral infarction for hospitals, regions and countries (Meretoja et al, 2011). The existing national databases for the evaluation of cerebral infarction are often hospital-based and usually rely on voluntary reporting, while nationwide coverage varies (Meretoja et al, 2010). We developed these data a step further as we gathered comparable multinational register-based study For Scotland, the comorbid diseases are based only on the primary and secondary diagnoses that the patient had in the hospital discharge records during the 365 days prior to cerebral infarction.…”

Approaches for optimizing medical aid in acute ischemic stroke patients, hospitalized in UMHAT „Saint Marina` - Varna

“…The comparison of the treatment outcomes in patients with TL during hospitalization between our center and the other centers show that the largest percentage of patients are with favorable or very favorable outcome from the treatment -around 70% (12,13,15).…”

Stroke and the emergency medical services – enhancing performance within the chain of survival

“…(Saposnik et al 2009, Forti et al 2013 Finland has a population of 5.49 million (in 2015), and roughly 15 000 people in the country suffer an ischaemic stroke each year (National Institute for Health and Welfare 2016). was 72.7 years in 2010, 51% of the patients were men and 11% of the patients had a recurring incident within one year (Meretoja et al 2010). The calculated casedays and for one-year mortality 19%.…”