2015
DOI: 10.1371/journal.pone.0145535
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Time Trends in Ischemic Stroke among Type 2 Diabetic and Non-Diabetic Patients: Analysis of the Spanish National Hospital Discharge Data (2003-2012)

Abstract: BackgroundType 2 Diabetes (T2DM) is the most rapidly increasing risk factor for ischemic stroke. We aimed to compare trends in outcomes for ischemic stroke in people with or without diabetes in Spain between 2003 and 2012.MethodsWe selected all patients hospitalized for ischemic stroke using national hospital discharge data. We evaluated annual incident rates stratified by T2DM status. We analyzed trends in the use of diagnostic and therapeutic procedures, patient comorbidities, and in-hospital outcomes. We ca… Show more

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Cited by 33 publications
(36 citation statements)
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“…The less frequent use of diagnostic procedures among women than men is remarkable. This finding was previously reported in Spanish studies on PE and other diseases and should be investigated in the future …”
Section: Discussionsupporting
confidence: 85%
“…The less frequent use of diagnostic procedures among women than men is remarkable. This finding was previously reported in Spanish studies on PE and other diseases and should be investigated in the future …”
Section: Discussionsupporting
confidence: 85%
“…Diagnosis and procedures are codified according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Details on this database have been published previously [18, 19]. …”
Section: Methodsmentioning
confidence: 99%
“…This may underlie the fact that in the United States the adjusted incidence rates of hospital admissions for acute myocardial infarction or fatal coronary artery disease have decreased in recent years [ 4 ]. We have previously reported increasing incidence rates overtime of acute myocardial infarction [ 5 ], ischemic stroke [ 6 ] and admissions for abdominal aortic aneurysm [ 7 ], but declining rates of major lower extremity amputations due to peripheral artery disease for the overall population [ 8 ]. Moreover, incidence rates of major cardiovascular events are higher in people with type 2 diabetes mellitus (T2DM) than among people without diabetes in our Mediterranean population.…”
Section: Introductionmentioning
confidence: 99%