Lund Stroke Register: hospitalization pattern and yield of different screening methods for first-ever stroke

Summary, in English

Objectives To explore case ascertainment, hospitalization, characteristics of both hospitalized and non-hospitalized patients in a population-based group of stroke patients. Materials and methods One-year screening in Lund-Orup district for first-ever strokes using multiple prospective and retrospective methods. Results A total of 456 patients with first-ever stroke (n = 412 prospective screening methods, n = 17 primary care, n = 12 hospital registers, n = 10 death register, n = 2 autopsy registers, n = 3 other). Hospitalization proportion within 14 days was 84%. Patients sent home from emergency unit (n = 36) were often males (75%), had low 28-day case-fatality (0%), and less severe strokes (median National Institute of Health Stroke Scale score 2 vs 4 for all). Patients managed solely within primary care (n = 18) were elderly (median age 89 vs 77 years for all), resided in nursing homes (86% vs 8% for all) and had high 28-day-case-fatality (61%). Conclusions Hospitalization was lower than expected. Two main categories of patients were not hospitalized: elderly patients at nursing homes with high case-fatality and patients with mild stroke.

• Författare: Björn Hallström; Ann-Cathrin Jönsson; Christina Nerbrand; Björn Petersen; Bo Norrving; Arne Lindgren
• Avdelning/ar: Neurologi, Lund; Aktivt och hälsosamt åldrande; Allmänmedicin och samhällsmedicin
• Publiceringsår: 2007
• Språk: Engelska
• Sidor: 49-54
• Publikation/Tidskrift/Serie: Acta Neurologica Scandinavica
• Volym: 115
• Issue: 1
• Länkar: http://dx.doi.org/10.1111/j.1600-0404.2006.00738.x
• Dokumenttyp: Artikel i tidskrift
• Förlag: Wiley-Blackwell
• Ämne: Neurology
• Nyckelord: methodology; hospitalization; Sweden; stroke; epidemiology
• Status: Published
• Forskningsgrupp: Active and Healthy Ageing Research Group; Family Medicine and Community Medicine
• ISBN/ISSN/Övrigt: ISSN: 1600-0404