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Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry.
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- Author(s): Schellen C;Schellen C; Posekany A; Posekany A; Ferrari J; Ferrari J; Krebs S; Krebs S; Lang W; Lang W; Lang W; Brainin M; Brainin M; Staykov D; Staykov D; Sykora M; Sykora M; Sykora M; Sykora M
- Source:
PloS one [PLoS One] 2019 Nov 20; Vol. 14 (11), pp. e0225378. Date of Electronic Publication: 2019 Nov 20 (Print Publication: 2019).- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Corporate Authors:
- Source: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
- Publication Information: Original Publication: San Francisco, CA : Public Library of Science
- Subject Terms:
- Abstract: Background: To assess changes in frequency, severity, complications, therapy and outcome of intracerebral hemorrhage in patients treated in stroke units in Austria, we evaluated data from the Austrian Stroke Unit Registry between 2008 and 2016.
Methods and Findings: Data of 6707 cases of ICH covering a time span of 9 years and including information on age, risk factors, pre-stroke modified Rankin Score (mRS), baseline stroke severity (NIHSS), complications, therapy, functional outcome, and mortality were extracted from the Austrian Stroke Unit Registry. A multivariate regularized logistic regression model and linear models for temporal dependence were computed for analyzing statistical inference and time trends. Bonferroni correction was applied to correct for multiple testing. Between 2008 and 2016, the proportion of ICH admissions to stroke units in Austria declined, with a shift among patients towards older age (>70 years, p = 0.04) and lower admission NIHSS scores. While no significant time trends in risk factors, pre-stroke mRS and medical complications were observed, therapeutic interventions declined significantly (p<0.001). Three-month mortality increased over the years independently (p = 0.003).
Conclusions: Despite declining incidence and clinical severity of ICH we observed a clear increase in three-month mortality. This effect seems to be independent of predictors including age, admission NIHSS, pre-morbid MRS, or medical complications. The observations from this large retrospective database cohort study underline an urgent call for action in the therapy of ICH.
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- Publication Date: 20240104
- Accession Number: PMC6867701
- Accession Number: 10.1371/journal.pone.0225378
- Accession Number: 31747428
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