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

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Author

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.

Publishing year

2007

Language

English

Pages

49-54

Publication/Series

Acta Neurologica Scandinavica

Volume

115

Issue

1

Document type

Journal article

Publisher

Wiley-Blackwell

Topic

  • Neurology

Keywords

  • methodology
  • hospitalization
  • Sweden
  • stroke
  • epidemiology

Status

Published

Research group

  • Active and Healthy Ageing Research Group
  • Family Medicine and Community Medicine

ISBN/ISSN/Other

  • ISSN: 1600-0404