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The Barcelona Stroke Registry.

J L Martí-Vilalta1, A Arboix

  • 1Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España, Spain.

European Neurology
|April 15, 1999
PubMed
Summary

The Barcelona Stroke Registry analyzed 3,577 first-ever stroke patients over 17 years. Hypertension was a key risk factor, and stroke units are crucial for managing complications and improving outcomes.

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Area of Science:

  • Neurology
  • Epidemiology
  • Public Health

Background:

  • Stroke remains a leading cause of death and disability worldwide.
  • Effective management requires understanding stroke subtypes, risk factors, and patient outcomes.
  • The establishment of dedicated stroke units and registries is vital for advancing stroke care.

Purpose of the Study:

  • To collect and analyze clinical data of hospitalized stroke patients.
  • To investigate the clinical characteristics, subtypes, and outcomes of first-ever stroke.
  • To identify prevalent risk factors and common clinical manifestations of stroke.

Main Methods:

  • Retrospective analysis of 3,577 consecutive first-ever stroke patients admitted to stroke units over 17 years.
  • Data collection using a standardized protocol, including neurological evaluation and computerized tomography (CT) scans.
  • Analysis of stroke subtypes, age distribution, risk factors, clinical manifestations, complications, and mortality.

Main Results:

  • Cerebral infarction accounted for 81% of strokes, with atherothrombotic and cardioembolic being the most frequent subtypes.
  • Hypertension was the most common risk factor (54% in infarctions, 65% in hemorrhages).
  • Complications affected one-third of patients, leading to a 14% mortality rate; 86.5% of cases showed cerebral infarct on neuroimaging.

Conclusions:

  • First-ever strokes constitute a significant proportion of hospital admissions.
  • The high incidence of complications and mortality underscores the importance of stroke units.
  • Further research through stroke registries is essential for improving diagnosis and management of cerebrovascular disease.

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