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Published on: August 11, 2015
[Hospitalization of patients with cerebrovascular diseases in Poland in 1979-1981 and 1986-88]
D Milewska1, W Swiderski, K Owczarek
1Zakładu Organizacji Ochrony Zdrowia, Instytutu Psychiatrii i Neurologii, Warszawie.
Insights
Hospitalization and death rates for cerebrovascular diseases increased significantly in Poland between 1979-1988. However, the overall in-hospital death rate decreased, despite higher mortality observed in women.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Context:
- Cerebrovascular diseases represent a significant public health concern globally.
- Trends in hospitalization and mortality provide crucial insights into disease burden and healthcare outcomes.
- Poland experienced demographic and healthcare system changes during the study period.
Purpose:
- To analyze trends in hospitalization and death indices for cerebrovascular diseases in Poland.
- To investigate changes in mortality rates and in-hospital death rates over two distinct periods.
- To identify demographic and population-specific differences in disease burden.
Summary:
- Hospitalization indices for cerebrovascular diseases rose by 40% and death rates by 22% between 1979-1981 and 1986-1988.
- The in-hospital death rate decreased from 32.2% to 27.9% during the same period.
- Higher hospitalization rates were observed in males and urban populations, while women exhibited higher crude death rates and in-hospital mortality.
Impact:
- The findings highlight a concerning increase in cerebrovascular disease incidence and mortality, particularly in younger male demographics.
- A potential decrease in the age of stroke onset is suggested, warranting further investigation and preventative strategies.
- Understanding these epidemiological shifts is vital for public health policy and resource allocation in stroke prevention and management.
Abstract:
Hospitalization and death indices of patients admitted with cerebrovascular diseases were analysed on the basis of statistical cards filled by hospitals in a sample of 10% in patients in all Polish hospitals in the years 1979-1981 and 1986-1988. In these years a 40% rise was noted of the hospitalization indices and a 22% rise in the death rated caused by these diseases. On the other hand, the hospital death rate decreased from 32.2% to 27.9%. Higher hospitalization indices were found for males and for the urban population. The death rates and intrahospital mortality were higher for women but the standardized death rates, with the exception of oldest age group, were higher for men. A cause for concern is the rise of hospitalization indices for men and women and death rates in men aged 40-59 years which may indicate lowering of the age of threatening stroke.