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Updated: Aug 8, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Hospital care for stroke patients in the Valencian Region using the basic minimum data set from the International
1Hospital General de Castellon, 12004 Castello de la Plana, Spain. dgeffners@yahoo.es
Insights
Cerebrovascular diseases (CVD) accounted for 2.6% of hospital admissions in the Valencian Region in 2001. Cerebral infarction was the most common diagnosis, with varying mortality rates across different CVD types.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Context:
- Cerebrovascular diseases (CVD) represent a significant public health burden.
- Understanding the epidemiology of CVD is crucial for effective healthcare management.
- This study analyzes CVD admissions within the Valencian Region's hospital network.
Purpose:
- To determine the incidence and characteristics of cerebrovascular disease (CVD) admissions.
- To analyze the types of CVD, patient demographics, and outcomes.
- To assess the utility of the Basic Minimum Data Set (BMDS) for epidemiological research.
Summary:
- A total of 10,558 patients with CVD were discharged in 2001, representing 2.6% of admissions.
- Cerebral infarction (CI) was the most frequent diagnosis (49.5%), followed by transient ischemic attacks (TIA; 18.5%), cerebral hemorrhage (ICH; 13.4%), and subarachnoid hemorrhage (SAH; 3%).
- Mortality rates varied significantly, with SAH and ICH having the highest rates (30.1% and 33.9%, respectively), while CI and TIA had lower rates (11.7% and 2.7%).
Impact:
- The Basic Minimum Data Set (BMDS) provides valuable epidemiological data for healthcare management.
- Findings highlight the need for targeted interventions and resource allocation for different CVD types.
- This research contributes to the understanding of CVD burden and informs public health strategies in the region.
Aim:
To determine the load and characteristics of cerebrovascular diseases (CVD) admitted in the hospital network throughout the Valencian Region.
Patients And Methods:
The paper reports on an analysis of the information included in the basic minimum data set (BMDS) from the 26 hospitals run by the Valencian Regional Ministry of Health in the year 2001. Patients that were selected were those whose main diagnosis was codes C.430 to C.437, according to the International Classification of Diseases, 9th revision, clinical modification (ICD-9-CM).
Results:
A total of 10,558 patients with CVD were discharged, which accounts for 2.6% of admissions and 3% of hospital stays. The mean age of the series was 71.03 years -standard deviation (SD): 9- and 94.8% were admitted as emergencies. By diagnoses, 3% (319) were subarachnoid haemorrhages (SAH; C.430); 13.4% (1,412) were cerebral haemorrhages (ICH; C.431); 18.5% (1,956) were transient ischemic attacks (TIA; C.435); 49.5% (5,225) were cases of cerebral infarction (CI; C.434 and C.436); and 15.6% involved other vascular processes (C.433 and C.437). Mortality rates were 30.1% in SAH; 33.9% in ICH; 11.7% in CI; and 2.7% in TIA. Mean number of days in hospital: SAH 17.4 (SD: 15); ICH 13.1 (SD: 11.8); CI 9.9 (SD: 6.4) and in cases of TIA 7.2 (SD: 4). The percentages of survivors who were discharged home were 78.9 % in SAH, 83.2% in ICH and 91.9% in the case of CI. In all, 51.3% (5,413 patients) were discharged by neurological units.
Conclusion:
In spite of possible insufficiencies analysed in this work, the use of the BMDS provides valuable epidemiological information that is very useful for health care management.
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