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Trends in in-hospital mortality among patients with stroke in China

Qian He1, Cheng Wu1, Hong Luo2

  • 1Department of Health Statistics, Second Military Medical University, Shanghai, China.

Plos One
|March 22, 2014
PubMed

Insights

Stroke in-hospital mortality in China decreased from 3.16% to 2.30% between 2007 and 2010, despite an increase in severe cases. Advancements in stroke care likely contributed to this positive trend.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke incidence and burden are rising in China.
  • In-hospital mortality trends for stroke patients in China are not well understood.
  • This study addresses the need to analyze stroke mortality during hospitalization in China.

Purpose of the Study:

  • To assess trends in in-hospital mortality among stroke patients in China.
  • To identify factors influencing in-hospital death after stroke.

Main Methods:

  • A multistage stratified cluster sampling method was used to select 109 grade III class A hospitals.
  • Data from patients hospitalized with a stroke diagnosis between 2007 and 2010 were analyzed.
  • Multivariable logistic regression was employed to explore factors associated with in-hospital death.

Main Results:

  • Stroke hospitalizations increased from 79,894 in 2007 to 85,475 in 2010.
  • In-hospital mortality for stroke decreased significantly from 3.16% to 2.30% (P<0.0001).
  • Factors associated with higher in-hospital mortality included older age, male sex, basic health insurance, multiple comorbidities, and disease severity.

Conclusions:

  • The decline in stroke in-hospital mortality suggests improvements in stroke care and prevention strategies.
  • The simultaneous increase in severe stroke cases highlights the need for enhanced focus on rehabilitation and quality of life.
  • Individual and hospital-level characteristics present targets for further reducing stroke mortality.
Abstract

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