National data on stroke outcomes in Thailand

Area of Science:

• Neurology
• Public Health
• Health Economics

Background:

• Stroke presents a significant global health challenge.
• Limited data exists on national stroke prevalence and outcomes in Thailand post-thrombolytic therapy introduction.

Purpose of the Study:

• To determine stroke prevalence in Thailand.
• To identify factors associated with mortality in Thai stroke patients.

Main Methods:

• Utilized national reimbursement databases (universal coverage, social security, civil servant benefits) from October 2009 to September 2010.
• Applied International Classification of Diseases 10th revision codes for stroke diagnosis (G45, I61, I63).
• Employed multivariable logistic regression to analyze factors linked to mortality.

Main Results:

• Cerebral infarction was the most frequent stroke subtype, with a prevalence of 122 per 100,000 population.
• Average hospital stay was 6.8 days, average charge was 20,740 baht (∼$USD 691), and the mortality rate was 7%.
• Thrombolytic prescriptions were low at 1%. Significant mortality factors included septicemia, pulmonary embolism, pneumonia, myocardial infarction, status epilepticus, and heart failure.

Conclusions:

• Stroke prevalence and outcomes in Thailand are comparable to international data.
• The study highlights critical factors influencing stroke mortality in Thailand.
• Thrombolytic therapy utilization in Thailand is in its nascent stages.