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Updated: May 23, 2025
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Incidence Rate and Risk Factors for In-Hospital Ischemic Stroke among 83,990 Hospitalized Patients.
Seira Sakurai1, Kentaro Suzuki1, Takuya Nishino2
1Department of Neurology, Nippon Medical School, Tokyo.
Summary
In-hospital stroke affects 0.12% of patients. Key risk factors include older age, hypertension, diabetes, atrial fibrillation, emergency admission, and low serum albumin.
Area of Science:
- Neurology
- Internal Medicine
- Public Health
Background:
- In-hospital stroke incidence and risk factors are not well-documented.
- Understanding these factors is crucial for patient safety and care improvement.
Purpose of the Study:
- To determine the incidence rate of in-hospital stroke.
- To identify independent risk factors for stroke among hospitalized patients.
Main Methods:
- Retrospective single-center study of 83,990 inpatients (excluding neurology/neurosurgery, <18 years, discharged <24h).
- Calculated stroke incidence rate.
- Used multivariate analysis to assess risk factors, comparing stroke patients to a control group.
Main Results:
- 101 (0.12%) patients experienced in-hospital stroke.
- Stroke patients were older and had higher rates of hypertension, diabetes, atrial fibrillation, cardiovascular disease, and emergency admission.
- Independent risk factors identified: old age (OR 1.03), hypertension (OR 1.57), diabetes (OR 1.61), atrial fibrillation (OR 2.43), emergency admission (OR 3.38), and low serum albumin (OR 0.66).
Conclusions:
- The incidence of in-hospital stroke is 0.12%.
- Independent risk factors include advanced age, pre-existing hypertension, diabetes mellitus, atrial fibrillation, emergency hospital admission, and low serum albumin levels.
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