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Sökning: L773:0039 2499 OR L773:1524 4628

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591.
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592.
  • Yu, Amy Y.X., et al. (författare)
  • Measuring Stroke Quality : Methodological Considerations in Selecting, Defining, and Analyzing Quality Measures
  • 2022
  • Ingår i: Stroke. - 0039-2499. ; 53:10, s. 3214-3221
  • Forskningsöversikt (refereegranskat)abstract
    • Knowledge about stroke and its management is growing rapidly and stroke systems of care must adapt to deliver evidence-based care. Quality improvement initiatives are essential for translating knowledge from clinical trials and recommendations in guidelines into routine clinical practice. This review focuses on issues central to the measurement of the quality of stroke care, including selection and definition of quality measures, identification of the eligible patient cohorts, optimization of data quality, and considerations for data analysis and interpretation.
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593.
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594.
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595.
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596.
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597.
  • Zia, Elisabet, et al. (författare)
  • Blood pressure in relation to the incidence of cerebral infarction and intracerebral Hemorrhage - Hypertensive hemorrhage: Debated nomenclature is still relevant
  • 2007
  • Ingår i: Stroke: a journal of cerebral circulation. - 1524-4628. ; 38:10, s. 2681-2685
  • Tidskriftsartikel (refereegranskat)abstract
    • Background and Purpose - Data regarding the association between blood pressure level and incidence of stroke subtype, especially primary intracerebral hemorrhage (PICH) subtypes, is sparse. This population- based study explored the relationship between blood pressure and the incidence of cerebral infarction, and PICH, with lobar and nonlobar location. Methods - Risk factors were assessed in 27 702 men and women without prior stroke from the city of Malmo, Sweden. Results - Mean age was 58.1 years. In all, 701 subjects had stroke (613 cerebral infarction and 88 PICH) during the follow- up period (mean, 7.5 years). The age- and sex- standardized incidences of cerebral infarction in subjects with hypertension grade 3 (>= 180/ 110 mm Hg) and normal blood pressure (< 140/ 90 mm Hg) were 6.8 and 1.7 per 1000 person- years, respectively. Compared with the normotensive group, the adjusted relative risk of cerebral infarction was 3.4 (95% CI: 2.6 to 4.5) in subjects with hypertension grade 3. The corresponding incidences of lobar PICH were 0.5 versus 0.08 per 1000 person- years, respectively (adjusted relative risk: 9.2, 95% CI: 2.6 to 32.6) and for nonlobar PICH 1.6 versus 0.09 per 1000 person- years, respectively (adjusted relative risk: 25.9, 95% CI: 8.2 to 82.3). Conclusions - The incidence of hemorrhagic and ischemic stroke increased progressively with increasing blood pressure. Although hypertension was associated with substantially higher incidence rates and absolute numbers of cerebral infarction, which is most important in the public health perspective, the relationship with nonlobar PICH was strongest in terms of relative risks.
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598.
  • Zia, Elisabet, et al. (författare)
  • Three-Year Survival and Stroke Recurrence Rates in Patients With Primary Intracerebral Hemorrhage.
  • 2009
  • Ingår i: Stroke: a journal of cerebral circulation. - 1524-4628. ; 40, s. 3567-3573
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND AND PURPOSE: There are few studies on the prognosis after primary intracerebral hemorrhages, and they reported big differences in mortality rates. Our aim was to evaluate mortality and stroke recurrence rates in relation to hemorrhage characteristics, demographic and clinical factors, in a large unselected patient cohort. METHODS: We analyzed consecutive cases of first-ever primary intracerebral hemorrhages from 1993 to 2000 in a prospective stroke register covering the Malmö region, Sweden (population approximately 250 000). Mortality rates during 28 days and 3 years of follow-up and recurrence rates were analyzed. RESULTS: A total of 474 cases were identified (46% women). In patients <75 years of age, 20% of the women and 23% of the men died within 28 days (P=0.38). The corresponding figures in patients >/=75 years were 26% and 41%, respectively (P=0.02). Male sex was an independent risk factor both for 28-day (OR, 1.5; 95% CI, 1.008 to 2.2) and 3-year mortality (OR, 1.7; 95% CI, 1.3 to 2.3). Other independent predictors of death were high age, central and brain stem hemorrhage location, intraventricular hemorrhage, increased volume, and decreased consciousness level. The recurrence rate was 5.1 per 100 person-years, 2.3 per 100 person-years for intracerebral hemorrhage and 2.8 per 100 person-years for cerebral infarction. Only age >65 years was significantly related to recurrent stroke. CONCLUSIONS: Women had better survival than men after primary intracerebral hemorrhages. The difference is largely explained by a higher 28-day mortality in male patients >75 years. However, the underlying reasons are yet to be explored.
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599.
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600.
  • Zuurbier, Susanna M, et al. (författare)
  • Cerebral Venous Thrombosis in Older Patients.
  • 2018
  • Ingår i: Stroke. - 1524-4628. ; 49:1, s. 197-200
  • Tidskriftsartikel (refereegranskat)abstract
    • Cerebral venous thrombosis (CVT) is rare in older patients. We investigated whether clinical features and outcomes differ in older and younger patients.We used data from a multicenter observational registry of consecutive adult patients with CVT admitted between 1987 and 2016. We compared demographics, clinical manifestations, and outcomes between older (upper quartile of the age distribution) and younger (lower 3 quartiles of the age distribution) patients.Data for 843 patients with CVT were available. The median age was 43 years (interquartile range, 30-55 years). Older patients (≥55 years; n=222) were less often women than younger patients (48% versus 71%; P<0.001) and less often reported headache (63% versus 87%; P<0.001). Cancer was more common in older patients (24% versus 9%; P<0.001), especially solid malignancies (19% versus 5%; P<0.001). Outcome at follow-up was worse in older patients (modified Rankin Scale, 3-6; adjusted odds ratio, 2.68; 95% confidence interval, 1.78-4.03; mortality, adjusted odds ratio, 2.13; 95% confidence interval, 1.09-4.19).The sex ratio of CVT is evenly distributed in older patients, probably because of the dissipation of hormonal influences. Malignancy should be considered as a potential precipitant in older patients with CVT.
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