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Case-fatality, disability and recurrence rates after first-ever stroke: A study from bigdata observatory platform for stroke of China.

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机构： [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People’s Republic of China, Beijing, China [2]Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, China [3]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [4]Department of Neurology, Tongji Hospital Affiliated to Tongji University, Shanghai, China [5]Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, China

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关键词： Stroke Fatality Disability Recurrence China

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There is currently a lack of data on stroke hospitalizations and long-term outcomes in China. Therefore, we investigated 12-month stroke fatality, disability, and recurrence rates after the first-ever stroke.This was a prospective nationwide hospital-based cohort study. From August to September 2019, all patients with first-ever stroke (ischemic stroke [IS], intracerebral hemorrhage [ICH], and subarachnoid hemorrhage [SAH]) and with symptom onset within 14 days from 232 hospitals were included. Case fatality, disability, and recurrence rates for one year were estimated.In total, 36250 first-ever stroke patients from 194 hospitals were recruited (median age was 65(IQR, 56-73) years and 61.4 % were male). The rate of intravenous thrombolysis and endovascular treatment for IS were 9.5 % and 4.4 %, respectively. In-hospital death rate was 1.9 % (95 %CI: 1.7 %-2.0 %) for stroke inpatients, ranging from 0.9 % (0.8 %-1.1 %) for IS to 5.1 % (4.6 %-5.6 %) for ICH. The 12-month fatality rate was 8.6 % (95 %CI: 8.3 %-8.9 %) for discharged stroke patients, ranging from 6.0 % (5.7 %-6.3 %) for IS to 17.7 % (16.7 %-18.7 %) for ICH. The 12-month disability rate was 16.6 % (95 %CI: 16.2 %-17.0 %) for stroke survivors, ranging from 11.1 % (9.3 %-12.8 %) for SAH to 29.2 % (27.9 %-30.4 %) for ICH. The stroke recurrence rate was 5.7 % (5.5 %-6.0 %) for stroke survivors, ranging from 2.5 % (1.7 %-3.3 %) for SAH to 6.4 % (6.0 %-6.7 %) for IS.Our results support the hypothesis that the prognosis of Chinese stroke patients appears to have improved and is not very bad.Copyright © 2021 Elsevier Inc. All rights reserved.

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出版当年[2020]版：

大类 | 3 区医学

小类 | 3 区神经科学

最新[2023]版：

大类 | 3 区医学

小类 | 3 区神经科学

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出版当年[2019]版：

Q2 NEUROSCIENCES

最新[2023]版：

Q2 NEUROSCIENCES

影响因子： 3.5 最新[2023版] 3.6 最新五年平均 3.37 出版当年[2019版] 3.383 出版当年五年平均 3.103 出版前一年[2018版] 4.079 出版后一年[2020版]

第一作者：

第一作者机构： [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People’s Republic of China, Beijing, China [2]Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, China [3]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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通讯作者：

通讯机构： [1]The General Office of Stroke Prevention Project Committee, National Health Commission of the People’s Republic of China, Beijing, China [*1]No. 118, Guang’anmen Inner Street, Beijing, 100053, China

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Case-fatality, disability and recurrence rates after first-ever stroke: A study from bigdata observatory platform for stroke of China.