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@article{1197451, author = {Malmivaara, A and Meretoja, A and Peltola, M and Numerato, Dino and Heijink, R and Engelfriet, P and Wild, SH and Belicza, E and Bereczki, D and Medin, E and Goude, F and Boncoraglio, G and Tatlisumak, T and Seppala, T and Hakkinen, U}, article_location = {Hoboken, USA}, article_number = {2}, doi = {http://dx.doi.org/10.1111/ene.12560}, keywords = {benchmarking; case fatality; Europe; hospitalization; international differences; ischaemic stroke; mortality; quality; register}, language = {eng}, issn = {1351-5101}, journal = {European Journal of Neurology}, title = {Comparing ischaemic stroke in six European countries. The EuroHOPE register study}, url = {http://onlinelibrary.wiley.com/doi/10.1111/ene.12560/full}, volume = {22}, year = {2015} }
TY - JOUR ID - 1197451 AU - Malmivaara, A - Meretoja, A - Peltola, M - Numerato, Dino - Heijink, R - Engelfriet, P - Wild, SH - Belicza, E - Bereczki, D - Medin, E - Goude, F - Boncoraglio, G - Tatlisumak, T - Seppala, T - Hakkinen, U PY - 2015 TI - Comparing ischaemic stroke in six European countries. The EuroHOPE register study JF - European Journal of Neurology VL - 22 IS - 2 SP - 284-291 EP - 284-291 PB - WILEY-BLACKWELL SN - 13515101 KW - benchmarking KW - case fatality KW - Europe KW - hospitalization KW - international differences KW - ischaemic stroke KW - mortality KW - quality KW - register UR - http://onlinelibrary.wiley.com/doi/10.1111/ene.12560/full N2 - Background and purposeThe incidence of hospitalizations, treatment and case fatality of ischaemic stroke were assessed utilizing a comprehensive multinational database to attempt to compare the healthcare systems in six European countries, aiming also to identify the limitations and make suggestions for future improvements in the between-country comparisons. MethodsNational registers of hospital discharges for ischaemic stroke identified by International Classification of Diseases codes 433-434 (ICD-9) and code I63 (ICD-10), medication purchases and mortality were linked at the patient level in each of the participating countries and regions: Finland, Hungary, Italy, the Netherlands, Scotland and Sweden. Patients with an index admission in 2007 were followed for 1year. ResultsIn all, 64170 patients with a disease code for ischaemic stroke were identified. The number of patients registered per 100000 European standard population ranged from 77 in Scotland to 407 in Hungary. Large differences were observed in medication use. The age- and sex-adjusted all-cause case fatality amongst hospitalized patients at 1year from stroke was highest in Hungary at 31.0% (95% confidence interval 30.5-31.5). Regional differences in age- and sex-adjusted 1-year case fatality within countries were largest in Hungary (range 23.6%-37.6%) and smallest in the Netherlands (20.5%-27.3%). ConclusionsIt is feasible to link population-wide register data amongst European countries to describe incidence of hospitalizations, treatment patterns and case fatality of ischaemic stroke on a national level. However, the coverage and validity of administrative register data for ischaemic stroke should be developed further, and population-based and clinical stroke registers should be created to allow better control of case mix. ER -
MALMIVAARA, A, A MERETOJA, M PELTOLA, Dino NUMERATO, R HEIJINK, P ENGELFRIET, SH WILD, E BELICZA, D BERECZKI, E MEDIN, F GOUDE, G BONCORAGLIO, T TATLISUMAK, T SEPPALA a U HAKKINEN. Comparing ischaemic stroke in six European countries. The EuroHOPE register study. \textit{European Journal of Neurology}. Hoboken, USA: WILEY-BLACKWELL, 2015, roč.~22, č.~2, s.~284-291. ISSN~1351-5101. Dostupné z: https://dx.doi.org/10.1111/ene.12560.
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