Repository of DUTH

Καταγραφή και πρόγνωση των ΑΕΕ στο νοσοκομείο Δράμας (Βασισμένη σε νοσοκομειακά δεδομένα) (Master thesis)

Ξάνθης, Ανδρέας

Introduction: Stroke is the 1nd cause of non-traumatic disability and the 3nd cause of death in Europe. In Greece only a few epidemiological studies have been performed. Our study aims in recording all stroke patients admitted to Drama Regional Hospital for one year (2014). Methods: all patients were registered with acute stroke diagnosis. The type, etiology, disability (mRS score), hospitalization duration and risk factors were recorded. Results: In total 325 stroke were observed per 100.000 people per year. 92% had ischemic stroke and 8% hemorrhagic. Mean age was 75.5 years ±7.7. Stroke were classified as: lacunar (55.7%), cardioembolic (22.9%), large vessels (8.6%), other cause (1.5%) and cryptogenic (0.7%) mean duration of hospitalization was 4.9 days±1.5 in ischemic strokes and 13.5 days±2.2 in hemorrhagic strokes. Total in-hospital mortality was 7.8%. mRS score in ischemic strokes was higher in men than women (3.5-2.9 ±1.1). as far as risk factors are concerned, men had higher rates of diabetes (38%-20%), smoking (21%-8%) and atrial fibrillation (31%-6%) than women. Mortality was also higher in men compared with women in ischemic (4.6%-1.4%) and hemorrhagic strokes (41%-8%). An important proportion of patients had transient ischemic attack (15.6%) and atrial fibrillation (18%). In multiple regression analysis men and atrial fibrillation were statistically significant determinants of mRS score (p<0.05). Results: Stroke incidence in Drama was found similar to other greek studies, but with smaller mortality rates. Ischemic strokes seem to exert more severe disability and mortality to men than women.