Incidence of Hospitalized Stroke in the Czech Republic: The National Registry of Hospitalized Patients.

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Authors

ŠEDOVÁ Petra BROWN R.D. ZVOLSKY M. KADLECOVA P. BRYNDZIAR Tomáš KUBELKA Tomáš WEISS Viktor VOLNÝ Ondřej BEDNAŘÍK Josef MIKULÍK Robert

Year of publication 2017
Type Article in Periodical
Magazine / Source JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
MU Faculty or unit

Faculty of Medicine

Citation
Web http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.11.006
Doi http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.11.006
Field Neurology, neurosurgery, neurosciences
Keywords Stroke; incidence; epidemiology; registry; Czech Republic; intracerebral hemorrhage; subarachnoid hemorrhage
Description Background Contemporary stroke incidence data are not available in some countries and regions, including in Eastern Europe. Based on previous validation of the accuracy of the National Registry of Hospitalized Patients (NRHOSP), we report the incidence of hospitalized stroke in the Czech Republic (CR) using the NRHOSP. Methods The results of the prior validation study assessing the accuracy of coding of stroke diagnoses in the NRHOSP were applied, and we calculated (1) the overall incidence of hospitalized stroke and (2) the incidence rates of hospitalized stroke for the three main stroke types: cerebral infarction (International Classification of Diseases Tenth Revision, CI I63), subarachnoid hemorrhage (SAH I60), and intracerebral hemorrhage (ICH I61). We calculated the average annual age- and sex-standardized incidence. Results The overall incidence of hospitalized stroke was 241 out of 100,000 individuals. The incidence of hospitalized stroke for the main stroke types was 8.2 cases in SAH, 29.5 in ICH, and 211 in CI per 100,000 individuals. The standardized annual stroke incidence adjusted to the 2000 World Health Organization population for overall stroke incidence of hospitalized stroke was 131 per 100,000 individuals. Standardized stroke incidence for stroke subtypes was 5.7 cases in SAH, 16.7 in ICH, and 113 in CI per 100,000 individuals. Conclusions These studies provide an initial assessment of the burden of stroke in this part of the world. The estimates of hospitalized stroke in the CR and Eastern Europe suggest that ICH is about three times more common than SAH, and hemorrhagic stroke makes up about 18% of strokes.
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