The purpose of this study was to estimate the frequency of various risk factors, courses and outcome of stroke subtypes in a large hospital-based stroke registry.
The Centre Hospitalier Universitaire of Besançon is the only public hospital with a neurological department in the county to admit any unselected patient with an acute stroke.
A prospective hospital-based registry using systematic computer coding of data was conducted.
All patients were evaluated by standard testing (neuroimaging, Doppler ultrasonography and cardiac investigations).
From 1987 to 1994,2,500 stroke patients with a first-ever stroke were included in the Besançon Stroke Registry.
There were 1,425 men (mean age 66.1 years) and 1,075 women (mean age 70.6 years).
Ischemic stroke was present in 84% of the patients (cerebral infarction in 84.5% and transient ischemic attacks in 15.5%), primary intracerebral hemorrhage (PIH) in 14.2% and cerebral venous thrombosis in 1.8%. On the 1st day of the stroke 79.7% of the patients were admitted, 47.1% within 6 h. In addition, stroke severity was well correlated with the time of the patient's admission.
Past medical history of hypertension was the major risk factor occurring in 55.8% of all patients, followed by smoking, atrial fibrillation, ischemic heart disease, hypercholesterolemia and diabetes mellitus.
Clinical presentation was distributed according to classical patterns.
The in-hospital mortality rate was 13. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Aigu, Facteur risque, Pronostic, Evolution, Registre, Admission hôpital, France, Europe, Epidémiologie, Fréquence, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Acute, Risk factor, Prognosis, Evolution, Register, Hospital admission, France, Europe, Epidemiology, Frequency, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0370261
Code Inist : 002B17C. Création : 12/09/1997.