Cerebral Venous Thrombosis: Finnish Nationwide Trends

BACKGROUND AND PURPOSE:Epidemiology of cerebral venous thrombosis (CVT) has been reported to be changing. Because long-term nationwide data are needed to confirm this, we studied CVT occurrence between 2005 and 2014 in Finland. METHODS:All acute CVT admissions were retrieved from a mandatory registr...

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Published in:Stroke (1970) 2021-01, Vol.52 (1), p.335-338
Main Authors: Ruuskanen, Jori O., Kytö, Ville, Posti, Jussi P., Rautava, Päivi, Sipilä, Jussi O.T.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Female
Finland - epidemiology
Follow-Up Studies
Hospital Mortality
Humans
Incidence
Intracranial Thrombosis - epidemiology
Intracranial Thrombosis - mortality
Kaplan-Meier Estimate
Length of Stay
Male
Middle Aged
Registries
Sex Factors
Venous Thrombosis - epidemiology
Venous Thrombosis - mortality
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container_end_page 338
container_issue 1
container_start_page 335
container_title Stroke (1970)
container_volume 52
creator Ruuskanen, Jori O.
Kytö, Ville
Posti, Jussi P.
Rautava, Päivi
Sipilä, Jussi O.T.
description BACKGROUND AND PURPOSE:Epidemiology of cerebral venous thrombosis (CVT) has been reported to be changing. Because long-term nationwide data are needed to confirm this, we studied CVT occurrence between 2005 and 2014 in Finland. METHODS:All acute CVT admissions were retrieved from a mandatory registry covering mainland Finland. Patients aged ≥18 years were included. One admission per patient was allowed. RESULTS:We identified 563 patients with CVT (56.5% women). Overall incidence was 1.32/100 000 (95% CI, 1.21–1.43) per year with a 5.0% annual increase. In people
doi_str_mv 10.1161/STROKEAHA.120.031026
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Because long-term nationwide data are needed to confirm this, we studied CVT occurrence between 2005 and 2014 in Finland. METHODS:All acute CVT admissions were retrieved from a mandatory registry covering mainland Finland. Patients aged ≥18 years were included. One admission per patient was allowed. RESULTS:We identified 563 patients with CVT (56.5% women). Overall incidence was 1.32/100 000 (95% CI, 1.21–1.43) per year with a 5.0% annual increase. In people &lt;55 years of age, incidence was 0.92/100 000 (0.76–1.10) for men and 1.65/100 000 (1.43–1.89) for women, whereas for those 55 years or older incidence was 1.61 (1.34–1.91) for men and 1.17 (0.96–1.41) for women. In-hospital mortality was 2.1% with no sex difference. One-year mortality was 7.9%. Long-term mortality was higher in men (adjusted hazard ratio, 1.61 [1.09–2.38]) and in older patients (1.95 [1.69–2.24]; per 10-year increment). CONCLUSIONS:Overall incidence of CVT in Finland was similar to that reported in the Netherlands and in Australia. There was a 5.0% yearly increase in the rate of admissions while in-hospital mortality was low. Sex-specific incidence rates differed markedly between younger and older people. Long-term mortality increased with age and was higher in men.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/STROKEAHA.120.031026</identifier><identifier>PMID: 33272123</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Female ; Finland - epidemiology ; Follow-Up Studies ; Hospital Mortality ; Humans ; Incidence ; Intracranial Thrombosis - epidemiology ; Intracranial Thrombosis - mortality ; Kaplan-Meier Estimate ; Length of Stay ; Male ; Middle Aged ; Registries ; Sex Factors ; Venous Thrombosis - epidemiology ; Venous Thrombosis - mortality</subject><ispartof>Stroke (1970), 2021-01, Vol.52 (1), p.335-338</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>2020 American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3506-8ed033867fe7d7e507166bedb09d27f04617d09636ba2088dafd2ebc1992ca363</cites><orcidid>0000-0002-5925-5193 ; 0000-0001-8158-8640 ; 0000-0002-4521-1093</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33272123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruuskanen, Jori O.</creatorcontrib><creatorcontrib>Kytö, Ville</creatorcontrib><creatorcontrib>Posti, Jussi P.</creatorcontrib><creatorcontrib>Rautava, Päivi</creatorcontrib><creatorcontrib>Sipilä, Jussi O.T.</creatorcontrib><title>Cerebral Venous Thrombosis: Finnish Nationwide Trends</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>BACKGROUND AND PURPOSE:Epidemiology of cerebral venous thrombosis (CVT) has been reported to be changing. Because long-term nationwide data are needed to confirm this, we studied CVT occurrence between 2005 and 2014 in Finland. METHODS:All acute CVT admissions were retrieved from a mandatory registry covering mainland Finland. Patients aged ≥18 years were included. One admission per patient was allowed. RESULTS:We identified 563 patients with CVT (56.5% women). Overall incidence was 1.32/100 000 (95% CI, 1.21–1.43) per year with a 5.0% annual increase. In people &lt;55 years of age, incidence was 0.92/100 000 (0.76–1.10) for men and 1.65/100 000 (1.43–1.89) for women, whereas for those 55 years or older incidence was 1.61 (1.34–1.91) for men and 1.17 (0.96–1.41) for women. In-hospital mortality was 2.1% with no sex difference. One-year mortality was 7.9%. Long-term mortality was higher in men (adjusted hazard ratio, 1.61 [1.09–2.38]) and in older patients (1.95 [1.69–2.24]; per 10-year increment). CONCLUSIONS:Overall incidence of CVT in Finland was similar to that reported in the Netherlands and in Australia. There was a 5.0% yearly increase in the rate of admissions while in-hospital mortality was low. Sex-specific incidence rates differed markedly between younger and older people. Long-term mortality increased with age and was higher in men.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Follow-Up Studies</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intracranial Thrombosis - epidemiology</subject><subject>Intracranial Thrombosis - mortality</subject><subject>Kaplan-Meier Estimate</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Registries</subject><subject>Sex Factors</subject><subject>Venous Thrombosis - epidemiology</subject><subject>Venous Thrombosis - mortality</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkU9Lw0AQxRdRbP3zDURy9JI6O5vsJt5Kaa0oFrR6XTbZCY2mie62FL-9K6096mEYBt57M_yGsQsOA84lv36eP83ux8PpcMARBiA4oDxgfZ5iEicSs0PWBxB5jEme99iJ928AgCJLj1lPCFTIUfRZOiJHhTNN9Eptt_bRfOG6ZdH52t9Ek7pta7-IHs2q7tpNbSmaO2qtP2NHlWk8ne_6KXuZjOejafwwu70bDR_iUqQg44wsCJFJVZGyilJQXMqCbAG5RVVBIrmykEshC4OQZdZUFqkoeZ5jaYQUp-xqm_vhus81-ZVe1r6kpjEthWM1JlKFDMQ8SJOttHSd944q_eHqpXFfmoP-Aab3wHQAprfAgu1yt2FdLMnuTb-EgiDbCjZdsyLn35v1hpxekGlWi_-ykz-s4RugpIIYATnwMMWhUhDf4_KHYQ</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Ruuskanen, Jori O.</creator><creator>Kytö, Ville</creator><creator>Posti, Jussi P.</creator><creator>Rautava, Päivi</creator><creator>Sipilä, Jussi O.T.</creator><general>Lippincott Williams &amp; Wilkins</general><general>American Heart Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5925-5193</orcidid><orcidid>https://orcid.org/0000-0001-8158-8640</orcidid><orcidid>https://orcid.org/0000-0002-4521-1093</orcidid></search><sort><creationdate>20210101</creationdate><title>Cerebral Venous Thrombosis: Finnish Nationwide Trends</title><author>Ruuskanen, Jori O. ; Kytö, Ville ; Posti, Jussi P. ; Rautava, Päivi ; Sipilä, Jussi O.T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3506-8ed033867fe7d7e507166bedb09d27f04617d09636ba2088dafd2ebc1992ca363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Follow-Up Studies</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intracranial Thrombosis - epidemiology</topic><topic>Intracranial Thrombosis - mortality</topic><topic>Kaplan-Meier Estimate</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Registries</topic><topic>Sex Factors</topic><topic>Venous Thrombosis - epidemiology</topic><topic>Venous Thrombosis - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruuskanen, Jori O.</creatorcontrib><creatorcontrib>Kytö, Ville</creatorcontrib><creatorcontrib>Posti, Jussi P.</creatorcontrib><creatorcontrib>Rautava, Päivi</creatorcontrib><creatorcontrib>Sipilä, Jussi O.T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruuskanen, Jori O.</au><au>Kytö, Ville</au><au>Posti, Jussi P.</au><au>Rautava, Päivi</au><au>Sipilä, Jussi O.T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral Venous Thrombosis: Finnish Nationwide Trends</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>52</volume><issue>1</issue><spage>335</spage><epage>338</epage><pages>335-338</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><abstract>BACKGROUND AND PURPOSE:Epidemiology of cerebral venous thrombosis (CVT) has been reported to be changing. Because long-term nationwide data are needed to confirm this, we studied CVT occurrence between 2005 and 2014 in Finland. METHODS:All acute CVT admissions were retrieved from a mandatory registry covering mainland Finland. Patients aged ≥18 years were included. One admission per patient was allowed. RESULTS:We identified 563 patients with CVT (56.5% women). Overall incidence was 1.32/100 000 (95% CI, 1.21–1.43) per year with a 5.0% annual increase. In people &lt;55 years of age, incidence was 0.92/100 000 (0.76–1.10) for men and 1.65/100 000 (1.43–1.89) for women, whereas for those 55 years or older incidence was 1.61 (1.34–1.91) for men and 1.17 (0.96–1.41) for women. In-hospital mortality was 2.1% with no sex difference. One-year mortality was 7.9%. Long-term mortality was higher in men (adjusted hazard ratio, 1.61 [1.09–2.38]) and in older patients (1.95 [1.69–2.24]; per 10-year increment). CONCLUSIONS:Overall incidence of CVT in Finland was similar to that reported in the Netherlands and in Australia. There was a 5.0% yearly increase in the rate of admissions while in-hospital mortality was low. Sex-specific incidence rates differed markedly between younger and older people. Long-term mortality increased with age and was higher in men.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>33272123</pmid><doi>10.1161/STROKEAHA.120.031026</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-5925-5193</orcidid><orcidid>https://orcid.org/0000-0001-8158-8640</orcidid><orcidid>https://orcid.org/0000-0002-4521-1093</orcidid></addata></record>
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source Alma/SFX Local Collection
subjects Age Factors
Aged
Aged, 80 and over
Female
Finland - epidemiology
Follow-Up Studies
Hospital Mortality
Humans
Incidence
Intracranial Thrombosis - epidemiology
Intracranial Thrombosis - mortality
Kaplan-Meier Estimate
Length of Stay
Male
Middle Aged
Registries
Sex Factors
Venous Thrombosis - epidemiology
Venous Thrombosis - mortality
title Cerebral Venous Thrombosis: Finnish Nationwide Trends
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