Baseline characteristics, reperfusion treatment secondary prevention and outcome after acute ischemic stroke in three different socioeconomic environments in Europe

Introduction: The differences in vascular risk factors’ and stroke burden across Europe are notable, however there is limited understanding of the influence of socioeconomic environment on the quality of secondary prevention and outcome after acute ischemic stroke. Patients and methods: In this obse...

Full description

Saved in:
Bibliographic Details
Published in:European stroke journal 2024-12, Vol.9 (4), p.1043-1052
Main Authors: Berger, Charlotte, Hammer, Helly, Costa, Marino, Lowiec, Pawel, Yagensky, Andriy, Scutelnic, Adrian, Antonenko, Kateryna, Biletska, Olga, Karaszewski, Bartosz, Sarikaya, Hakan, Zdrojewski, Tomasz, Klymiuk, Anastasiia, Bassetti, Claudio LA, Yashchuk, Natalia, Chwojnicki, Kamil, Arnold, Marcel, Saner, Hugo, Heldner, Mirjam R
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cohort Studies
Europe - epidemiology
Female
Humans
Hypertension - complications
Hypertension - epidemiology
Hypertension - therapy
Ischemic Stroke - epidemiology
Ischemic Stroke - mortality
Ischemic Stroke - prevention & control
Ischemic Stroke - therapy
Male
Middle Aged
Original
Reperfusion - methods
Risk Factors
Secondary Prevention - methods
Socioeconomic Factors
Treatment Outcome
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction: The differences in vascular risk factors’ and stroke burden across Europe are notable, however there is limited understanding of the influence of socioeconomic environment on the quality of secondary prevention and outcome after acute ischemic stroke. Patients and methods: In this observational multicenter cohort study, we analyzed baseline characteristics, reperfusion treatment, outcome and secondary prevention in patients with acute ischemic stroke from three tertiary-care teaching hospitals with similar service population size in different socioeconomic environments: Bern/CH/n = 293 (high-income), Gdansk/PL/n = 140 (high-income), and Lutsk/UA/n = 188 (lower-middle-income). Results: We analyzed 621 patients (43.2% women, median age = 71.4 years), admitted between 07 and 12/2019. Significant differences were observed in median BMI (CH = 26/PL = 27.7/UA = 27.8), stroke severity [(median NIHSS CH = 4(0-40)/PL = 11(0-33)/UA = 7(1-30)], initial neuroimaging (CT:CH = 21.6%/PL = 50.7%/UA = 71.3%), conservative treatment (CH = 34.1%/PL = 38.6%/UA = 95.2%) (each p 
ISSN:2396-9873
2396-9881
2396-9881
DOI:10.1177/23969873241245518