Stroke in Qatar: a decade of insights from a national registry.

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY
Neurological Research Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI:10.1080/01616412.2024.2363092
Ahmad A Abujaber, Yahia Imam, Abdulqadir Nashwan, Ahmed M Own, Naveed Akhtar
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引用次数: 0

Abstract

Background: Stroke is a major cause of death and disability worldwide and presents a significant burden on healthcare systems. This retrospective study aims to analyze the characteristics and outcomes of stroke patients admitted to Hamad General Hospital (HGH) stroke service in Qatar from January 2014 to July 2022.

Methods: The medical records of 15,859 patients admitted during the study period were analyzed. The data collected included patient demographics, stroke types, admission location, procedures performed, mortality rates, and other clinical characteristics.

Results: Of the total cohort, 70.9% were diagnosed with a stroke, and 29.1% were diagnosed with stroke mimics. Of the stroke patients, 85.3% had an ischemic stroke, and 14.7% had a hemorrhagic stroke. Male patients below 65 years old (80.2%) and of South Asian ethnicity (44.6%) were the most affected. The mortality rate was 4.6%, significantly higher for hemorrhagic stroke than ischemic stroke (12.6% vs. 3.2%). Female patients had a higher stroke-related mortality rate than male patients (6.8% vs. 4%). The thrombolysis rate was 9.5%, and the thrombectomy rate was 3.4% of the ischemic stroke cohort. The mean door-to-needle time for thrombolysis was 61.2 minutes, and the mean door-to-groin time for thrombectomy was 170 minutes. Stroke outcomes were good, with 59.3% of patients having favorable outcomes upon discharge (mRS ≤2), which improved to 68.2% 90 days after discharge.

Conclusion: This study provides valuable insights into stroke characteristics and outcomes in Qatar. The findings suggest that stroke mortality rates are low, and favorable long-term disability outcomes are achievable. However, the study identified a higher stroke-related mortality rate among female patients and areas for improvement in thrombolysis and thrombectomy time.

卡塔尔的脑卒中:全国登记册十年来的启示。
背景:脑卒中是全球死亡和残疾的主要原因,给医疗系统带来了沉重负担。这项回顾性研究旨在分析 2014 年 1 月至 2022 年 7 月期间卡塔尔哈马德总医院(HGH)卒中服务部门收治的卒中患者的特征和预后:方法:对研究期间收治的 15859 名患者的病历进行分析。收集的数据包括患者的人口统计学特征、中风类型、入院地点、实施的手术、死亡率以及其他临床特征:结果:在所有患者中,70.9% 被诊断为中风,29.1% 被诊断为中风模拟症。在中风患者中,85.3%为缺血性中风,14.7%为出血性中风。65 岁以下男性患者(80.2%)和南亚族裔患者(44.6%)最多。死亡率为 4.6%,出血性中风的死亡率明显高于缺血性中风(12.6% 对 3.2%)。女性患者的中风相关死亡率高于男性患者(6.8% 对 4%)。在缺血性中风队列中,溶栓率为 9.5%,血栓切除率为 3.4%。溶栓从进门到进针的平均时间为 61.2 分钟,血栓切除术从进门到进针的平均时间为 170 分钟。卒中预后良好,59.3%的患者出院时预后良好(mRS ≤2),出院 90 天后预后提高到 68.2%:本研究为了解卡塔尔的脑卒中特征和预后提供了宝贵的信息。研究结果表明,脑卒中死亡率较低,可实现良好的长期残疾预后。然而,研究发现女性患者的中风相关死亡率较高,溶栓和血栓切除时间也有待改善。
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来源期刊
Neurological Research
Neurological Research 医学-临床神经学
CiteScore
3.60
自引率
0.00%
发文量
116
审稿时长
5.3 months
期刊介绍: Neurological Research is an international, peer-reviewed journal for reporting both basic and clinical research in the fields of neurosurgery, neurology, neuroengineering and neurosciences. It provides a medium for those who recognize the wider implications of their work and who wish to be informed of the relevant experience of others in related and more distant fields. The scope of the journal includes: •Stem cell applications •Molecular neuroscience •Neuropharmacology •Neuroradiology •Neurochemistry •Biomathematical models •Endovascular neurosurgery •Innovation in neurosurgery.
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