Large disparities in 28‐day case fatality by stroke subtype: data from a French stroke registry between 2008 and 2017 Article Swipe
Victoria Gauthier
,
Dominique Cottel
,
Philippe Amouyel
,
Jean Dallongeville
,
Aline Meirhaeghe
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/ene.14876
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/ene.14876
Background and purpose The objectives of the present analysis were to assess 28‐day stroke case fatality according to the stroke aetiology and to identify associated factors. Methods All stroke events in adults aged ≥35 years between 2008 and 2017 were collected in a population‐based stroke registry in northern France. Results Out of a total of 2933 strokes, there were 479 (16%) haemorrhagic strokes and 2454 (84%) ischaemic strokes; the 28‐day case fatality rates were 48% and 15%, respectively. Three‐quarters of the 28‐day case fatalities occurred within 6 days of the event for haemorrhagic strokes and within 16.5 days for ischaemic strokes. After an ischaemic stroke, the case fatality rate was higher for women (18%) than for men (12%, p < 0.0001); however, this difference disappeared after adjustment for age. Cardioembolic strokes (34%) and strokes of undetermined cause (33%) were the most common ischaemic subtypes, with case fatality rates of 16% and 18%, respectively. Large artery atherosclerosis (11%) and lacunar strokes (10%) were less common, and both types had a case fatality rate of 3%. Age at the time of the event and stroke severity were both significantly associated with case fatality. For some types of stroke, a history of cardiovascular events and residence in a nursing home were associated with a poor prognosis. Medical care in a neurology ward was inversely associated with case fatality, for all stroke subtypes. Conclusions In northern France, post‐stroke case fatality remains high, especially for haemorrhagic stroke. Being treated in a neurology ward improved survival by around 80%.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.14876
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14876
- OA Status
- hybrid
- Cited By
- 9
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3159433073
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3159433073Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/ene.14876Digital Object Identifier
- Title
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Large disparities in 28‐day case fatality by stroke subtype: data from a French stroke registry between 2008 and 2017Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-05-03Full publication date if available
- Authors
-
Victoria Gauthier, Dominique Cottel, Philippe Amouyel, Jean Dallongeville, Aline MeirhaegheList of authors in order
- Landing page
-
https://doi.org/10.1111/ene.14876Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14876Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14876Direct OA link when available
- Concepts
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Medicine, Stroke (engine), Case fatality rate, Neurology, Etiology, Population, Pediatrics, Epidemiology, Internal medicine, Emergency medicine, Environmental health, Mechanical engineering, Psychiatry, EngineeringTop concepts (fields/topics) attached by OpenAlex
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9Total citation count in OpenAlex
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2025: 1, 2024: 3, 2023: 2, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.respectively. | 78, 153 |
| abstract_inverted_index.significantly | 187 |
| abstract_inverted_index.cardiovascular | 200 |
| abstract_inverted_index.atherosclerosis | 156 |
| abstract_inverted_index.Three‐quarters | 79 |
| abstract_inverted_index.population‐based | 44 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5899999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.79115823 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |